晚期生命依赖期的长度:发病年龄是否有所不同?
Susanne Kelfve1,2, Jonas W Wastesson3,4, Bettina Meinow3,5
1Department of Culture and Society, Linköping University, Norrköping, Sweden. susanne.kelfve@liu.se.
European journal of ageing
|July 1, 2023
概括
延迟晚年依赖的老年人,以基本活动需要帮助来定义,倾向于经历这种依赖的较短持续时间. 这一发现支持了旨在维持晚年独立的干预措施.
科学领域:
- 老年学与公共卫生
- 衰老的社会学 衰老的社会学
- 依赖的流行病学 依赖的流行病学
背景情况:
- 有关影响晚年依赖持续时间的因素存在知识差距.
- 了解开始时的年龄和依赖的持续时间之间的关系对于公共卫生规划至关重要.
研究的目的:
- 调查晚年依赖开始的年龄和在依赖状态中花费的总时间之间的关联.
- 确定影响老年人依赖持续时间的人口和社会因素.
主要方法:
- 利用瑞典人口登记数据,识别2008年6月至12月期间70岁以上的个人进入日常生活活动 (ADLs) 的长期护理.
- 追踪了17,515个人的队列,长达7年或直到死亡.
- 采用拉普拉斯回归模型并计算原始百分位数来分析依赖的持续时间,调整性别,教育和同居等共变量.
主要成果:
- 大多数人经历了长期的依赖,女性的平均持续时间为40.0个月,男性为22.6个月.
- 发现了一个显著的反向关联:在依赖开始时的较高年龄与依赖的较短持续时间相关.
- 在调整了基线同居状态,性别,教育水平和出生国家后,这种关联仍然很强.
结论:
- 年长的成年人谁在晚年开始他们的依赖期往往有一个压缩的依赖的持续时间.
- 这些发现为公共卫生倡议和干预提供经验支持,重点是促进和维持老年人群的功能独立性.
- 旨在延迟依赖的策略也可能减少个人在照顾中依赖的总体时间.
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