生活满意度和功能衰退与性别差异之间的关系的时间变化:一个特定年龄的前性队列研究
Naoko Shinohara1, Wenjing Zhao2,3, Yifan Shan1,4
1Department of Public Health, Graduate School of Medicine, Hokkaido University.
Environmental health and preventive medicine
|July 5, 2023
概括
65岁女性更高的生活满意度 (LS) 与功能衰退和死亡率降低的风险有关. 这种保护作用随着时间的推移而减弱,这凸显了晚年持续幸福的重要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 生活满意度 (LS) 是已知的死亡率预测因素,但其与功能衰退的关联仍未得到充分研究.
- 这项研究调查了老年日本成年人的LS和功能衰退之间的纵向关系.
研究的目的:
- 检查生活满意度 (LS) 和随着时间的推移功能衰退的风险之间的关联.
- 评估这种关联是否因性别而异,并在不同的时间点中减弱.
主要方法:
- 从2000年到2005年,对1899名65岁的社区居民进行了分析.
- 生活满意度指数K (LSK) 评分被用来评估LS,分为四分之一.
- 使用日本长期护理保险 (LTCI) 系统测量功能衰退,包括轻度/重度残疾和全因死亡率.
主要成果:
- 在65岁的女性中,较高的LS与轻度或重度残疾,重度残疾或死亡以及其任何组合的风险显著降低有关.
- 在14年的随访期间,这种保护作用逐渐减弱.
- 在任何时间点,在男性中都没有观察到统计学上显著的关联.
结论:
- 老年女性的生活满意度提高与功能衰退和死亡率降低的风险有关.
- 生活满意度对功能衰退的影响随着时间的推移而减少,这表明需要持续的福祉支持.
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