邻居因素和长寿:杰克逊心脏研究
Michelle C Odden1, Yongmei Li1, Roland J Thorpe2
1Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, United States.
Preventive medicine reports
|August 17, 2023
概括
具有高社会凝聚力和混合住宅用地的社区与非洲裔美国老年人的寿命延长有关. 这些因素,以及体育活动,促进生存到老年.
科学领域:
- 环境健康 环境健康
- 老年学是一门学科.
- 社会流行病学社会流行病学
背景情况:
- 很少有研究探讨了长寿的环境预测因素.
- 杰克逊心脏研究 (JHS) 队列为研究这些因素在非洲裔美国老年人中提供了独特的机会.
研究的目的:
- 研究邻居社会和物理环境因素与非洲裔美国老年人的85岁生存率之间的关联.
- 评估身体活动和慢性疾病在这些关联中的调解作用.
- 对人口普查通道水平与预期寿命相关的因素进行补充的生态分析.
主要方法:
- 913名非洲裔美国人参与的长度队列研究 (基线年龄为65-80岁) 来自JHS.
- 对人口普查区一级环境暴露的评估,包括社会经济地位,社会凝聚力,暴力,混乱,健康食品商店,住宅用地和可行性.
- 身体活动和慢性疾病的调解分析;使用人口普查数据进行生态分析.
主要成果:
- 501名 (55%) 参与者存活到85岁或以上.
- 更高的社会凝聚力 (风险差异=25%) 和更大的住宅用地 (风险差异=4%) 与更高的老年生存率有关.
- 邻里效应是由休时间的体育活动和家庭/院子活动 (为了社会凝聚力) 调解的.
- 较高的房屋所有权和伴侣家庭的流行率与较高的人口普查区预期寿命有关.
结论:
- 社区社会凝聚力和住宅用地与非洲裔美国老年人中老年生存率的增加有关.
- 身体活动部分调解了这些邻居效应.
- 社区层面的因素,如房屋所有权和家庭结构,可能会影响整体预期寿命.
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