与童年和成年期SES和社会流动性相关的老年身体功能轨迹:基于人口的队列研究
Andrzej Pająk1, Maciej Polak1, Magdalena Kozela1
1Department of Epidemiology and Population Studies, Faculty of Health Sciences, Institute of Public Health, Jagiellonian University Medical College, Krakow, Poland.
Frontiers in public health
|September 25, 2023
概括
更高的社会经济地位 (SES) 和上升的社会流动性与老年人更好的身体功能 (PF) 有关. 优势的SES还减缓了随着时间的推移PF的下降,强调了它对健康老龄化的重要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 身体功能 (PF) 随着年龄的增长而下降,影响老年人的生活质量.
- 社会经济地位 (SES) 是已知的健康结果的决定因素.
- 了解SES,社会流动性和PF轨迹之间的相互作用对于健康老龄化至关重要.
研究的目的:
- 检查从中年到老年身体功能 (PF) 的纵向轨迹.
- 研究社会经济地位 (SES) 在不同生命阶段对PF的影响.
- 探索PF轨迹中的性别差异及其与SES和社会流动性的关联.
主要方法:
- 对HAPIEE研究的波兰分支数据的分析 (n=2,294).
- 评估童年和成人SES和社会流动性,使用追溯问卷.
- 在约18年的时间里,使用SF-36尺度对PF的纵向评估.
- 应用通用估计方程来建模PF变化,并比较跨SES组的轨迹.
主要成果:
- 与持续低SES的人相比,在持续中/高SES和具有上升社会流动性的个体中观察到更高的基线PF.
- 在所有SES群体中,PF的下降是显而易见的,但在持续中/高SES的个人中,下降速度较慢.
- 社会上升的流动性似乎减轻了童年低SES对PF的负面影响.
结论:
- 较低的SES和下行社会流动性与较差的横截面PF相关.
- 有优势的SES与18年随访期间的PF下降速度较慢有关.
- 社会流动性在塑造PF轨迹方面发挥着重要作用,上升流动性具有保护作用.
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