社区特征和认知功能:个体社会经济地位的温和作用
Tse-Chuan Yang1, Seulki Kim2, Seung-Won Emily Choi3
1Department of Sociology, University at Albany, State University of New York, Albany, New York.
American journal of preventive medicine
|October 23, 2023
概括
邻居的特点会影响老年人的认知功能. 社会经济地位,如教育和收入,影响了这种关系,处境不利的个人面临更高的风险.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 认知科学 认知科学
背景情况:
- 探索社区对认知功能的影响对于老龄化人口至关重要.
- 社会经济地位 (SES) 可能会改变社区特征与认知健康之间的关联.
研究的目的:
- 研究老年人社区特征 (可行性,集中不便,社会隔离) 和认知功能之间的关系.
- 检查个人SES (教育,收入) 是否调节这些关联.
主要方法:
- 从2010-2018年健康和退休研究中对10,621名老年人 (65岁以上) 的分析.
- 两年一度的认知功能评估和2010年社区特征数据.
- 统计模型将SES作为一个调节器.
主要成果:
- 社区可行性和认知功能之间的积极关联.
- 集中不利和认知功能之间的负相关性.
- SES改变了这些关系:随着步行能力的增加,认知功能的教育和收入差距缩小,随着不利/孤立的增加,差距扩大.
结论:
- 邻居特点显著影响老年人的长期认知功能.
- 低SES放大了弱势社区对认知健康的负面影响.
- 改善社区环境的干预措施可能特别有利于低SES的老年人.
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