社区层面的社会资本与痴呆症的关联:一项多层次的9年纵向研究,使用来自日本老年学评估研究的数据
Satoko Fujihara1, Taishi Tsuji2, Atsushi Nakagomi3
1Tokyo Metropolitan Institute for Geriatrics and Gerontology, Itabashi City, Tokyo, Japan; Center for Preventive Medical Sciences, Chiba University, Chiba City, Chiba, Japan.
Social science & medicine (1982)
|October 24, 2023
概括
社区社会资本,特别是公民参与和社会凝聚力,与老年女性痴呆风险降低有关. 促进这些社区因素可能有助于预防一般人群中痴呆的发病.
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:
- 虽然已知个人社会资本可以预防认知衰退,但较少的研究探讨了社区层面的社会资本对痴呆症的影响.
- 这项研究调查了社区社会资本与日本老年人痴呆症发病之间的关联.
研究的目的:
- 检查社区层面的社会资本与痴呆症发病率之间的关系.
- 确定公民参与,社会凝聚力和社区层面的互惠等因素是否会影响痴呆风险.
主要方法:
- 利用来自日本老年学评估研究 (2010-2019) 的纵向数据,涉及35921名年龄≥65.5岁的参与者.
- 采用双层多层生存分析,通过长期护理保险注册评估痴呆症发病情况,通过公民参与,社会凝聚力和互惠来评估社会资本.
主要成果:
- 在9年内,痴呆症发病率为17.4%. 个人公民参与降低了两性痴呆症风险.
- 社区一级的公民参与和社会凝聚力与更低的痴呆发病率有关,特别是在女性中.
- 对于女性的社会凝聚力,观察到一个显著的跨层次相互作用.
结论:
- 高水平的社区公民参与和社会凝聚力与老年女性痴呆症发病率降低有关.
- 促进公民参与和社会凝聚力的社区战略可能有助于延迟或预防痴呆的发病.
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