糟糕的社会功能:老年人肺炎的潜在可改变的风险因素
Sugihiro Hamaguchi1,2, Sho Sasaki3,2, Sayaka Shimizu3,4
1Department of General Internal Medicine, Fukushima Medical University, Fukushima, JPN.
Cureus
|October 25, 2023
概括
社会功能不佳是老年人,特别是男性社区获得性肺炎 (CAP) 的重要危险因素. 改善社会联系可能有助于预防老年人中CAP发病率.
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:
- 社区获得性肺炎 (CAP) 的风险因素通常是与年龄相关的和慢性疾病,这给老年人干预带来了挑战.
- 糟糕的社会功能会对健康产生负面影响,但很容易接受干预.
- 社会功能,健康相关生活质量 (HRQOL) 的组成部分,可能是CAP的可修改风险因素.
研究的目的:
- 调查社会功能不良与老年人中CAP发生率之间的关联.
- 确定社会功能作为老年人中CAP的潜在可修改的风险因素.
主要方法:
- 以Sukagawa研究 (2018-2021) 的数据为依据的回顾性队列研究.
- 包括75岁或以上的社区居民.
- 使用SF-8问卷和与医疗保险索赔数据对CAP发病率的匹配来衡量社会功能.
主要成果:
- 分析了来自6,513名参与者的17016个观察期.
- 较低的社会功能得分与较高的CAP风险有显著的关联 (调整后率比率 = 1.26/SD下降).
- 社会功能和CAP风险之间的关联在男性中 (调整率比率 = 1.41) 比在女性中 (调整率比率 = 1.00) 更明显.
结论:
- 糟糕的社会功能是老年人中CAP的一个独立风险因素.
- 旨在增强社会功能的干预措施可以作为加农政策预防的战略,在这个人口群体中,特别是男性.
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