技巧,独自生活和死亡率:JAGES队列研究
Yukako Tani1, Takeo Fujiwara2, Tatsuhiko Anzai3
1Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5- 45, Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan. tani.hlth@tmd.ac.jp.
The international journal of behavioral nutrition and physical activity
|November 11, 2023
概括
糟糕的技巧增加了独自生活的老年人死亡风险. 这项研究强调了独居老年人的能力对于改善健康结果和长寿的重要性.
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:
- 人口老龄化往往会改变生活状况,比如单身生活,因不够的技巧增加健康风险.
- 缺乏熟练的技巧对健康构成重大风险,特别是对于独立居住的老年人来说.
研究的目的:
- 根据他们的共同生活状况,调查日本老年人技巧与死亡风险之间的关联.
- 为了确定能力是否会影响单独生活的老年人与与别人一起生活的老年人之间的死亡率.
主要方法:
- 来自日本老年学评估研究的10,647名独立老年人的基于人口的队列被跟踪了三年.
- 用经过验证的尺度来评估技巧,参与者根据生活安排 (单独与他人) 和各种共同变量进行倾向分数匹配.
- 使用考克斯回归模型分析了全因死亡率,比较了高和低技能群体.
主要成果:
- 在随访期间,共有520人死亡.
- 在独自生活的老年人中,低厨艺技能与2.50倍的死亡风险增加有关 (危险比:2.50,95% CI:1.10-5.68).
- 在同居者中,低技巧与死亡风险之间的关联并不显著 (危险比:1.05,95% CI:0.82-1.33).
结论:
- 较低的技巧与增加的死亡风险显著相关,仅限于独自生活的老年人.
- 提高技巧可能是减轻独立生活的老年人死亡风险的关键公共卫生策略.
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