社会和邻居背景调节处理速度和驾驶流动性之间的关联:对ACTIVE研究的10年分析
Caitlin N Pope1, Katie M Wheeler2, Tyler R Bell3
1Department of Health, Behavior and Society, University of Kentucky, Lexington, KY, USA.
Journal of aging and health
|November 23, 2023
概括
处理速度的下降增加了老年人的驾驶困难,特别是那些邻居和社会环境不太有利的人. 这突显了健康的社会决定因素对流动性的影响.
科学领域:
- 老年学是一门学科.
- 认知神经科学 认知神经科学
- 公共卫生 公共卫生
背景情况:
- 处理速度对于保持老年人的功能独立性至关重要,包括驾驶.
- 在处理速度和驾驶流动性方面,种族差异和健康的社会决定因素 (SDoH) 尚未得到充分研究.
研究的目的:
- 为了检查处理速度和驾驶移动性之间的纵向关系.
- 调查这种关联如何因种族和SDoH而有所不同.
主要方法:
- 利用了高级认知训练对活力老年人 (ACTIVE) 研究的对照组的数据 (n=581).
- 采用多层模型来分析处理速度和驾驶移动性结果 (驾驶空间,曝光,困难) 之间的纵向关联.
- 探索了种族和SDoH的适度效应.
主要成果:
- 处理速度的下降与自我报告的驾驶困难增加有关.
- 这种关联仅对在邻居/建筑环境和社会社区背景SDoH领域中得分低于平均水平的老年人有意义.
结论:
- 物理和社会环境因素显著影响了老年人处理速度下降和驾驶流动性之间的联系.
- 调查结果强调了在旨在维护驾驶独立性的干预措施中考虑SDoH的重要性.
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