帕金森病中的社会剥夺和排斥:一个横截面和纵向研究
Konstantin G Heimrich1, Aline Schönenberg2, Tino Prell2
1Department of Neurology, Jena University Hospital, Jena, Germany konstantin.heimrich@med.uni-jena.de.
BMJ open
|December 30, 2023
概括
社会剥夺对帕金森病患者 (PwPD) 的生活质量产生重大影响. 这种社会排斥风险也存在于前发性帕金森病中,这表明它可能在诊断之前出现.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 社会学 社会学 社会学
背景情况:
- 帕金森病 (PD) 影响着老年人口的很大一部分.
- 社会贫困是影响健康结果的日益关注的问题.
- 了解PD和社会剥夺之间的相互作用对于整体的患者护理至关重要.
研究的目的:
- 确定患有帕金森病 (PwPD) 的人群中社会剥夺的患病率和相关因素.
- 调查社会剥夺对PwPD生活质量 (QoL) 的影响.
- 探索PD过程中社会剥夺的开始.
主要方法:
- 利用了来自欧洲健康,老龄化和退休调查 (SHARE) 数据集 (第5和第6波) 的数据.
- 对社区生活的成年人进行了横截面和纵向队列分析.
- 确定的子组:PwPD (n=559),前期性PD (n=215) 和对照组 (n=46,737).
主要成果:
- 与对照组相比,帕金森病患者的物质和社会贫困指数较高.
- 20%的PwPD被确定为面临社会排斥风险.
- 社会和物质剥夺在PwPD中显著预测了QoL变异,社会剥夺在prodromal PD中升高.
结论:
- 社会剥夺和排斥在PwPD中显著影响QoL,影响精神和身体功能.
- 社会剥夺作为PD中一种前兆现象的作用需要进一步研究.
- 患病症的临床管理应考虑社会剥夺对患者福祉的深刻影响.
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