关于社区归属及其对过早死亡率的影响的国家队列研究
Camilla Michalski1, Mack Hurst1,2, Lori Diemert1
1Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Journal of epidemiology and community health
|January 5, 2024
概括
在生活阶段,社区归属对过早死亡有不同的影响. 归属感较弱会增加年轻人的死亡风险,而强烈的归属感可能会增加老年人的死亡风险.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 老年学是一门学科.
背景情况:
- 社区归属是幸福感的一个关键方面,也是改善人口健康的目标.
- 老龄化涉及社会转型,这表明社区归属的健康影响可能在整个生命过程中有所不同.
研究的目的:
- 估计社区归属对过早死亡的生命阶段特定影响.
- 分析社会联系如何影响不同年龄段的健康结果.
主要方法:
- 利用了加拿大社区健康调查 (2000-2012) 与加拿大生命统计数据库 (2000-2017) 相连.
- 随访受访者长达5年,分析了早期 (18-35),中期 (36-55) 和晚期 (56-70) 成年期的过早死亡风险.
- 采用多变量调整的修改Poisson回归模型.
主要成果:
- "有点弱"的归属感在年轻成年人中增加了76%的过早死亡风险 (RR 1.76).
- 中年成年人的归属感"有点弱"显示风险降低 (RR 0.82).
- 报告"非常强"或"非常弱"归属的老年人患过早死亡风险较高 (RR分别为1.10和1.14).
结论:
- 社区归属与过早死亡率之间的关系是年龄相关的.
- 针对生命阶段的具体方法对于旨在加强社区归属和改善健康结果的干预措施至关重要.
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