多种疾病与患者报告的生活质量之间的纵向关联
Eileen K Graham1, Olivia E Atherton2, Daniel K Mroczek1,3
1Department of Medical Social Sciences, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
概括
患有多种慢性疾病的老年人体验到更糟糕的心理和身体健康. 存在种族差异,非白人个人面临着随着多种疾病增加的健康状况下降.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球人口老龄化推动了多病症的增加,影响了近三分之二的美国老年人.
- 多病症,即多种慢性疾病的共存,对老龄化人口的健康和福祉构成重大挑战.
研究的目的:
- 检查多病症与与健康相关的生活质量 (焦虑,抑郁,身体功能) 的纵向变化之间的关联.
- 调查社会人口统计学因素是否调节多病症和与健康有关的生活质量之间的关系.
主要方法:
- 老年人的前性队列研究 (N=900) (老年人的健康素养和认知功能的长度研究).
- 多层增长模型分析了焦虑,抑郁和身体功能的变化,并将多病症和社会人口统计学作为预测因素/共变量.
主要成果:
- 患有多病症的个体报告持续高焦虑和抑郁,身体功能较差.
- 观察到种族差异:与白人参与者相比,非白人参与者在与健康相关的生活质量方面出现了较大的下降,并增加了多种疾病.
结论:
- 多种疾病随着时间的推移显著影响老年人的精神和身体健康.
- 调查结果突出了多重疾病背景下的种族健康差异,表明系统性障碍的影响.
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