全球活动限制指标 (GALI) 对所有原因死亡率的预测值
A Ayuso-Álvarez1, C Ortiz2, J Fontán2
1National Centre for Epidemiology, Institute of Health Carlos III, Spain; Department of Sociology, School of Economics, Universidad Autónoma de Madrid, Spain.
Public health
|March 9, 2024
概括
全球活动限制指标 (GALI) 预测死亡率,严重的限制显著增加了风险. 这种关联在女性,年轻人和受教育程度较低的人群中更为明显.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 全球活动限制指标 (GALI) 是衡量长期残疾的一个关键工具.
- 了解GALI对死亡率的预测价值对于公共卫生干预至关重要.
研究的目的:
- 评估全球活动限制指标 (GALI) 对所有原因死亡率的预测值.
- 检查GALI与死亡率的关联如何因性别,年龄和教育水平而异.
主要方法:
- 这是一项涉及西班牙国家健康调查 (2011-2012,2014) 的42,991名成年人 (≥15岁) 的纵向研究.
- 将调查数据与2021年12月的死亡记录联系起来.
- GALI分类功能限制 (严重,不严重,没有);Poisson回归分析死亡风险 (IRR),对共变量进行调整.
主要成果:
- 与没有限制相比,非严重的限制显示死亡率的IRR为1.27,严重的限制则显示死亡率的IRR为2.04.
- 患有严重限制的女性比男性有更高的死亡风险 (IRR 2.32) (IRR 1.73).
- 在那些65岁以下的人 (IRR 2.22) 与那些65岁以上的人 (IRR 1.49) 相比,严重的限制预测了更高的死亡率,以及与高等教育 (IRR 1.87) 相比,在受教育程度较低的人 (IRR 2.08) 中,死亡率更高.
结论:
- 全球活动限制指标 (GALI) 是一般人口和子组死亡率的强有力的预测指标.
- 对于死亡率,GALI的预测能力在女性,65岁以下的个人和受教育程度较低的人群中显著更高.
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