社会孤立,不论是独自生活,都与死亡率有关:奥塔沙研究
Keigo Imamura1, Hisashi Kawai1, Manami Ejiri1
1Tokyo Metropolitan Institute for Geriatrics and Gerontology, Tokyo, Japan.
Frontiers in public health
|April 1, 2024
概括
社会隔离,不独自生活,增加了老年人的死亡风险. 专注于社会联系,而不是生活情况,是改善健康结果和寿命的关键.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 社会隔离与不良健康结果有关,但与死亡率的关系,特别是与独自生活相结合时,需要进一步调查.
- 现有的研究提出了不一致的发现,关于单身生活对健康结果的影响.
- 这项研究解决了在预测老年人死亡风险时,需要区分生活安排和社会联系.
研究的目的:
- 调查社会隔离和单独生活与社区居住的老年人所有原因死亡率的独立和联合关联.
- 澄清社会孤立或独自生活是否是增加死亡风险的主要驱动因素.
- 为改善老龄人口健康结果的公共卫生战略提供信息.
主要方法:
- 分析了一组来自东京伊塔巴希病房的老年人,他们接受了全面的健康检查.
- 参与者根据他们的社会隔离状况和他们是否独自生活被分为四组.
- 用Cox比例危险模型评估所有原因的死亡率.
主要成果:
- 在1,106名参与者中,4.5%是社会隔离和独自生活,死亡风险明显高 (HR:2.08).
- 社会上孤立的个人不独自生活也显示出死亡率增加的趋势 (HR: 1.41).
- 不被社会隔离并独自生活的老年人没有显示出死亡风险升高 (HR:0.81).
结论:
- 独自生活不是老年人死亡的独立风险因素.
- 社会隔离与所有死因死亡风险的增加显著相关.
- 医疗保健干预措施应优先加强老年人的社会互动和支持系统,以减轻死亡风险.
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