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在健康的城市中,老年人之间的社会互动和减轻热应激
Kaoruko Seino1, Keiko Nakamura1, Sharifullah Alemi2
1Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Tokyo, Japan.
The Lancet. Planetary health
|April 18, 2024
概括
面临热应激的老年人往往不充分利用预防措施,特别是如果他们在社会上孤立. 社区卫生计划应优先关注弱势,脱机的老年人,以改善应对高温的策略.
科学领域:
- 环境健康 环境健康
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
背景情况:
- 极端高温事件的频率和持续时间正在增加,对健康构成重大风险,特别是对老年人群.
- 尽管已知有预防措施,但有效地在社区层面实施减热应激策略仍然是一个挑战.
- 这项研究调查了老年人与他们的生活条件和社会联系有关的热应对实践.
研究的目的:
- 为了检查老年人应对热量的做法.
- 评估这些实践与诸如生活条件,社会互动和社区参与等因素之间的联系.
- 识别老年人有效实施热应激预防措施的障碍.
主要方法:
- 一个自我管理的问卷被用来收集来自日本Owariasahi的2127名老年参与者 (65岁以上) 的数据.
- 该调查评估了应对高温的做法,生活条件和社会互动 (家庭,朋友,邻居).
- 应用了通用线性回归模型来分析社交互动和应对热量的做法之间的关联,并根据性别和年龄进行调整.
主要成果:
- 35.0%的参与者经历了热压力. 在单独生活,社交互动较少的男性中观察到更高的发病率.
- 使用冰袋和空调等冷却方法与热应激有关.
- 社会上脱节的个体,特别是与朋友和亲戚疏远的人,不应用预防性应对热量的做法的可能性显著增加 (OR 1.52).
结论:
- 热应激缓解措施在社会脱节的老年人中未得到充分利用.
- 预防热病的公共卫生倡议必须包括针对社会弱势和孤立的老年人进行有针对性的接触.
- 加强社区支持系统和社交网络对于提高老年人群的耐热能力至关重要.
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