在中国老年人中,功能性牙和认知功能:抑郁症状和社会参与的连锁中介效应
Qing Yang1, Jia-Huan Zhang1, Jing Mao2
1Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
概括
保持功能性牙与老年人更好的认知功能有关. 对于假牙使用,抑郁和社会参与的干预措施可能有助于预防牙损失患者的认知衰退.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 认知科学 认知科学
背景情况:
- 牙牙 (牙损失) 是老年人中普遍存在的问题,可能会影响整体健康.
- 生物心理社会模型强调了生物,心理和社会因素在健康结果中的相互作用.
- 认知功能对于保持老年人群的独立性和生活质量至关重要.
研究的目的:
- 检查抑郁症状和社会参与在功能牙和认知功能之间的关系中扮演的调解角色.
- 探索有关口腔健康和认知的生物心理社会框架内的连锁效应.
- 调查间接途径,将牙周病与认知衰退联系起来.
主要方法:
- 分析了2018年中国健康与退休长度研究 (CHARLS) 的数据.
- 统计建模以评估牙症对认知功能的直接和间接影响,考虑介导变量.
- 在分析中包括诸如假牙使用,抑郁症状和社会参与等因素.
主要成果:
- 在具有功能牙和更好的认知功能之间发现了显著的积极关联.
- 即使控制了假牙使用,抑郁症状和社会参与,这种关联仍然很强.
- 确定了六种不同的间接途径,突出了介导因素的复杂相互作用.
结论:
- 埃登图主义与老年人认知功能较差相关.
- 针对假牙使用,抑郁症状管理和促进社会参与的干预措施可能有助于缓解认知衰退.
- 解决口腔健康和相关的心理社会因素对于保持老年人的认知功能至关重要.
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