各国能否塑造累积逆境与老年健康之间的关联?
1The Paul Baerwald School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem, Israel.
Frontiers in public health
|May 30, 2024
概括
终身累积的逆境会对老年人的健康产生负面影响. 然而,民主和福利政策等社会因素可以减轻这些不良影响,改善自我评价的健康.
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:
- 负面的生活经历可能会对老年人的健康状况产生负面影响.
- 诸如国家层面的不平等等社会因素可能与个人逆境相互作用,影响健康.
研究的目的:
- 检查老年人一生累积逆境 (LCA) 和自我评估健康 (SRH) 之间的关系.
- 调查国家不平等对LCA-SRH协会的缓解作用.
- 探索LCA和国家不平等对SRH的相互作用效应.
主要方法:
- 利用了来自欧洲健康,衰老和退休调查 (SHARE) 的数据.
- 使用回归分析来评估SRH上的LCA和国家不平等指数.
- 分析了来自25个欧洲国家和以色列两个时间点的28789名年龄在50-80岁的成年人的数据.
主要成果:
- 终身累积逆境 (LCA) 显示出与自我评估健康 (SRH) 有显著的负面关联.
- 发现民主和福利制度可以改变LCA对健康的有害影响.
- 这些缓解效应在LCA水平上升时更加明显,持续超过三年.
结论:
- 社会结构,特别是福利政策和民主治理,在缓解生活逆境的长期健康后果方面发挥着至关重要的作用.
- 旨在加强福利政策的干预措施可以帮助减少累积逆境对老年人群健康的负面影响.
- 健康的终身轨迹是由个人应激暴露和更广泛的社会不平等形成的.
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