中国老年人的虚弱轨迹和决定因素:一项纵向研究
Jiaolan Du1, Min Zhang1, Jinping Zeng1
1Department of Epidemiology and Health Statistics, School of Public Health, Hangzhou Normal University, Hangzhou, China.
概括
老年中国成年人的虚弱轨迹因测量工具而有所不同. 诸如性别,吸烟和慢性病等因素会影响这些不同的脆弱路径.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 虚弱是一种显著的老年综合征,影响老年人群的健康结果.
- 了解脆弱性轨迹对于有针对性的干预和医疗保健规划至关重要.
- 使用多种评估工具对中国老年人脆弱性轨迹的研究是有限的.
研究的目的:
- 在中国老年人中使用FRAIL尺度和脆弱指数 (FI) 调查和比较脆弱轨迹.
- 确定与不同脆弱轨迹相关的决定因素.
- 丰富这个人口群体对脆弱异质性的理解.
主要方法:
- 利用了2268名参与中国长度健康长寿调查的老年人的数据.
- 构建了FRAIL规模 (5项) 和脆弱指数 (FI) (39个赤字).
- 采用隐性类轨迹建模以识别不同的脆弱轨迹和因子分析的拉索逻辑回归.
主要成果:
- 确定了FRAIL尺度的四个不同的轨迹和FI的三个.
- 与脆弱性轨迹相关的关键决定因素包括女性性别,吸烟,文盲,多种慢性疾病 (> 2),日常生活中的工具活动不佳 (所有p < 0.05).
- 这些关联在两种脆弱性测量仪器中都是一致的.
结论:
- 老年中国成年人的虚弱轨迹是多样化的,并受到所选择的测量工具的影响.
- 社会人口统计学和健康因素对脆弱性进展有重大影响.
- 建议在社区医疗保健机构进行常规的长期评估和脆弱性管理.
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