在老年人中,社会孤立的变化和长期结果
Chen Lyu1, Katherine Siu1, Ian Xu1
1Division of Biostatistics, Department of Population Health, New York University Langone Medical Center, New York.
JAMA network open
|July 24, 2024
概括
老年人社会隔离的增加与死亡率,残疾和痴呆症的风险更高有关. 防止隔离恶化的干预措施对于维持老年人的健康和认知功能至关重要.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 跨界研究将社会孤立与健康状况不佳联系起来.
- 社会隔离和健康变化之间的长度关联不太清楚.
研究的目的:
- 检查四年来社会隔离的变化与随后的死亡风险,身体功能下降,认知能力下降,心血管疾病 (CVD) 和中风之间的关联.
- 为了评估这些风险,无论基线社会隔离状态如何.
主要方法:
- 一个队列设计,使用来自13,649名健康和退休研究 (HRS) 参与者的数据 (2006-2020).
- 社会隔离的变化是使用斯蒂普特5项社会隔离指数来衡量的.
- 考克斯比例危险回归与逆概率治疗权重被用于分析包括死亡率,残疾和痴呆症在内的结果.
主要成果:
- 与稳定或减少的隔离相比,增加的社会隔离与更高的死亡率有关.
- 随着隔离的增加,死亡率 (AHR,1.29),残疾 (AHR,1.35) 和痴呆症 (AHR,1.40) 的风险增加.
- 这些关联不管基线隔离水平如何,都是一致的.
结论:
- 增加的社会孤立是老年人死亡率,残疾和痴呆症的重要风险因素.
- 旨在防止增加社会隔离的干预措施对于改善健康结果至关重要.
- 解决社会隔离对于维持老龄化人口的身体和认知功能至关重要.
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