哪些社会变量预测糖尿病的发生? 两项国家调查的强有力的发现
Louise C Hawkley1, Kristen E Wroblewski2, Philip Schumm2
1The Bridge, National Opinion Research Center, Chicago, Illinois, USA.
The Gerontologist
|August 10, 2024
概括
负面的社会因素,如婚姻压力和孤独,会增加老年人患糖尿病的风险. 减轻负面的社会经历可能更有效地降低糖尿病风险,而不是增加积极的经历.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
背景情况:
- 由于各种定义和测量,社会因素对糖尿病发病的影响尚不清楚.
- 了解这些社会决定因素对于在老年人群中有效预防糖尿病至关重要.
研究的目的:
- 使用理论框架对社会关系变量进行分类.
- 确定哪些社会因素的维度与老年人新发糖尿病有着强烈的关联.
主要方法:
- 利用了来自国家社会生活,健康和衰老项目的纵向数据 (n=2,365) 和健康和退休研究 (n=11,824).
- 用后勤回归模型在4-5年内分析了57-90岁个体的数据.
- 检查了15个相同测量的社会变量和医生诊断的病例糖尿病之间的关联.
主要成果:
- 没有结婚,配偶关系紧张和孤独与患糖尿病的风险更高有关.
- 社会支持,社会活动,网络规模,朋友/亲属数量,单身生活和亲密关系与糖尿病发病有不一致或无关联.
结论:
- 这些发现支持了社会因素对糖尿病风险的价值维度 (正与负) 的重要性.
- 减少负面的社会因素似乎对降低糖尿病风险的影响更大,而不是增强积极的社会联系.
- 对糖尿病和其他老年人健康状况的未来研究,需要对社会因素进行一致的概念化和测量.
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