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沉默的流行病:探索中国老年人孤独与慢性疾病之间的联系
Lingbing Meng1,2, Ruofan Xu2,3, Jianyi Li1,2
1Department of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1 DaHua Road, Dong Dan, Beijing, 100730, China.
BMC geriatrics
|August 26, 2024
概括
孤独在中国老年人群中显著增加了慢性疾病的风险. 降低孤独水平与胃病和骨关节炎等疾病的发病率降低有关.
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:
- 慢性疾病是全球死亡和残疾的主要原因.
- 孤独日益被认为是慢性疾病发展的重要风险因素.
- 了解孤独和慢性疾病之间的关系对于公共卫生干预至关重要.
研究的目的:
- 调查孤独与中国老年人中慢性病的患病率之间的联系.
- 在这个人口群体中识别受孤独影响的特定慢性疾病.
- 为有针对性的干预提供证据,以减轻孤独对健康的影响.
主要方法:
- 利用中国城市和农村老年人口第四次调查 (SSAPUR) 的数据,招募了222,179名60岁及以上的个人.
- 定义的慢性疾病基于自我报告的事件和分析的协会使用单变量逻辑回归.
- 根据年龄,性别和城市-农村分类进行了分层分析,以改进发现.
主要成果:
- 在慢性疾病和孤独之间发现了显著的关联 (P < 0.05).
- 孤独程度较低的个人表现出胃病 (OR=0.752),关节炎 (OR=0.685),慢性阻塞性肺病 (COPD) (OR=0.678),喘 (OR=0.608),恶性瘤 (OR=0.892) 和生殖系统疾病 (OR=0.871) 的发病率较低.
- 孤独的患病率与城乡分类,年龄和性别有显著的相关性 (P < 0.001).
结论:
- 孤独是中国老年人中各种慢性疾病的发展和进展的重要危险因素.
- 孤独的不良影响在多种疾病中被观察到,包括高血压,胃病,白内障或绿内障,骨关节炎,慢性肺病,喘,恶性瘤和生殖系统疾病.
- 旨在减少孤独的干预措施可能在预防和管理老年人慢性疾病方面发挥重要作用.
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