在老年人中探索多维社会孤立与异质认知轨迹之间的关联:来自中国的证据
Xinlong Xie1, Yanxia Lyu1,2, Fanfan Wu1
1School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
Frontiers in public health
|October 18, 2024
概括
社会隔离,特别是与朋友的隔离和主观的孤独感,显著增加了老年人认知能力下降的风险. 解决这些因素可以帮助预防或延迟认知障碍.
科学领域:
- 老年学是一门学科.
- 认知科学 认知科学
- 社会学 社会学 社会学
背景情况:
- 认知能力下降是全球老年人群日益关注的问题.
- 了解影响认知轨迹的因素对于公共卫生至关重要.
- 社会孤立是一个多方面的问题,对老年人的认知健康有潜在的影响.
研究的目的:
- 在中国老年人中识别不同的认知轨迹.
- 调查多维社会孤立对这些轨迹的影响.
主要方法:
- 利用了来自中国纵向老龄化社会调查 (CLASS) 2016-2020年波的数据.
- 采用隐性类增长模型来定义认知轨迹.
- 应用多项逻辑回归来分析社会隔离维度 (家庭,朋友,主观) 对认知轨迹的影响.
主要成果:
- 确定了三个认知轨迹:高度稳定 (68.8%),高度下降 (21.7%) 和低恶化 (9.5%).
- 家庭隔离并没有显著影响认知能力下降或恶化.
- 朋友隔离 (OR=1.289-1.592) 和主观隔离 (OR=1.254-1.29) 显著增加了高水平认知衰退和低水平恶化的风险.
结论:
- 缓解朋友和主观隔离是预防或延迟老年人认知衰退的关键策略.
- 针对社会联系的干预措施可以减少医疗保健和社会福利负担.
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