印度老年人认知脆弱性的性别差异:一种多变量分解方法
Madhurima Sharma1, Abhishek Anand2, Aparajita Chattopadhyay3
1International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai, India.
Scientific reports
|October 19, 2024
概括
认知虚弱,即身体虚弱和认知障碍的共存,影响4.4%的老年印度人,女性受到的影响不成比例. 改善妇女教育可以显著减少这种性别差距.
科学领域:
- 老年学与公共卫生
- 神经科学和衰老研究研究
背景情况:
- 越来越多的人认识到老年人身体虚弱和认知障碍之间的相互作用.
- 引入"认知虚弱"作为一个独特的条件,由身体虚弱和认知障碍的同时出现而定义,而不是痴呆症.
- 显著的全球健康影响和老年健康倡议的关注.
研究的目的:
- 为了确定印度老年人认知虚弱的患病率.
- 调查导致认知脆弱性性别差异的因素.
- 分析共变量对观察到的性别差异的影响.
主要方法:
- 利用来自印度 (2017-18年) 全国代表性的纵向衰老研究 (2017-18年) 的数据.
- 包括13,946名男性和14,989名60岁及以上的女性的大量样本.
- 采用描述性,双变量分析,比例测试和多变量分解分析.
主要成果:
- 认知虚弱的总体患病率为4.4%,性别差异显著 (男性为2.1%,女性为6.4%).
- 增加年龄,女性性别,未婚,低学历和非工作状态与认知脆弱有显著的关联.
- 营养状况不佳和抑郁症在认知脆弱的个体中也很普遍.
结论:
- 在印度,认知障碍存在显著的性别差异,女性更容易受到影响.
- 女性的教育成就是减少认知脆弱性性别差距的关键因素.
- 对性别敏感的干预措施,特别是改善妇女获得教育的机会,对于发展中国家的全面老年护理至关重要.
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