发展中国家老年人群中的数字排斥和认知功能:来自2项纵向队列研究的见解
Sainan Duan1,2,3, Dongxu Chen1,2, Jinping Wang3,4
1Department of Anesthesiology, West China Second University Hospital, Sichuan University, Chengdu, China.
Journal of medical Internet research
|November 15, 2024
概括
数字排斥与发展中国家老年人的认知功能恶化有关. 促进互联网接入可能有助于降低认知能力下降的风险,改善认知健康.
科学领域:
- 老年学是一门学科.
- 认知科学 认知科学
- 公共卫生 公共卫生
背景情况:
- 认知障碍带来了重大的健康和社会经济挑战,影响了日常活动.
- 了解数字排斥对认知的影响至关重要,特别是在发展中国家.
研究的目的:
- 评估发展中国家老年人口中数字排斥和认知功能之间的联系.
- 分析与互联网接入相关的认知评分的纵向变化.
主要方法:
- 利用了中国健康与退休长度研究 (CHARLS) 和墨西哥健康与衰老研究 (MHAS) 的数据.
- 定义数字排斥为自我报告的互联网不使用;通过5个测试评估认知功能.
- 采用后勤回归和通用估计方程 (GEE) 分析,控制混因素.
主要成果:
- 观察到数字排斥的高患病率 (96.78%在查尔斯,70.02%在MHAS).
- 数字排斥在两个队列中都与较差的认知表现显著相关 (或2.04在CHARLS中,或1.40在MHAS中).
- 经过调整后的分析显示,数字排斥和被纳入的个人在全球认知分数中存在显著差异.
结论:
- 发展中国家的老年人,特别是中国的老年人,存在着严重的数字排斥.
- 数字排斥是这一群体认知能力下降的危险因素.
- 增加互联网接入可能是支持老年人群认知健康的策略.
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