童年同龄人关系和中国老年人的痴呆风险:调解分析
1School of Public Affairs, Xiamen University, Xiamen, China.
International journal of geriatric psychiatry
|November 19, 2024
概括
儿童时期的不良同龄人关系会增加晚年痴呆症的风险. 这种联系在一定程度上可以解释为社会脱离和孤独,强调早期的社会支持.
科学领域:
- 社会流行病学 社会流行病学
- 老年学是一门学科.
- 心理社会医学 心理社会医学
背景情况:
- 早期的社会经验对长期健康有着深刻的影响.
- 童年同龄人关系与晚年痴呆症风险之间的联系尚不清楚.
- 将同伴关系与痴呆症联系在一起的机制需要进一步调查.
研究的目的:
- 检查童年同龄人关系与老年人痴呆症风险之间的关联.
- 调查社会脱离和孤独在这个协会中扮演的调解角色.
主要方法:
- 利用来自中国健康与退休长度研究 (2011-2018) 的7574名老年人 (年龄≥60岁) 的数据.
- 采用边缘结构模型来评估童年同行经历和痴呆症之间的关系.
- 使用治疗权重的逆概率来分析社会脱离和孤独的调解.
主要成果:
- 童年同龄人关系的缺陷与更高的痴呆风险有关 (OR,1.21;95% CI,1.10-1.34).
- 正式的社会脱离 (21.44%) 和孤独 (22.00%) 部分介导了这一关联.
- 正式和非正式的社交脱离与孤独的结合解释了41.50%的联系.
结论:
- 负面的童年同龄人经历与中国老年人痴呆症风险增加有关.
- 正式的社会脱离和孤独部分介导了这种关系.
- 促进积极的早期社会联系可能会减轻痴呆风险.
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