生命历程社会经济地位和晚年护理依赖:来自17个国家的纵向多队列研究
Ting Pan1, Chenshuang Li1, Ying Zhou1
1Center for Smart and Healthy Buildings, Huazhong University of Science and Technology, Wuhan, Hubei 430074, China.
EClinicalMedicine
|December 31, 2024
概括
生活中社会经济地位的变化显著影响了老年人对照顾依赖的风险. 维持社会活动是减少这些差距及其相关健康负担的关键.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 由于人口老龄化,护理依赖是一个日益严重的公共卫生问题,与社会经济劣势有关.
- 一个人一生中社会经济地位的变化对照料依赖风险的影响仍然不清楚.
研究的目的:
- 调查社会经济流动性在整个生命周期和在晚年生活中的护理依赖之间的联系.
- 确定关键的社会经济不平等的关键贡献者在照顾的依赖.
主要方法:
- 纵向分析来自17个国家的6项前性队列研究 (2000-2019) 的聚合数据.
- 评估社会经济地位 (SES) 在童年,早期成年期和中后期成年期.
- 常规物流混合效应模型用于分析SES流动性和晚年护理依赖 (ADL/IADL) 之间的关联.
主要成果:
- 任何生命阶段的低SES都会增加照顾依赖的概率,严重程度和恶化,女性更容易受到伤害.
- 除了稳定的高SES外,所有社会经济流动轨迹都与更高的依赖风险有关;严重的SES下降显示出最高风险.
- 缺乏社会活动是社会经济不平等的主要原因,解释了高达66.63%的护理依赖.
结论:
- 随着寿命的推移,社会经济地位的变化与晚年护理依赖性风险有关.
- 促进平等的教育机会和社会参与可以减轻照顾负担,减少在照顾依赖的社会经济差异.
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