在中国老年人中,社会隔离与认知功能之间的双向关系:将人际影响与人内影响分开
Xinlong Xie1, Fanfan Wu1, Zhiruo Zhuang1
1School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
Scientific reports
|December 31, 2024
概括
社会孤立对中国老年人的认知功能产生负面影响,观察到相互关系. 减少社会隔离对于促进这个人口群体健康老龄化和认知健康至关重要.
科学领域:
- 老年学是一门学科.
- 认知神经科学 认知神经科学
- 社会流行病学 社会流行病学
背景情况:
- 社会孤立是全球老龄化人口日益关注的问题.
- 了解其对认知功能的影响对于公共卫生干预至关重要.
- 之前的研究已经探索了这种联系,但需要对不同人群进行纵向双向分析.
研究的目的:
- 研究中国老年人社会隔离与认知功能之间的双向关系.
- 用先进的统计建模来区分人与人之间的影响和人内影响.
- 为有针对性的干预提供证据,以支持老年人群的认知健康.
主要方法:
- 从2008年起,对来自中国长度健康长寿调查 (CLHLS) 的1662名参与者的纵向分析.
- 交叉滞后面板模型 (CLPM) 和随机交叉横滞后面板模型 (RI-CLPM) 的应用.
- 统计控制共变量和随机拦截以隔离特定效应.
主要成果:
- 在人与人之间发现了社会隔离和认知功能之间显著的双向效应.
- 较高的社会隔离预测了随后的认知衰退,较低的认知功能预测了社会隔离的增加.
- 在人体内进行的分析显示,社会孤立对认知功能随着时间的推移产生了显著的负面影响,即使在控制了稳定的个人差异之后.
结论:
- 社会隔离对中国老年人的认知功能产生了显著的滞后效应.
- 旨在减少社会孤立的干预措施可能有效地保护这一群体的认知健康.
- 调查结果强调了解决社会隔离的重要性,这是促进健康衰老的关键因素.
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