社会资本与中国老年人认知功能轨迹之间的关联
Mengyun Xiong1,2, Zhaojing Wen2, Wanrui Ma1
1Department of General Practice, The First Dongguan Affiliated Hospital at Guangdong Medical University, Dongguan, 523808, China.
BMC public health
|January 25, 2025
概括
社会资本,包括公民参与和精神资本,影响中国老年人的认知功能轨迹. 高度的公民参与降低了缓慢衰退的风险,而高精神资本降低了恶化风险.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 在中国老年人中,社会资本和认知功能轨迹之间的关系仍未得到充分探索.
- 这项研究使用了宁夏健康衰老队列的纵向数据来调查这种关联.
研究的目的:
- 在中国大陆的老年人中确定不同的认知功能轨迹.
- 检查社会资本的各个维度与这些认知功能轨迹之间的关联.
主要方法:
- 从四个波段 (2012-2023) 的纵向数据使用条件潜伏类增长建模 (LCGM) 来分析,以确定认知功能轨迹.
- 认知功能使用中文版本的迷你精神状态检查 (MMSE) 进行评估.
- 社会资本的组成部分 (社会凝聚力,社会互动,公民参与,精神资本) 在基线使用标准仪器进行测量. 多项式逻辑回归分析了关联.
主要成果:
- 鉴定了三个认知功能轨迹:稳定 (72.5%),缓慢下降 (25.8%) 和恶化 (1.7%).
- 高精神资本与恶化轨迹风险降低有关 (OR=0.36).
- 高度的公民参与与缓慢下降轨迹的风险降低有关 (OR=0.61). 基线认知功能,年龄和肥胖是显著的风险因素.
结论:
- 在中国老年人中,认知功能轨迹是多样化的.
- 公民参与和精神资本显示出对认知衰退的保护性关联.
- 研究结果提倡针对弱势老年人群的社会综合干预措施,以支持认知健康.
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