老年人数字隔离和痴呆风险:纵向队列研究
Cheng Deng1, Na Shen2, Guangzhou Li1
1Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Journal of medical Internet research
|February 19, 2025
概括
数字隔离显著增加了老年人的痴呆风险. 促进数字素养和数字化准入对于痴呆症预防战略至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 痴呆症是一个日益严重的全球健康问题,预计到2050年,痴呆症病例将达到1.53亿.
- 虽然社会隔离是已知的危险因素,但数字隔离对痴呆症的影响仍未得到充分研究.
研究的目的:
- 调查65岁及以上成年人数字隔离与痴呆风险之间的关联.
- 为了确定更高水平的数字隔离是否与患痴呆症的风险增加有关.
主要方法:
- 使用国家健康和衰老趋势研究 (NHATS) 数据 (2013-2022) 的纵向队列研究.
- 使用基于设备使用,在线活动和互联网访问的复合索引进行量化数字隔离.
- 分析了使用认知测试和代理报告的痴呆症发病率,采用考克斯的比例危险模型.
主要成果:
- 中度至高度的数字隔离与明显增加的痴呆风险有关.
- 对痴呆风险的调整危险比率 (HR) 为1.22 (发现队列) 和1.62 (验证队列).
- 聚合分析显示调整后的HR为1.36 (95% CI 1.16-1.59,P<.001),证实了这种关联.
结论:
- 数字隔离已成为老年痴呆症的重要危险因素.
- 增加数字参与可能有助于减轻痴呆风险.
- 公共卫生倡议应优先考虑数字素养和对痴呆症预防的准入.
相关概念视频
Cognitive Development During Adulthood
45
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
45
Dementia
91
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
91
Longitudinal Research
11.8K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.8K
Longitudinal Studies
120
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
120


