社会阶层中老年人的认知维护:对纵向SHARE数据的二次分析
Yuliya Bodryzlova1, Bouchra Nasri2, Rado Malalatiana Ramasy Razafindratovo2
1Université de Montréal École de Santé Publique, Montreal, Quebec, Canada yuliya.legkaya@umontreal.ca.
Journal of epidemiology and community health
|March 26, 2025
概括
老年人的认知维护受到各种各样的因素的影响,这些因素在社会阶级之间存在差异. 了解这些差异可以帮助减少认知健康不平等.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 认知科学 认知科学
背景情况:
- 对于健康的衰老至关重要的认知维护,可能会受到不同社会阶级的社会人口和生活方式因素的不同影响.
- 以前的研究还没有充分评估这些对认知维护的差异性影响.
- 识别这些变异是制定有针对性的公共卫生战略的关键.
研究的目的:
- 评估社会人口结构,风险和保护因素对老年人认知维护的影响.
- 按社会阶级分层分析以确定差异效应.
- 为旨在减少认知健康差异的公共卫生干预提供信息.
主要方法:
- 利用了来自欧洲健康,老龄化和退休调查 (SHARE) 波第5和第7波的数据 (N=20,960,65-85岁).
- 认知维护定义为在基线和随访时在10个单词的延迟回忆测试中回忆6个以上的单词.
- 采用多级物流回归,将居住国作为随机效应,以比较社会阶级之间的因子效应.
主要成果:
- 所有社会阶层的重要预测因素包括年龄,休活动数量和居住国.
- 诸如性别,抑郁症,肥胖,虚弱,酒精消费,教育,职业和个性特征等因素的影响在社会阶级之间有很大差异.
- 模型合适度 (伪R2) 在社会阶级范围内从0.24到0.41不等.
结论:
- 在不同社会阶层中分析认知维护的贡献者,可以了解潜在的公共卫生目标.
- 这些发现可以指导策略,以提高整个人口的认知健康.
- 这种方法可能有助于减少认知健康结果的社会不平等.
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