城市化与中国脆弱地位之间的关联
Hillary B Spangler1, David H Lynch1, Annie Green Howard2
1University of North Carolina School of Medicine, Chapel Hill, NC, USA.
概括
城市化程度较低的老年人面临着更高的脆弱风险. 脆弱指数 (FI) 可以识别这些人,帮助针对性干预以获得更好的健康结果.
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:
- 脆弱指数 (FI) 的开发对于识别脆弱个体至关重要.
- 城市化对中国老龄化人口脆弱性的影响需要调查.
- 现有的脆弱性评估方法可能无法充分满足中国老年人的需求.
研究的目的:
- 检查中国老年人脆弱性与城市化之间的关联.
- 为这一群体开发和应用一种新的脆弱指数 (FI).
- 探索城市化如何根据社会决定因素改变脆弱风险.
主要方法:
- 利用了来自2018年中国健康与营养调查的7695名55岁以上成年人的数据.
- 根据健康缺陷计算了虚弱指数 (FI):强壮 (<0.08),前虚弱 (0.08-0.24),虚弱 (≥0.25).
- 采用多项逻辑回归来分析城市化三位数和脆弱状态,包括子分析.
主要成果:
- 与城市化程度较高的地区相比,生活在城市化程度较低的地区显著增加了脆弱 (OR 1.5) 和脆弱前期 (OR 1.6) 的几率.
- 地区,收入和教育的城市化水平较低,与脆弱和脆弱前期的可能性更高相关.
- 城市化水平改变了脆弱与地理居住,教育和收入之间的关系.
结论:
- 脆弱指数 (FI) 有效地识别了针对脆弱干预的特征.
- 减少城市化与中国老年人的脆弱性和脆弱性增加有关.
- 将城市化和社会决定因素纳入FI发展可以加强风险识别和预防策略.
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