社区老年人的社会脆弱:一个范围审查
Cuiting Huang1,2, Wachiranun Sirikul3,4, Nida Buawangpong5
1Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
BMC geriatrics
|May 13, 2025
概括
社会脆弱对老年人产生重大影响.
科学领域:
- 老年学与公共卫生
- 社会科学 社会科学 社会科学
- 卫生科学 卫生科学 卫生科学
背景情况:
- 全球老年人口正在增加,这导致人们更加关注社会脆弱.
- 社会脆弱会对老年人的身体,认知和心理健康产生重大影响.
- 了解社会脆弱性对于促进社区健康老龄化和福祉至关重要.
研究的目的:
- 系统地审查社区生活中老年人的社会脆弱性.
- 探索理论框架,测量工具,决定因素,健康结果和针对社会脆弱性的干预措施.
- 综合当前关于社会脆弱性及其对老年人口的影响的证据.
主要方法:
- 使用PRISMA-ScR指南进行了全面的范围审查.
- 在PubMed,Embase和CINAHL数据库中进行了搜索,截至2024年11月4日.
- 从最初的2371篇文章中,包括了42篇文章,重点关注60岁以上的社区老年人.
主要成果:
- 社会脆弱是一个复杂的,多维的问题,受到身体衰退,认知障碍和抑郁症的影响.
- 它与认知能力下降,抑郁,残疾和死亡率的风险增加有关.
- 现有的测量工具缺乏标准化,需要跨文化验证;像运动和社交网络这样的干预措施是有希望的,但需要针对社会脆弱性的具体目标.
结论:
- 衡量社会脆弱性的主要框架有两个:赤字积累模型和社会需求满足理论.
- 社会脆弱与社区生活的老年人中较高的发病率和死亡率有关.
- 虽然身体活动和社交网络等干预措施可以改善社会参与,但迫切需要具体的干预措施和管理策略来直接解决社会脆弱性.
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