在中国的老年人中,基于社区的服务,心理性和认知障碍之间的关联
Suyan Wang1,2, Xiyu Chen3, Haoyu Wang2
1Frontiers Science Center for Disease-related Molecular Network, West China Hospital, and Key Laboratory of Bio-Resource and Eco-Environment of Ministry of Education, College of Life Sciences, Sichuan University, Chengdu, 610041, Sichuan, China.
Scientific reports
|July 2, 2025
概括
基于社区的服务 (CBSs) 降低了老年人的认知障碍 (CI),心理性 (PR) 部分调解了这一效应. 加强CBS和PR是健康衰老的关键.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 认知障碍 (CI) 是一个日益严重的全球健康问题,尤其影响老年人.
- 基于社区的服务 (CBS) 和心理性 (PR) 被认为是对CI的保护因素.
- 在老年人群中,CBS,PR和CI之间的相互作用需要进一步研究.
研究的目的:
- 调查CBSs对老年人CI的影响.
- 确定PR是否调解CBS和CI之间的关系.
- 为了识别特定的CBS,提供对认知衰退的保护.
主要方法:
- 利用来自中国纵向健康长寿调查 (CLHLS) 的7565名65岁以上的个人数据.
- 采用结构方程建模来分析CBS,PR和CI之间的直接和间接路径.
- 使用Bootstrap 2000方法验证调解效应,控制人口统计学共变量.
主要成果:
- 中枢神经系统与较低的CI (β=0.049,P<0.001) 和较高的PR (β=0.071,P<0.001) 有积极关联.
- PR显示与CI风险 (β=0.260,P<0.001) 有积极的关联.
- 在CBSs-CI关联中,PR调解了26.87% (间接效应=0.018,95%CI:0.012-0.026).
- 特定服务,如家庭医生访问和健康教育显著受到CI的保护.
结论:
- CBS在减轻老年人中的CI方面发挥着至关重要的作用,部分是通过增强PR.
- 旨在加强CBS和促进PR的干预措施对于促进健康老龄化至关重要.
- 社区和社会合作对于支持老年人的公共关系和积极老龄化至关重要.
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