控制感与全因死亡率之间的关联:一项前性队列研究
Ying Li1,2, Yilin Chen1, Xiwen Ding1
1Department of Social Medicine, School of Public Health, Zhejiang University, Hangzhou, China.
AIMS public health
|July 23, 2025
概括
更强大的控制感与50岁以上成年人死亡风险降低有关. 保持或增加这种控制感显著降低死亡率,突出其公共卫生的重要性.
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:
- 人们认识到对健康有控制感的积极影响.
- 然而,将控制感与死亡率联系在一起的经验证据有限.
研究的目的:
- 调查控制感与全因死亡率之间的关联.
- 检查控制感的变化如何影响死亡风险.
主要方法:
- 一项针对22793名50岁以上的美国成年人和他们的配偶 (2006-2018) 的前性队列研究.
- 使用了Cox比例危险回归和Kaplan-Meier生存分析.
- 评估了与基线和控制感的变化相关的死亡风险.
主要成果:
- 在过去的12年里,有5027人死亡.
- 更高的控制感与降低的死亡风险有显著关联 (HRs:0.91,0.83,0.79增加四分位数).
- 增加控制感的个体死亡风险降低了42% (HR=0.58),而控制能力下降的个体增加了风险 (HR=1.81).
结论:
- 强烈的控制感与较低的死亡风险显著相关.
- 保持或增加一个人的控制感可能是长寿的关键因素.
- 促进控制感的干预措施可能是有价值的公共卫生战略.
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