老年人的社会参与在长期护理机构进入之前和之后
Kenneth Lam1, Irena Cenzer2, Claire K Ankuda3
1Division of Geriatric Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora.
JAMA internal medicine
|August 4, 2025
概括
进入长期护理设施 (LTCF) 通常会促进社区参与,但会减少社会化. 这些福利对男性,养老院居民和少数群体可能是有限的.
科学领域:
- 老年学是一门学科.
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 社会参与对于生活质量和长寿至关重要.
- 长期护理机构 (LTCF) 进入对社会参与的影响仍然不清楚.
研究的目的:
- 检查进入养老院 (NHs) 或辅助生活设施 (ALs) 之前和之后社会参与的纵向变化.
- 为了确定与LTCF进入后的社会参与水平相关的因素.
主要方法:
- 全国代表性的纵向队列研究 (美国国家健康和衰老趋势研究,2011-2019).
- 包括社区居住的医疗保险受益者进入LTCF,数据分析为入境前4年至入境后2年.
- 通过修改Poisson回归来评估社会化 (参观,外出) 和社区参与 (宗教服务,俱乐部,志愿服务).
主要成果:
- 在LTCF进入之前,社会参与每年都在下降.
- 进入后",出去享受"减少了,而俱乐部参与和宗教服务的出席率增加了.
- 女性更有可能保持访问并开始宗教服务. 国民公路居民的"外出"和宗教服务出席率较低. 少数群体不太可能开始"出去享受乐趣".
结论:
- 进入LTCF往往会增强社区参与,但会减少社会化.
- 对男性,养老院居民和来自种族和少数民族背景的个人来说,积极影响可能不那么明显.
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