社会参与在缺乏服务的老年人群中对认知健康的作用:来自非洲巴西基隆博拉社区的证据
Sharon Sanz Simon1, Carolina Cappi2, João de Deus Cabral Junior3
1Department of Psychiatry, New Jersey Medical School, Rutgers University, Newark, NJ, USA; Krieger Klein Alzheimer's Research Center, Rutgers University, New Brunswick, NJ, USA.
较高的社会参与与缺乏服务的巴西基伦博拉社区更好的认知能力有关. 参与宗教活动特别有益, 表明社会参与支持弱势群体的认知健康.
科学领域:
- 老年学与公共卫生
- 认知神经科学
- 社会流行病学
背景情况:
- 非洲裔巴西人的定居点面临着社会脆弱性和有限的医疗服务.
- 在老龄化和痴呆症研究中,
- 了解缺乏服务的社区的认知健康因素至关重要.
研究的目的:
- 研究来自巴西基隆巴社区的老年人的社会参与与认知功能之间的关联.
- 探索社会参与在社会脆弱环境中的认知健康的作用.
主要方法:
- 涉及11个基隆博拉农村社区的221名老年人 (60至104岁).
- 评估人口统计,心血管风险因素,情绪,认知和社会参与.
- 回归模型分析了社会参与与认知之间的关联,对共变量进行控制,并根据年龄和性别进行适度测试.
主要成果:
- 较高的社会参与与更好的认知功能 (p < 0. 001) 有显著的关联,独立于人口统计,功能能力,情绪和心血管风险.
- 参与宗教/信仰活动是与增强认知最强烈的社会活动.
- 年龄和性别并没有显著调节社会参与与认知之间的关系.
结论:
- 即使在社会弱势和弱势群体中,社会参与也可能对认知健康起到保护作用.
- 基于社区的社会参与,如宗教服务,可能是促进认知和大脑健康的关键因素.
- 调查结果表明,社会参与提供认知刺激,情感支持,并可能促进获得必要的社区资源.
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