流行趋势,相关的并发症负担,以及社会隔离的后续死亡率:性别观点
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Weida Qiu1, Mingwei Lv1, Ailan Chen1
1Department of Cardiology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Journal of affective disorders
|September 12, 2025
概括
社会隔离在男性中正在减少,但在女性中稳定. 女性患病率更高,并发病率更高,社会隔离与死亡风险之间的关联明显更强.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 社会隔离的流行率和影响的性别差异仍然没有得到充分的描述.
- 了解这些差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 分析社会孤立患病率的性别特异性趋势.
- 评估与社会隔离相关的并发症负担中的性别差异.
- 检查社会孤立对按性别分层的死亡率的影响.
主要方法:
- 全国范围的队列研究利用中国健康与退休纵向研究 (CHARLS) 数据.
- 通过四个二分化的指标来评估社会孤立.
- 用于趋势和死亡率关联分析的Cochran-Armitage趋势测试和多变量Poisson回归模型,加权数据.
主要成果:
- 男性的社会隔离率呈现显著下降趋势 (2011年为19.4%,2018年为14.1%).
- 女性在社会隔离方面表现出稳定的趋势 (2011年为24.0%,2018年为24.1%).
- 与男性相比,社会孤立的女性的死亡风险 (IRR: 2.03) 超过男性的两倍 (IRR: 1.58),并发症的增加更为急剧.
结论:
- 在社会孤立的流行率,并发症负担和死亡风险方面存在显著的性别差异.
- 女性面临更高的患病率,更大的并发症负担,以及与社会隔离相关的更明显的死亡风险.
- 调查结果强调需要针对性别的策略来解决社会隔离及其健康后果.
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