健康衰老的流行率和相关因素:系统性审查和元分析
Linxi Tang1, Nur Syahmina Binti Rasudin1, Yuan Dong2
1School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.
在全球范围内,只有15.6%的老年人达到健康的衰老. 关键因素包括年龄,生活方式和社会经济地位,突出了针对性公共卫生干预的必要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 健康老龄化是一个关键的全球公共卫生目标.
- 了解其患病率和决定因素对于老年人有效干预至关重要.
研究的目的:
- 为了估计健康衰老的全球患病率.
- 识别不同国家与健康衰老相关的因素.
主要方法:
- 对39项研究 (300,624名参与者) 的系统综述和元分析.
- 在多个数据库 (Web of Science,PubMed等) 进行了搜索. 在2025年2月之前.
- 使用NOS和AHRQ检查清单评估研究质量;在Stata和R.进行的元分析.
主要成果:
- 健康衰老的综合患病率为23.0% (95% CI:18-27%),在考虑出版偏差后调整为15.6% (95% CI:11.0%-20.1%) .
- 发现与年龄 (≥75岁),性别,婚姻状况,教育,经济状况,社会参与,就业,吸烟,酒精,体力活动,BMI和自我评估健康的显著关联.
结论:
- 全球不到四分之一的老年人符合健康衰老标准,区域差异很大.
- 许多社会人口统计学,行为和健康因素影响健康的衰老结果.
- 解决可修改的决定因素对于未来的公共卫生战略至关重要,以促进健康老龄化.
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