老年人的社会孤立和认知衰退:在24个国家进行的一项纵向研究
Wang Zhang1, Jingjing Zhang2, Na Gao1
1School of Humanities, Southeast University, Nanjing, Jiangsu, 211189, China.
BMC geriatrics
|October 14, 2025
概括
社会隔离严重损害了老年人的认知健康,增加了残疾和痴呆的风险. 加强社会支持和福利制度的干预措施对于全球健康老龄化至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 认知科学 认知科学
背景情况:
- 认知能力下降是与衰老相关的主要公共卫生问题.
- 社会隔离是一种新兴的社会决定因素,与老年人的认知恶化有关.
研究的目的:
- 在全球范围内研究社会隔离与认知能力之间的关联.
- 调查国家层面和个人层面因素对这种关系的缓和作用.
主要方法:
- 利用了来自24个国家的5项主要纵向衰老研究 (N=101581) 的统一数据.
- 采用线性混合模型,跨国元分析和系统通用时刻方法 (System GMM).
- 进行多层次建模和相互作用分析,以评估缓和效应.
主要成果:
- 社会隔离与认知能力下降有显著的关联 (综合效应 = -0.07).
- 系统GMM分析证实了这些发现,并减轻了内源性问题 (综合效应 = -0.44).
- 更强大的福利制度和经济发展缓冲了负面影响;影响在弱势群体中更大.
结论:
- 调查结果强调需要跨国干预措施来加强社会支持和融合.
- 改善福利和社会参与可以减轻与社会隔离相关的认知健康风险.
- 促进社会融合是促进全球健康衰老的关键.
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