生活过程中的社会经济因素与晚年生命中的脆弱性有关
Mathilde Glud Christensen1, Katja Kemp Jacobsen2, Charlotte Juul Nilsson3
1Zealand University Hospital, Køge, Medical Department, Geriatric section, Denmark; Copenhagen Center for Clinical Research - CopenAge, Faculty of Health, University of Copenhagen, Denmark.
The Journal of frailty & aging
|November 27, 2025
概括
童年和成年期的不利社会经济因素显著增加了老年人的脆弱风险. 这种累积的缺点可能会导致负面的健康结果,突出显示社会经济地位对健康衰老的长期影响.
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:
- 脆弱性是老龄化人口日益关注的问题,与像跌倒,住院和死亡率这样的不良健康结果有关.
- 童年和成年时期的社会经济状况 (SES) 独立地与脆弱性有关.
- 童年逆境和成人SES对脆弱性的综合影响仍然不完全理解.
研究的目的:
- 调查童年社会经济困难与成年期SES之间对老年人脆弱性患病率的相互作用.
- 评估整个生命周期中不利的社会经济因素的累积影响如何影响脆弱.
- 探索特定的童年和成年社会经济指标和脆弱性之间的因果相互作用.
主要方法:
- 一项基于国家登记册和洛兰德-法尔斯特健康研究数据的基于登记册的研究.
- 包括50岁及以上的个体,使用修改后的Fried的表型来评估脆弱性.
- 逻辑回归和相对过度风险因相互作用 (RERI) 分析,以评估社会经济因素的综合影响.
主要成果:
- 这项研究包括10,163人,虚弱的患病率随年龄增长而增加 (50-65组的17%,85+组的44.9%).
- 与男性相比,女性表现出更高比例的脆弱性标准.
- 对于联合暴露:对童年困难的感知+教育成就,以及儿童时期的压力事件+成年期的经济困难,观察到对脆弱性的显著增值效应.
结论:
- 在童年和成年期共同暴露于不利的社会经济因素,显著增加了老年人虚弱的几率.
- 研究结果支持累积不利/不利理论,强调对健康的长期社会经济影响.
- 解决累积社会经济逆境的干预措施可能会减轻老年人群的脆弱风险.
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