城市和农村之间的差异以及中国老年人社会参与和认知功能之间的双向关联:为期10年的前性队列研究
Wenjing Zhu1, Jingwen Song1, Yang Luo1
1School of Health Economics and Management, Nanjing University of Chinese Medicine, No. 138 Xianlin Avenue, Nanjing, Jiangsu Province, 210023, China.
Archives of public health = Archives belges de sante publique
|December 6, 2025
概括
认知功能显著影响老年人的社会参与,特别是在中国农村. 干预措施应考虑城乡差异,以改善认知健康和促进公平.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 认知神经科学 认知神经科学
背景情况:
- 中国面临着人口快速老龄化和痴呆症发病率上升的问题.
- 现有研究将社会参与 (SP) 与老年人的认知功能 (CF) 联系起来.
- 在SP和CF的相互作用中,长期的模式和城乡差异仍然未得到充分探索.
研究的目的:
- 研究中国老年人社会参与和认知功能的长期轨迹.
- 检查社会参与与认知功能之间的双向关联.
- 为了比较这些模式和协会在城市和农村人口.
主要方法:
- 利用了来自4133名中国成年人的长度数据的五个波段 (2011-2020年).
- 采用基于组的双轨道建模来识别不同的SP和CF模式.
- 应用多组交叉滞后面板模型来评估双向关系.
主要成果:
- 在农村和城市地区确定了各种SP轨迹 (例如",没有SP"",低SP"",中度SP") 和CF轨迹 (例如",低衰退CF"",中度衰退CF"",高衰退CF").
- 睡眠时间在农村参与者中成为SP和CF的常见风险因素.
- 更高的社会参与与更好的认知功能相关;认知功能积极预测后续的社会参与.
结论:
- 长期的SP和CF轨迹是同步的,认知功能驱动社会参与.
- 与城市同行相比,农村的老年人在SP和CF轨迹和预测因素中表现出更大的异质性.
- 具体背景干预对于减少认知衰退和促进老龄化人口的健康平等至关重要.
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