公共卫生 公共卫生
Mingyue Gao1, Wenxin Cai2, Ya Fang3,4
1Health and Aging Research Center, School of Public Health, Xiamen University, Xiamen, Fujian, China.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
整个生命中的社会经济地位 (SES),特别是成年期的教育和收入,保护了中国老年人的认知功能 (CF). 稳定的高SES轨迹和向上流动性显著减缓认知衰退,特别是在女性中.
科学领域:
- 老年学是指老年学的学科.
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 社会经济地位 (SES) 是一种已知的认知功能 (CF) 保护因素.
- 讨论了SES对CF影响的关键生命阶段,可能因SES指标而异.
- 中国的快速社会发展需要了解生命过程中的SES对认知衰老的影响.
研究的目的:
- 为了划出中国的生命周期SES轨迹.
- 研究这些轨迹对中国成年人认知衰老的纵向影响.
- 确定特定的SES指标和对认知健康最有影响的生命阶段.
主要方法:
- 对20055名40岁以上的中国成年人进行了长度研究 (2011-2020年) (中国健康与退休长度研究).
- 由教育,职业和终身收入来定义的SES.
- 混合效应模型和潜在类分析用于评估SES轨迹和认知衰退 (全球认知综合评分).
主要成果:
- 在教育和收入方面观察到的上升流动性,具有稳定的职业.
- 成年教育,父亲职业和成年收入对晚年CF产生更强的保护作用.
- 稳定的高或上升的SES轨迹与更好的晚年CF和更慢的认知衰退有关,特别是在女性中.
结论:
- 年长的中国成年人显示上升的SES流动性趋势.
- 终身SES,特别是成年期的教育和收入,显著影响认知衰老.
- 稳定的高和上升的SES轨迹提供了对认知衰退的保护,对女性有明显的影响,突出了针对性干预的潜力.
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