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在社区居住的老年人中感知到环境友好和脆弱的年龄
Bo Ye1, Yunxia Li2, Lili Chen1
1Shanghai Key Laboratory of Clinical Geriatric Medicine, Huadong Hospital, Fudan University, Shanghai, China.
JAMA network open
|February 11, 2026
概括
对年龄友好环境 (AFE) 的更强的认知与老年人脆弱的风险降低有关. 这些发现表明,AFE干预可能有助于预防虚弱的进展和发病.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 环境健康 环境健康
背景情况:
- 适合老年人的环境 (AFE) 对于健康的老龄化至关重要,但它对老年人脆弱性的影响需要进一步研究.
- 了解感知到的AFE和脆弱性之间的关系对于开发有针对性的干预措施至关重要.
研究的目的:
- 调查感知年龄友好环境 (AFE) 与社区老年人脆弱的发病和进展之间的联系.
- 利用文化适应的AFE尺度进行对影响脆弱性的环境因素的综合评估.
主要方法:
- 在中国上海进行的一项纵向队列研究,从2020年到2023年,涉及4067名60岁以上的成年人.
- 使用脆弱指数评估脆弱性,测量发病和转变 (进展/改善).
- 使用32项年龄友好社区评价尺度在6个领域测量了对年龄友好环境的看法.
主要成果:
- 较高的感知年龄友好环境 (AFE) 评分与明显降低脆弱性进展 (OR=0.87) 和脆弱性发作 (OR=0.83) 的几率有关.
- 特定的AFE领域,如社会包容和住房,显示了与脆弱性进展和发病的反向关联.
- 在AFE感知和脆弱性改善之间没有发现显著的关联,也没有观察到非线性关联.
结论:
- 较大的对老年友好的环境的感知与老年人中发展和进展虚弱的风险降低有关.
- 针对全面和特定的老年友好环境领域的干预措施可能有效地减轻脆弱性.
- 这些发现强调了建筑和社会环境在促进健康老龄化和预防脆弱性方面的重要性.
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