前进两步,后退一步:欧洲老龄化人口认知功能轨迹的队列变化
1Population Research Institute, Pennsylvania State University, University Park, Pennsylvania, Untied States.
概括
欧洲老年人的认知功能显示,由于教育和工作变化,队列显著改善. 然而,身体健康的下降和慢性疾病的增加缓解了这些收益,影响了认知轨迹.
科学领域:
- 老年学是指老年学的学科.
- 认知神经科学 认知神经科学
- 公共卫生 公共卫生
背景情况:
- 老年人的认知功能轨迹受到历史和社会因素的影响.
- 了解群体间的转变对于公共卫生规划和干预至关重要.
研究的目的:
- 调查欧洲老年人中与年龄相关的认知功能轨迹的队列间转变.
- 确定解释这些队列趋势的因素,包括教育,职业,婚姻状况和健康状况.
- 检查这些队列模式的区域和性别差异.
主要方法:
- 使用了欧洲健康,衰老和退休年龄调查 (SHARE) 数据集.
- 采用纵向混合效应模型来分析跨队列的认知功能 (出生于1924-1970年).
- 在个体内嵌入纵向观测,以进行可靠的轨迹估计.
主要成果:
- 观察到显著的队列差异;较新的队列在相应的年龄表现出更高的认知功能.
- 教育,职业和婚姻状况的变化解释了24% (男性) 和32% (女性) 的队列变化.
- 最近群体的身体健康和行为恶化起到了抵消力量的作用,限制了认知收益.
结论:
- 最近的欧洲队列显示,由于教育和职业进步,认知功能得到了改善.
- 然而,越来越多的肥胖,糖尿病和并发病率正在减轻这些认知益处.
- 结果呈现出一种混合的前景,强调了老年人认知健康的进步和新出现的挑战.
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