Avlund Kirsten, Lund Rikke, Holstein Bjørn E, Due Pernille
Department of Social Medicine, Institute of Public Health, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark.
Arch Gerontol Geriatr. 2004 Jan-Feb;38(1):85-99. doi: 10.1016/j.archger.2003.08.003.
The purpose of the study was to analyze whether social relations are related to onset of disability among old people at 1.5 year follow-up and whether these relations vary by age and gender. The study is based on baseline and 1.5 year follow-up data on 1396 older non-disabled adults. Social relations were measured by questions about diversity in social relations, social participation, satisfaction with social relations and instrumental social support. Onset of disability was described as developing need of help in at least one of six mobility activities. The results showed that a large diversity in social relations and high social participation were important factors for maintaining functional ability among the 75-year-old men and women, while social support was a risk factor for functional decline among the 80-year-old men. The present study suggests that being "embedded" in a strong network of social relations provides protection against disability by reducing risk of developing disability.
该研究的目的是分析在1.5年的随访中社会关系是否与老年人残疾的发生有关，以及这些关系是否因年龄和性别而异。该研究基于1396名非残疾老年人的基线数据和1.5年的随访数据。社会关系通过关于社会关系多样性、社会参与、社会关系满意度和工具性社会支持的问题来衡量。残疾的发生被描述为在六项移动活动中的至少一项中出现需要帮助的情况。结果表明，社会关系的高度多样性和高社会参与度是75岁男性和女性维持功能能力的重要因素，而社会支持是80岁男性功能衰退的一个风险因素。本研究表明，“融入”强大的社会关系网络可通过降低残疾发生风险来预防残疾。
