应该采用哪种成功老龄化模式？英国老龄化纵向调查的基线结果。
Which model of successful ageing should be used? Baseline findings from a British longitudinal survey of ageing.
作者信息
Bowling Ann, Iliffe Steve
机构信息
Department of Primary Care and Population Sciences, University College London, Hampstead Campus, London NW3 2PF, UK.
出版信息
Age Ageing. 2006 Nov;35(6):607-14. doi: 10.1093/ageing/afl100. Epub 2006 Sep 2.
BACKGROUND
there is increasing interest in how to age 'successfully' and in reaching consensus over its definition.
OBJECTIVE
to assess different models of successful ageing, using a British longitudinal survey of ageing in 2000-1.
SETTING
community settings in Britain.
METHODS
five models of successful ageing were tested on a British cross-sectional population survey of 999 people aged 65+. The models were biomedical, broader biomedical, social, psychological and lay based.
RESULTS
the lay model emerged as the strongest. Respondents who were classified as successfully aged with this model, compared with those not successfully aged, had over five times the odds of rating their quality of life (QoL) as good rather than not good [odds ratio (OR) = 5.493, 95% confidence interval (95% CI) = 2.655-11.364].
CONCLUSION
the lay-based, more multidimensional, model of successful ageing predicted perceived QoL more powerfully than unidimensional models and should be used to evaluate the outcomes of health promotion in older populations.
背景
人们对如何“成功地”衰老以及就其定义达成共识的兴趣与日俱增。
目的
利用2000 - 2001年英国一项关于衰老的纵向调查，评估不同的成功衰老模型。
地点
英国的社区环境。
方法
在一项对999名65岁及以上人群的英国横断面人口调查中，对五种成功衰老模型进行了测试。这些模型分别是生物医学模型、更广泛的生物医学模型、社会模型、心理模型和基于普通人认知的模型。
结果
基于普通人认知的模型表现最为突出。与未被归类为成功衰老的受访者相比，被该模型归类为成功衰老的受访者将其生活质量（QoL）评为“好”而非“不好”的几率高出五倍多[优势比（OR）= 5.493，95%置信区间（95% CI）= 2.655 - 11.364]。
结论
基于普通人认知的、更具多维性的成功衰老模型比单维模型更能有力地预测感知到的生活质量，应用于评估老年人群健康促进的结果。
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