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社会关系对老年人死亡率的影响:这些影响如何随时间推移而变化?

Effects of social relationships on mortality of the elderly: how do the influences change with the passage of time?

作者信息

Sato Tetsuro, Kishi Reiko, Suzukawa Akio, Horikawa Naoko, Saijo Yasuaki, Yoshioka Eiji

机构信息

Department of Public Health, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido 060-8638, Japan.

出版信息

Arch Gerontol Geriatr. 2008 Nov-Dec;47(3):327-39. doi: 10.1016/j.archger.2007.08.015. Epub 2007 Oct 23.

Abstract

The purpose of this study was to determine the changes with time lapse in the influences of social relationship factors, in relation to mortality in the elderly. A baseline investigation was conducted in 1992 and survival conditions of 637 subjects aged 68-82 years were followed up for 12 years. The associations of social relationships with mortality were compared between the first and later half periods. The results showed that for men, close friends, group membership and finding life worth living were significantly associated with mortality in the first half period and the association disappeared in the later half; also in men, providing instrumental support was significantly associated in the 12-year period. In the first half, living arrangement was not significantly associated with mortality for men, and marital status and job were not for women, but in the later half, the association of those became apparent. The present study suggests that for men, the association of close friends, group membership and finding life worth living with mortality decreased with the passage of time while providing instrumental support had positive effects throughout the long term. The association of living arrangement increased for men, and marital status and job for women.

摘要

本研究的目的是确定随着时间推移,社会关系因素对老年人死亡率影响的变化情况。1992年进行了基线调查,并对637名年龄在68 - 82岁的受试者的生存状况进行了为期12年的随访。比较了前半期和后半期社会关系与死亡率之间的关联。结果显示,对于男性而言,亲密朋友、群体成员身份以及觉得生活有价值在前半期与死亡率显著相关,而在后半期这种关联消失了;同样对于男性,在12年期间提供工具性支持与死亡率显著相关。在前半期,居住安排与男性死亡率无显著关联,婚姻状况和工作与女性死亡率无显著关联,但在后半期,这些因素的关联变得明显。本研究表明,对于男性,亲密朋友、群体成员身份以及觉得生活有价值与死亡率之间的关联随时间推移而降低,而提供工具性支持在整个长期都有积极影响。男性居住安排的关联增加,女性婚姻状况和工作的关联增加。

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