Li Cheng-Lun, Hsu Hui-Chuan
Department of Health Care Administration, Research Center on Health Policy and Management, Asia University, No. 500, Lioufeng Road, Wufeng, Taichung 41354, Taiwan.
Department of Health Care Administration, Research Center on Health Policy and Management, Asia University, No. 500, Lioufeng Road, Wufeng, Taichung 41354, Taiwan; Department of Medical Research, China Medical University Hospital, China Medical University.
Arch Gerontol Geriatr. 2015 Jan-Feb;60(1):196-200. doi: 10.1016/j.archger.2014.10.007. Epub 2014 Oct 17.
The aim of this study was to examine cognitive function and the risk and the protective factors by age and sex among Taiwanese older people.
The data were from a nation-representative panel of older people in Taiwan. The participants completing both the 2003 and 2007 waves were included for analysis in this study (n=3228). Descriptive analysis and generalized linear model were applied, and the samples were stratified by age groups and by sex.
The factors related to higher cognitive function at the intercept included being younger, male, higher education, and doing unpaid work. At the time slope, the age effect and physical function difficulties would reduce the cognitive function across time, while education and providing informational support would increase the cognitive function across time. There were age- and sex-differences in the factors related to cognitive function, particularly on the working status and social participation.
Different health promotion strategies to target these populations should be accordingly developed.
本研究旨在探讨台湾老年人的认知功能以及按年龄和性别划分的风险与保护因素。
数据来自台湾具有全国代表性的老年人群体。本研究纳入了完成2003年和2007年两轮调查的参与者进行分析（n = 3228）。应用描述性分析和广义线性模型，并按年龄组和性别对样本进行分层。
在截距处与较高认知功能相关的因素包括较年轻、男性、较高教育水平以及从事无薪工作。在时间斜率方面，年龄效应和身体功能困难会随时间降低认知功能，而教育和提供信息支持则会随时间提高认知功能。与认知功能相关的因素存在年龄和性别差异，特别是在工作状态和社会参与方面。
应相应制定针对这些人群的不同健康促进策略。
