Ploughman Michelle, Collins Katie, Wallack Elizabeth M, Monks Michael, Mayo Nancy
Int J MS Care. 2017 Jul-Aug;19(4):165-171. doi: 10.7224/1537-2073.2016-014.
The growing population of older people with multiple sclerosis (MS) has led to more interest in understanding factors associated with healthy aging. We aimed to determine whether older women and men with MS have different health and lifestyle behaviors and whether there are sex differences in contributors to perceived health.
Data were obtained from a postal survey involving 743 Canadians older than 55 years with MS for at least 20 years. Sex differences in health, lifestyle, mood, and socioeconomics were examined using analysis of variance. Multiple regression was used to build explanatory models of health perception.
Despite no differences in age, years with MS, disability, fatigue, or social support, older men (n = 166) experienced lower perceived health and lower resilience and participated less in life roles than older women (n = 577). Men experienced more depressive symptoms, and women reported more anxiety. Depression was the strongest predictor of health perception in both women and men (β = -2.40 and -5.19, respectively, for each 3-point increase in depressive symptoms). Other contributors included household participation, fatigue, resilience, and disability in women and physical activity, financial flexibility, and alcohol use in men.
Older men exhibit poorer adaptation to aging with MS than older women.
多发性硬化症（MS）老年患者数量不断增加，这引发了人们对了解与健康老龄化相关因素的更多兴趣。我们旨在确定患有MS的老年女性和男性是否具有不同的健康和生活方式行为，以及在影响健康认知的因素方面是否存在性别差异。
数据来自一项邮政调查，涉及743名年龄在55岁以上、患有MS至少20年的加拿大人。使用方差分析研究健康、生活方式、情绪和社会经济方面的性别差异。多元回归用于构建健康认知的解释模型。
尽管在年龄、患MS的年限、残疾、疲劳或社会支持方面没有差异，但老年男性（n = 166）的健康认知较低，恢复力较低，参与生活角色的程度低于老年女性（n = 577）。男性经历更多的抑郁症状，而女性报告更多的焦虑。抑郁是女性和男性健康认知的最强预测因素（抑郁症状每增加3分，β分别为-2.40和-5.19）。其他影响因素包括女性的家庭参与、疲劳、恢复力和残疾，以及男性的身体活动、财务灵活性和饮酒情况。
与老年女性相比，老年男性对MS导致的衰老适应能力较差。
