a School of Public Health and Preventive Medicine , Monash University , Melbourne , Australia.
b INSERM, Université Montpellier , Neuropsychiatry: Epidemiological and Clinical Research , Montpellier , France.
Aging Ment Health. 2019 Jul;23(7):887-896. doi: 10.1080/13607863.2018.1474445. Epub 2018 May 23.
To ascertain the trajectories of mental health among women in Australia assessed in repeat waves from their early 70 s to the end of their lives or their mid 80 s.
Secondary analysis of data contributed by the 1921-26 cohort of the Australian Longitudinal Study of Women's Health Waves 1-6. Primary outcome was the 4-item SF-36 Vitality Subscale, which assesses mental health as life satisfaction, social participation, energy and enthusiasm. Structural, individual and intermediary factors were assessed using study-specific and standardised measures. Trajectories were identified using Growth Mixture Modelling and associations with baseline characteristics with Structural Equation Modelling.
12,432 women completed Survey One. Three mental health trajectories: stable high (77%); stable low (18.2%) and declining from high to low (4.8%) were identified. Compared to the stable high group, women in the stable low group were significantly less physically active, had more nutritional risks, more recent adverse life events, fewer social interactions and less social support, reported more stress and were more likely to have a serious illness or disability at Survey One. The declining group had similar characteristics to the stable high group, but were significantly more likely to report at baseline that they had experienced recent financial, physical and emotional elder abuse. These interact, but not directly with socioeconomic position and marital status.
Mental health among older women is related to social relationships, general health, access to physical activity and healthy nutrition, coincidental adverse life events and experiences of interpersonal violence, in particular elder abuse.
确定澳大利亚女性在 70 多岁至 80 多岁期间多次接受评估的心理健康轨迹。
对澳大利亚女性健康纵向研究 1921-26 队列的第 1-6 波数据进行二次分析。主要结果是 SF-36 生命力 4 项量表，该量表评估生活满意度、社会参与度、活力和热情等心理健康状况。使用特定于研究的和标准化的测量方法评估结构、个体和中介因素。使用增长混合建模识别轨迹，并使用结构方程模型关联与基线特征。
共有 12432 名女性完成了第一份调查。确定了三种心理健康轨迹：稳定高（77%）、稳定低（18.2%）和从高到低下降（4.8%）。与稳定高组相比，稳定低组的女性体力活动明显较少，营养风险更大，近期生活事件更多，社交互动和社会支持较少，压力更大，在第一份调查中更有可能患有严重疾病或残疾。下降组与稳定高组具有相似的特征，但更有可能在基线时报告最近经历了经济、身体和情感方面的老年人虐待。这些因素相互作用，但与社会经济地位和婚姻状况没有直接关系。
老年女性的心理健康与社会关系、总体健康、获得身体活动和健康营养、偶然的生活事件以及人际暴力经历有关，尤其是老年人虐待。
