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美国老年人的生活技能:与经济、心理、社会和健康结果的关联。

The Life Skills of Older Americans: Association with Economic, Psychological, Social, and Health Outcomes.

机构信息

Department of Behavioural Science and Health, University College London, London, UK.

出版信息

Sci Rep. 2018 Jul 5;8(1):9669. doi: 10.1038/s41598-018-27909-w.

Abstract

Studies of children and adolescents indicate that success in life is determined in part by attributes such as conscientiousness, emotional stability and sense of control, independently of childhood socioeconomic status and cognitive ability. Less is known about the role of these characteristics at older ages. This study investigated the relationship of five life skills - conscientiousness, emotional stability, persistence, optimism and sense of control - with a range of outcomes in 8,843 participants (mean age 72.57 years) in the Health and Retirement Study, a representative study of older Americans. More life skills were associated with greater wealth and income, better emotional wellbeing, stronger social relationships, less loneliness, better health, fewer chronic illnesses and impaired activities of daily living, better mobility and less obesity, after controlling for childhood socioeconomic status and current cognitive ability. Longitudinally, more life skills predicted emotional wellbeing, less loneliness and more prosocial behavior, better health and mobility over a 4 year period. Associations were independent of gender, ethnicity, family background, education and cognitive ability. The number of attributes was important rather than any single life skill. Life skills continue to matter at advanced ages, and fostering these characteristics in older adults may pay dividends in terms of later life health and wellbeing.

摘要

对儿童和青少年的研究表明,生活的成功部分取决于特质,如责任心、情绪稳定性和控制感,而与儿童时期的社会经济地位和认知能力无关。关于这些特征在老年时期的作用,人们知之甚少。本研究调查了五项生活技能——责任心、情绪稳定性、毅力、乐观和控制感——与健康和退休研究中 8843 名参与者(平均年龄 72.57 岁)的一系列结果之间的关系,该研究是对美国老年人的代表性研究。在控制了儿童时期的社会经济地位和当前的认知能力后,拥有更多生活技能的人拥有更多的财富和收入、更好的情绪健康、更强的社会关系、更少的孤独感、更好的健康、更少的慢性疾病和日常生活活动受损、更好的移动能力和更少的肥胖症。从纵向来看,更多的生活技能预示着情绪健康、更少的孤独感和更多的亲社会行为、更好的健康和移动能力,在 4 年的时间里。这些关联与性别、种族、家庭背景、教育和认知能力无关。属性的数量很重要,而不是任何单一的生活技能。生活技能在高龄时仍然很重要,在老年人中培养这些特质可能会对晚年的健康和幸福感产生影响。

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