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新加坡老年人社会支持网络类型及其与痴呆和抑郁的关系:一项横断面分析。

Social support network typologies and their association with dementia and depression among older adults in Singapore: a cross-sectional analysis.

机构信息

Research Division, Institute of Mental Health, Singapore, Singapore.

Department of Geriatric Psychiatry, Institute of Mental Health, Singapore, Singapore.

出版信息

BMJ Open. 2019 Jun 1;9(5):e025303. doi: 10.1136/bmjopen-2018-025303.

Abstract

OBJECTIVES

To examine the social support network type and its associations with depression and dementia among older adults in Singapore.

DESIGN

This study is a cross-sectional analysis of data from the Well-being of the Singapore Elderly study. The Practitioner Assessment of Network Type was used to identify five social support network types. Odds Ratios (OR) of dementia and depression were estimated with logistic regression and multinomial logistic regression, respectively, adjusted for sociodemographic variables.

SETTING

Singapore.

OUTCOME MEASURES

10/66 criteria and Automated Geriatric Examination for Computer Assisted Taxonomy computer algorithm.

PARTICIPANTS

2421 older adults aged 60 years and above, and their informants.

RESULTS

Logistic regression revealed that as compared with participants in the family dependent social support network type, those in the locally integrated social support network type were negatively associated with dementia. It was observed that it is the older adults' perception of the quality of social interaction that influences the likelihood of depression.

CONCLUSION

The social support network typology presents knowledge about the older adults' social network profile and their cognitive functioning-ability which would help stakeholders better identify older adults who might be at risk of cognitive decline or experiencing delay in diagnosis of dementia.

摘要

目的

调查新加坡老年人的社会支持网络类型及其与抑郁和痴呆的关系。

设计

本研究是对新加坡老年人健康研究数据的横断面分析。使用从业者评估网络类型来确定五种社会支持网络类型。使用逻辑回归和多项逻辑回归分别调整社会人口统计学变量后,估计痴呆症和抑郁症的优势比(OR)。

地点

新加坡。

结局指标

10/66 标准和自动化老年计算机辅助分类学计算机算法。

参与者

2421 名年龄在 60 岁及以上的老年人及其知情人。

结果

逻辑回归显示,与家庭依赖型社会支持网络类型的参与者相比,当地整合型社会支持网络类型的参与者与痴呆症呈负相关。研究发现,影响抑郁可能性的是老年人对社会互动质量的感知。

结论

社会支持网络类型学提供了有关老年人社会网络特征及其认知功能能力的知识,这将有助于利益相关者更好地识别可能有认知能力下降风险或痴呆症诊断延迟的老年人。

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