泰国老年人认知变化的纵向研究：基于北碧府人口监测系统的研究
A Longitudinal Study of Changes in Cognition Among Older Thais: Studying From the Kanchanaburi Demographic Surveillance System.
作者信息
Auampradit Natchaphon, Vapattanawong Patama, Punpuing Sureeporn, Sunpuwan Malee, Jirapramukpitak Tawanchai
机构信息
Institute for Population and Social Research, Mahidol University, Bangkok, Thailand.
出版信息
Gerontol Geriatr Med. 2019 Jul 11;5:2333721419862885. doi: 10.1177/2333721419862885. eCollection 2019 Jan-Dec.
To examine the impacts of changes in social determinants of health (SDH) toward changes in cognition. Longitudinal data came from the Kanchanaburi Demographic Surveillance System (KDSS) collected in 2007 and 2011. Cognitive impairment was measured by category fluency and delayed recall. Generalized estimating equation (GEE) was used to investigate changes in cognition by taking SDH and other variables including age, gender, marital status, education, and depression into the model. GEE revealed longitudinal effects of wealth index and working status against cognition. Older Thais living with richest wealth index (odds ratio [OR] = 0.54; 95% confidence interval [CI] = 0.31-0.94) and still being employed (OR = 0.65; 95% CI = 0.47-0.89) were less likely to have cognitive impairment. Poorer wealth index and being unemployed were served as a risk factor for cognitive impairment over time. Increasing age was still the major risk for cognitive impairment.
为研究健康的社会决定因素（SDH）变化对认知变化的影响。纵向数据来自2007年和2011年收集的北碧府人口监测系统（KDSS）。认知障碍通过类别流畅性和延迟回忆进行测量。采用广义估计方程（GEE），将SDH以及包括年龄、性别、婚姻状况、教育程度和抑郁等其他变量纳入模型，以研究认知变化情况。GEE揭示了财富指数和工作状态对认知的纵向影响。财富指数最高的泰国老年人（比值比[OR]=0.54；95%置信区间[CI]=0.31-0.94）以及仍在工作的老年人（OR=0.65；95%CI=0.47-0.89）发生认知障碍的可能性较小。随着时间推移，财富指数较低和失业是认知障碍的危险因素。年龄增长仍然是认知障碍的主要危险因素。
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