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社会融合对老年期身体功能的年龄和性别差异的纵向影响。

Longitudinal Implications of Social Integration for Age and Gender Differences in Late-Life Physical Functioning.

机构信息

3323 Division of Natural Sciences and Mathematics, University of the Ozarks, Clarksville, AR, USA.

174543 Department of Human Development and Family Science, North Dakota State University, Fargo, ND, USA.

出版信息

Int J Aging Hum Dev. 2022 Mar;94(2):169-192. doi: 10.1177/0091415020980755. Epub 2020 Dec 14.

Abstract

Social integration has documented benefits for late-life health; yet, little is known about its impacts on trajectories of physical functioning. This study examines age and gender differences in the longitudinal associations between social integration and activities of daily living (ADLs) using a hierarchical linear model with three waves of survey data collected over 4 years from the Social Integration and Aging Study ( = 400; baseline mean age = 80.3). Findings indicated some interaction effects of age, gender, and/or social integration on ADL trajectories. Among those of more advanced age, women showed greater increases in ADL limitations than men, and individuals with lower social integration experienced greater increases in ADL limitations than those with higher social integration. Neither of these patterns were found among younger older adults. This study highlights the benefits of longitudinal research on social integration and the need to explore practical interventions for promoting social integration particularly among the oldest older adults.

摘要

社会融合对晚年健康有已被证实的益处;然而,其对身体机能轨迹的影响却知之甚少。本研究使用分层线性模型,以社会融合与衰老研究(n=400;基线平均年龄=80.3 岁)在四年间收集的三波调查数据,考察了社会融合与日常生活活动(ADLs)之间纵向关联的年龄和性别差异。研究结果表明,年龄、性别和/或社会融合对 ADL 轨迹存在一些交互影响。在年龄较大的人群中,女性的 ADL 受限程度比男性增加得更多,而社会融合程度较低的个体的 ADL 受限程度比社会融合程度较高的个体增加得更多。在年轻的老年人中,没有发现这两种模式。本研究强调了社会融合纵向研究的益处,需要探索促进社会融合的实际干预措施,特别是在最年长的老年人中。

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