社会关系与老年人群体的生存。
Social relationships and survival in the older adult cohort.
机构信息
Universidade Federal de Pelotas, Pelotas, RS, Brazil.
Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.
出版信息
Rev Lat Am Enfermagem. 2021 Jan 8;29:e3395. doi: 10.1590/1518-8345.3844.3395. eCollection 2021.
OBJECTIVE
to verify the influence of social relations on the survival of older adults living in southern Brazil.
METHOD
a cohort study (2008 and 2016/17), conducted with 1,593 individuals aged 60 years old or over, in individual interviews. The outcomes of social relations and survival were verified by Multiple Correspondence Analysis, which guided the proposal of an explanatory matrix for social relations, the analysis of survival by Kaplan-Meier, and the multivariate analysis by Cox regression to verify the association between the independent variables.
RESULTS
follow-up was carried out with 82.5% (n=1,314), with 46.1% being followed up in 2016/17 (n=735) and 579 deaths (36.4%). The older adults who went out of their homes daily had a 39% reduction in mortality, and going to parties kept the protective effect of 17% for survival. The lower risk of death for women is modified when the older adults live in households with two or more people, in this case women have an 89% higher risk of death than men.
CONCLUSION
strengthened social relationships play a mediating role in survival. The findings made it possible to verify the importance of going out of the house as a marker of protection for survival.
目的
验证社会关系对巴西南部老年人生存的影响。
方法
一项队列研究（2008 年和 2016/17 年），对 1593 名年龄在 60 岁及以上的个体进行了个体访谈。通过多元对应分析验证了社会关系和生存的结果，该分析指导了社会关系解释矩阵的提出，通过 Kaplan-Meier 分析了生存情况，并通过 Cox 回归进行了多变量分析，以验证自变量之间的关联。
结果
对 82.5%（n=1314）进行了随访，其中 46.1%在 2016/17 年（n=735）进行了随访，共有 579 人死亡（36.4%）。每天出门的老年人死亡率降低了 39%，参加聚会使生存的保护作用保持在 17%。当老年人生活在两人或更多人组成的家庭中时，女性死亡风险的降低会受到影响，在这种情况下，女性的死亡风险比男性高 89%。
结论
强化社会关系在生存中起中介作用。研究结果证实了出门作为生存保护标志的重要性。
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