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日本社区居住、认知完整的老年人中,儿童时期积极的隔代参与与晚年的生育力之间的关系。

Association between positive grandparental involvement during childhood and generativity in late life among community-dwelling, cognitively intact, older adults in Japan.

机构信息

Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan.

出版信息

Geriatr Gerontol Int. 2021 Mar;21(3):331-337. doi: 10.1111/ggi.14139. Epub 2021 Feb 8.

DOI:10.1111/ggi.14139
PMID:33559380
Abstract

AIM

Generativity is increasingly being recognized as a key element of healthy aging. The present study investigated whether children who received more positive grandparental involvement would show higher generativity in late life.

METHODS

In 2017, 173 older adults living in Wakuya City (Miyagi Prefecture, Japan), and who showed normal cognition based on the Quick Mild Cognitive Impairment Screen, participated in a self-report life course survey (age range: 65-88 years). The association between positive grandparental involvement in childhood and generativity (measured by the Loyola Generativity Scale) was investigated using multiple linear regression adjusted for potential confounders.

RESULTS

Compared with older adults without or had low positive grandparental involvement in childhood, a higher level of generativity was observed among those with medium (β = 1.93, 95% confidence interval [CI]: 0.24-3.62) and high positive grandparental involvement (β = 2.09, 95% CI: 0.32-3.87), adjusting for age, gender, memory performance, depressive symptoms, childhood socio-economic status and parental involvement. The significant dose-response association remained even after further adjusting for education and current grandparental experiences.

CONCLUSION

Greater positive grandparental involvement in childhood was associated with a higher level of generativity among community-dwelling, cognitively intact, Japanese older adults. Geriatr Gerontol Int ••; ••: ••-•• Geriatr Gerontol Int 2021; ••: ••-••.

摘要

目的

生成力越来越被认为是健康老龄化的关键因素。本研究调查了在晚年得到更多积极的祖辈参与的儿童是否会表现出更高的生成力。

方法

2017 年,173 名居住在日本宫城县若柳市(Wakuya City)的老年人(年龄在 65-88 岁之间)参加了一项自我报告的生活历程调查,他们的认知能力根据快速轻度认知障碍筛查正常。使用多元线性回归调整潜在混杂因素,调查了儿童时期积极的祖辈参与与生成力(通过罗耀拉生成量表测量)之间的关联。

结果

与儿童时期没有或仅有低度积极祖辈参与的老年人相比,中度(β=1.93,95%置信区间[CI]:0.24-3.62)和高度积极祖辈参与(β=2.09,95%CI:0.32-3.87)的老年人表现出更高水平的生成力,调整了年龄、性别、记忆表现、抑郁症状、儿童社会经济地位和父母参与。即使进一步调整了教育和当前祖辈经验,这种显著的剂量-反应关联仍然存在。

结论

儿童时期得到更多的积极祖辈参与与社区居住、认知完整的日本老年人更高水平的生成力有关。老年医学与老年病学国际杂志 2021 年;··:··-··

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