农村南非老年人的孙辈照料与认知健康
Grandchild Caregiving and Cognitive Health Among Grandparents in Rural South Africa.
机构信息
Harvard Center for Population and Development Studies, 1857Harvard T H. Chan School of Public Health, Boston, MA, USA.
Department of Epidemiology, 51329School of Public Health, University of Michigan, Ann Arbor, MI, USA.
出版信息
J Aging Health. 2021 Oct;33(9):661-673. doi: 10.1177/08982643211006592. Epub 2021 Mar 31.
We investigate how caregiving for grandchildren is associated with cognitive function among rural South Africans, and whether the association differs by gender. We further investigate whether measures of physical activity or social engagement mediate this association. Data were from interviews with 3668 Black, South African grandparents in the "Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa" study, conducted between 2014 and 2015. We find that caregiving grandparents have better cognitive function than non-caregiving grandparents, and this association does not differ by grandparent gender. Although grandchild caregiving is associated with physical activity and social engagement measures, and some of these measures are associated with cognitive function, we do not find conclusive evidence of mediation. Providing care for grandchildren may stimulate cognitive function for both grandmothers and grandfathers. Neither physical activity nor social engagement explains the association between caregiving and cognitive function.
我们研究了照顾孙辈与南非农村老年人认知功能的关系，以及这种关系是否因性别而异。我们还进一步研究了身体活动或社会参与度的衡量标准是否会调节这种关联。数据来自于 2014 年至 2015 年期间进行的“非洲的健康和老龄化：南非一个深入社区的纵向研究”中对 3668 名南非黑人祖父母的访谈。我们发现，照顾孙辈的祖父母的认知功能比不照顾孙辈的祖父母好，而且这种关联不因祖父母的性别而异。尽管孙辈的照顾与身体活动和社会参与度的衡量标准有关，并且这些衡量标准与认知功能有关，但我们没有找到有说服力的中介证据。为孙辈提供照顾可能会刺激祖母和祖父的认知功能。身体活动和社会参与都不能解释照顾与认知功能之间的关联。
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