Center for Public Healthcare, Gachon University Gil Medical Center, Incheon, Republic of Korea.
University of Maryland/Sheppard Pratt Psychiatry Residency Training Program, Baltimore, Maryland, USA.
Geriatr Gerontol Int. 2021 Jul;21(7):568-576. doi: 10.1111/ggi.14174. Epub 2021 May 4.
The aim of this study is to evaluate if the risk of mortality among the elderly Korean individuals is associated with any of the two intergenerational variables: participants' forecast for their children's economic environment (FCEE) and participants' satisfaction with their relationship with their children (SRC).
Data from the Korean Longitudinal Study of Aging (KLoSA) conducted between 2006 and 2016 were examined. In total, 9937 individuals were included at baseline. The FCEE and SRC were measured using an 11-point Likert scale, which were stratified into four levels: "negative" (0-2), "Moderately negative" (3-5), "moderately positive" (6-8) and "positive" (9, 10).
The Cox proportional hazards model was used to calculate hazard ratios of all-cause mortality across different levels of FCEE and SRC while adjusting for other bio-psycho-social variables. Post-hoc subgroup analyses were conducted to examine how potential confounders contribute to the associations found in our study. Multivariate analyses showed that individuals with more negative FCEE were associated with a greater risk of all-cause mortality. Compared with the "positive" FCEE group, the "negative" group showed a 30.6% increase risk of all-cause mortality (hazard ratio = 1.306, 95% confidence interval = 1.066-1.601, P = 0.010).
The SRC did not exhibit any significant association with the all-cause mortality per multivariate analyses. More negative FCEE was associated with greater all-cause mortality. The FCEE, an individual's appraisal of the financial climate of their children's generation, may be considered a novel correlate of the all-cause mortality in an elderly population. Geriatr Gerontol Int ••; ••: ••-•• Geriatr Gerontol Int 2021; 21: 568-576.
本研究旨在评估老年人的死亡率是否与两代人变量中的任何一个相关:参与者对子女经济环境的预期(FCEE)和参与者对子女关系的满意度(SRC)。
使用 2006 年至 2016 年期间进行的韩国老龄化纵向研究(KLoSA)的数据进行分析。共有 9937 名参与者纳入基线。FCEE 和 SRC 使用 11 点 Likert 量表进行测量,分为四个层次:“负面”(0-2)、“中度负面”(3-5)、“中度积极”(6-8)和“积极”(9,10)。
使用 Cox 比例风险模型计算了不同 FCEE 和 SRC 水平下全因死亡率的风险比,同时调整了其他生物心理社会变量。进行了事后亚组分析,以检验潜在混杂因素如何影响我们研究中的关联。多变量分析显示,FCEE 越负面的个体全因死亡率风险越高。与“积极”FCEE 组相比,“负面”组全因死亡率风险增加 30.6%(风险比=1.306,95%置信区间=1.066-1.601,P=0.010)。
多变量分析显示,SRC 与全因死亡率无显著关联。更负面的 FCEE 与更高的全因死亡率相关。FCEE 是个体对子女代经济环境的评价,可被视为老年人群全因死亡率的一个新的相关因素。