乌拉圭老龄化相关的依赖性变化及其影响因素：一项队列研究。

Dependency Change with Aging and Associated Factors in Uruguay: A Cohort Study.

机构信息

Instituto de Estadística, 56724Universidad de La República, Uruguay.

Centre for Dementia Prevention, 3124University of Edinburgh, Scotland.

出版信息

J Aging Health. 2021 Dec;33(10):886-895. doi: 10.1177/08982643211017726. Epub 2021 May 8.

DOI:10.1177/08982643211017726

PMID:33966467

Abstract

OBJECTIVES

To assess the heterogeneity of transitions toward dependency in older adults and to explore the robustness of results to different operationalizations of dependency.

METHOD

Using data from people aged 60 years and older from a national representative study in Uruguay (, = 5071), we fitted multinomial regressions adjusted by sociodemographic and health characteristics to model transitions into dependency and death. We used a harder operationalization with basic activities of daily living (Katz-dependency) and Comprehensive-dependency with basic, instrumental, and advanced activities.

RESULTS

Increasing age (RRR = 1.08, CI = [1.05; 1.12], < .001) and having comorbidities (RRR = 2.16, CI = [1.31; 3.57], = .003) increased the risk of transition from nondependent to dependent using Katz-dependency. Women with at least two chronic conditions have increased risk of Comprehensive-dependency (RRR = 1.79, CI = [1.15; 2.80], = .010).

DISCUSSION

Inconsistencies in findings emerged when evaluating transitions into dependency with the different measures, which may have social care implications.

摘要

目的

评估老年人向依赖状态转变的异质性，并探索不同依赖定义方法的结果稳健性。

方法

利用乌拉圭一项全国代表性研究中年龄在 60 岁及以上人群的数据（n=5071），我们通过社会人口学和健康特征进行调整，使用多项回归来拟合模型，以预测向依赖状态和死亡的转变。我们使用更严格的定义，包括基本日常生活活动（Katz 依赖）和综合依赖，包括基本、工具和高级活动。

结果

使用 Katz 依赖，年龄增长（RRR=1.08，CI=[1.05; 1.12]， <.001）和患有合并症（RRR=2.16，CI=[1.31; 3.57]， <.001）会增加从不依赖到依赖的转变风险。至少有两种慢性疾病的女性患综合依赖的风险增加（RRR=1.79，CI=[1.15; 2.80]， <.010）。