南非50岁及以上人群健康老龄化中的种族和性别差异。

Ethnic and Gender Disparities in Healthy Ageing among People 50 Years and Older in South Africa.

作者信息

Pengpid Supa, Peltzer Karl

机构信息

ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand.

Department of Research Administration and Development, University of Limpopo, Sovenga 0727, South Africa.

出版信息

Geriatrics (Basel). 2021 Aug 12;6(3):79. doi: 10.3390/geriatrics6030079.

DOI:10.3390/geriatrics6030079

PMID:34449634

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8395815/

Abstract

OBJECTIVE

this study aimed to determine the prevalence and correlates of healthy ageing in older adults living in the community in South Africa.

METHODS

the cross-sectional sample consisted of 3734 individuals (≥50 years) from the cross-sectional South African National Health and Nutrition Survey (SANHANES-1) in 2011-2012. Healthy ageing was assessed using a multidimensional concept, which includes five components: (1) absence of major illness, (2) absence of disability, (3) good mental health, (4) social engagement and (5) well-being or good health.

RESULTS

in general, 36.6% had a healthy ageing, including 73.3% had no major diseases, 87.1% were free of disability, 62.3% had good mental health, 73.0% were socially engaged and 64.0% had a high well-being. In the adjusted logistic regression analysis, male sex (Adjusted Odds Ratio-AOR: 1.33, 95% confidence interval-CI: 1.03-1.72), white population group (AOR: 3.46, 95% CI: 2.29-5.22) and coloured population group (AOR: 1.82, 95% CI: 1.34-2.47), were positively associated with healthy ageing, while increasing age (AOR: 0.96, 95% CI: 0.94-0.97), daily tobacco use (AOR: 0.56, 95% CI: 0.42-0.74), perceived underweight (AOR: 0.48, 95% CI: 0.34-0.66) and perceived overweight (AOR: 0.53, 95% CI: 0.34-0.81) were negatively associated with associated with healthy ageing.

CONCLUSION

almost two in five older adults in South Africa were successfully ageing. Factors associated with healthy ageing included, younger age, male sex, population group (Whites, Coloureds), not daily tobacco users, not having underweight and overweight.

摘要

目的

本研究旨在确定南非社区老年人健康老龄化的患病率及其相关因素。

方法

横断面样本包括来自2011 - 2012年南非全国健康与营养横断面调查（SANHANES - 1）的3734名年龄在50岁及以上的个体。使用多维概念评估健康老龄化，该概念包括五个组成部分：（1）无重大疾病；（2）无残疾；（3）良好的心理健康；（4）社会参与；（5）幸福或健康状况良好。

结果

总体而言，36.6%的人实现了健康老龄化，其中73.3%无重大疾病，87.1%无残疾，62.3%心理健康状况良好，73.0%参与社会活动，64.0%幸福感较高。在调整后的逻辑回归分析中，男性（调整后的优势比 - AOR：1.33，95%置信区间 - CI：1.03 - 1.72）、白人（AOR：3.46，95% CI：2.29 - 5.22）和有色人种（AOR：1.82，95% CI：1.34 - 2.47）与健康老龄化呈正相关，而年龄增长（AOR：0.96，95% CI：0.94 - 0.97）、每日吸烟（AOR：0.56，95% CI：0.42 - 0.74）、自认为体重过轻（AOR：0.48，95% CI：0.34 - 0.66）和自认为体重过重（AOR：0.53，95% CI：0.34 - 0.81）与健康老龄化呈负相关。