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描述非常老年龄段人群在 10 年内居住状态的转变:纽卡斯尔 85+ 研究的结果。

Describing transitions in residential status over 10 years in the very old: results from the Newcastle 85+ Study.

机构信息

Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, NE4 5PL, UK.

Advanced Care Research Centre (ACRC), University of Edinburgh, Edinburgh, EH16 4UX, UK.

出版信息

Age Ageing. 2022 Mar 1;51(3). doi: 10.1093/ageing/afac056.

DOI:10.1093/ageing/afac056
PMID:35348585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8963161/
Abstract

BACKGROUND

the very old (aged ≥ 85) are the fastest growing subpopulation of many developed countries but little is known about how their place of residence changes over time. We investigated transitions in residential status in an inception cohort of 85-year-olds over 10 years.

METHODS

data were drawn from the Newcastle 85+ Study, a population-based longitudinal study of individuals aged 85 in 2006 (i.e. born in 1921) and permanently registered with a Newcastle or North Tyneside general practice (n = 849).

RESULTS

76.3% lived in standard (non-supported) housing at baseline (age = 85) and few moved into a care home. The majority either remained in standard housing or died over the study period. A significant number who lived in standard housing had dependency and frailty at baseline.

DISCUSSION

given the undersupply of care homes, and preference of older people to remain in their own homes as they age, the questions posed by this analysis are how to survive to 85 and remain in standard housing until the age of 85? And how, and by whom, are such a group being supported to remain at home? We need qualitative research to explore the informal-formal care networks of the very old.

摘要

背景

许多发达国家的人口中,最年长的群体(年龄≥85 岁)的增长速度最快,但对于他们的居住地点随时间的变化情况,我们知之甚少。我们调查了一个 85 岁以上初始队列在 10 年内的居住状况变化。

方法

数据来自纽卡斯尔 85+研究,这是一项针对 2006 年 85 岁人群(即 1921 年出生)的基于人群的纵向研究,这些人在纽卡斯尔或北泰恩赛德的任何一家全科医生诊所都有永久注册记录(n=849)。

结果

85 岁时,76.3%的人居住在标准(非支持性)住房中,很少有人搬进养老院。在研究期间,大多数人要么仍然居住在标准住房中,要么去世。在居住在标准住房的人中,有相当一部分人在基线时存在依赖和虚弱。

讨论

鉴于养老院的供应不足,以及老年人随着年龄的增长更愿意留在自己的家中,那么分析中提出的问题是:如何活到 85 岁,并在 85 岁之前仍然居住在标准住房中?以及如何,以及由谁,正在支持这样一个群体留在家中?我们需要进行定性研究来探索非常年长人群的非正式-正式护理网络。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9911/8963161/6d6dbef78ec3/afac056f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9911/8963161/bb1909db9d42/afac056f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9911/8963161/6d6dbef78ec3/afac056f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9911/8963161/bb1909db9d42/afac056f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9911/8963161/6d6dbef78ec3/afac056f2.jpg

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2
Projections of multi-morbidity in the older population in England to 2035: estimates from the Population Ageing and Care Simulation (PACSim) model.英格兰老年人口多病共存状况预测至 2035 年:人口老龄化与护理模拟(PACSim)模型的估算。
Age Ageing. 2018 May 1;47(3):374-380. doi: 10.1093/ageing/afx201.
3
Is late-life dependency increasing or not? A comparison of the Cognitive Function and Ageing Studies (CFAS).
利用计算音频分析量化老年退伍军人的健康老龄化。
J Gerontol A Biol Sci Med Sci. 2024 Jan 1;79(1). doi: 10.1093/gerona/glad154.
晚年生活依赖是在增加还是没有增加?认知功能与衰老研究(CFAS)的比较。
Lancet. 2017 Oct 7;390(10103):1676-1684. doi: 10.1016/S0140-6736(17)31575-1. Epub 2017 Aug 15.
4
The determinants of transitions into sheltered accommodation in later life in England and Wales.英格兰和威尔士老年人入住庇护性住房的影响因素。
J Epidemiol Community Health. 2016 Aug;70(8):771-7. doi: 10.1136/jech-2015-205462. Epub 2016 Feb 19.
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The meaning of "aging in place" to older people.“原地老化”对老年人的意义。
Gerontologist. 2012 Jun;52(3):357-66. doi: 10.1093/geront/gnr098. Epub 2011 Oct 7.
6
Capability and dependency in the Newcastle 85+ cohort study. Projections of future care needs.纽卡斯尔 85+ 队列研究中的能力和依赖。未来护理需求预测。
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7
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