J Gerontol Nurs. 2022 Jun;48(6):19-25. doi: 10.3928/00989134-20220505-02. Epub 2022 Jun 1.
The current study aimed to explore sex-influenced risk factors for cognitive impairment among community-dwelling older adults in Taiwan. This cross-sectional study was a secondary analysis using a population-based design. We accessed and analyzed data from the Taiwan Longitudinal Study on Aging survey of 2011. Participants were older adults aged ≥55 years living in non-indigenous townships. A total of 3,392 community-dwelling older adults were included. Results showed that the prevalence of cognitive impairment in females and males was 15.3% and 5.7%, respectively. Having a low educational level and being single (i.e., single, widowed, or divorced) were risk factors for cognitive impairment in both sexes. Males who had more than two chronic diseases had a higher risk of cognitive impairment. Self-reported hearing loss and depression increased risk of cognitive impairment in older females. Older age, lower educational level, and single marital status were associated with cognitive impairment among community-dwelling older adults in Taiwan. The effects of self-reported hearing loss, depression, and chronic disease on cognitive impairment were influenced by sex. [(6), 19-25.].
本研究旨在探讨台湾地区社区居住老年人认知障碍的性别影响因素。这是一项基于人群的横断面研究，我们对 2011 年台湾老龄化纵向研究调查的数据进行了二次分析。参与者为居住在非原住民族乡镇、年龄≥55 岁的老年人。共纳入 3392 名社区居住的老年人。结果显示，女性和男性的认知障碍患病率分别为 15.3%和 5.7%。文化程度低和单身（即单身、丧偶或离婚）是两性认知障碍的危险因素。患有两种以上慢性疾病的男性认知障碍风险更高。自述听力损失和抑郁会增加老年女性认知障碍的风险。在台湾，年龄较大、教育程度较低和单身的社会经济地位与社区居住的老年人认知障碍有关。听力损失、抑郁和慢性疾病对认知障碍的影响因性别而异。[(6), 19-25]。
