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[新冠疫情第一年的老年人:德国老龄化调查(DEAS)的健康相关结果]

[Older adults in the first year of the COVID-19 pandemic: health-related findings of the German Ageing Survey (DEAS)].

作者信息

Wünsche Jenna, Spuling Svenja M, Nowossadeck Sonja, Stuth Stefan

机构信息

Deutsches Zentrum für Altersfragen, Manfred-von-Richthofen-Str. 2, 12101, Berlin, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Mar;66(3):232-240. doi: 10.1007/s00103-023-03656-w. Epub 2023 Jan 25.

DOI:10.1007/s00103-023-03656-w
PMID:36697918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9876651/
Abstract

This narrative review brings together findings from the German Ageing Survey (DEAS) on the health situation of people in the second half of life during the first year of the COVID-19 pandemic. In doing so, this review answers the question of whether older adults (i.e., people in late adulthood) were indeed more vulnerable in the early days of the pandemic than younger adults (i.e., people in middle adulthood). Findings on the following health indicators are presented: perceived threat of the COVID-19 pandemic, perceived age discrimination, self-reported changes in physical activity, loneliness, and self-rated health.The results show that a higher age should not be considered as a universal risk factor for particularly severe indirect health consequences due to the COVID-19 pandemic. Most older adults did not perceive the COVID-19 pandemic as very threatening and rarely experienced discrimination based on their age. By contrast, many younger and older adults reported to be less physically active and they showed an increase in loneliness that was equally distributed across age groups. Moreover, self-rated health deteriorated compared to pre-pandemic levels-but only among older adults. This deterioration, however, seems to be associated with individual ageing rather than the pandemic situation.It can be concluded that older people in private households did not show a particularly unfavorable health situation in the first year of the COVID-19 pandemic.

摘要

这篇叙述性综述汇总了德国老龄化调查(DEAS)关于新冠疫情第一年中老年人健康状况的研究结果。在此过程中,本综述回答了这样一个问题:在疫情初期,老年人(即成年晚期人群)是否真的比年轻人(即成年中期人群)更容易受到影响。文中呈现了以下健康指标的研究结果:对新冠疫情的感知威胁、感知到的年龄歧视、自我报告的身体活动变化、孤独感以及自我评估的健康状况。结果表明,不应将较高年龄视为新冠疫情导致特别严重间接健康后果的普遍风险因素。大多数老年人并不认为新冠疫情具有很大威胁,也很少经历基于年龄的歧视。相比之下,许多年轻人和老年人都报告称身体活动减少,且各年龄组的孤独感均有所增加。此外,与疫情前水平相比,自我评估的健康状况有所恶化,但仅在老年人中出现。然而,这种恶化似乎与个体衰老有关,而非疫情形势。可以得出结论,在新冠疫情的第一年,独居老年人并未表现出特别不利的健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ee/9944364/da4e2bc5a719/103_2023_3656_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ee/9944364/569f3764f39f/103_2023_3656_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ee/9944364/2467d73992b6/103_2023_3656_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ee/9944364/da4e2bc5a719/103_2023_3656_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ee/9944364/569f3764f39f/103_2023_3656_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ee/9944364/febe46f600fb/103_2023_3656_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ee/9944364/b252c1f4bedf/103_2023_3656_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ee/9944364/8d31a0a462cc/103_2023_3656_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ee/9944364/2467d73992b6/103_2023_3656_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8ee/9944364/da4e2bc5a719/103_2023_3656_Fig6_HTML.jpg

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本文引用的文献

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Lancet Healthy Longev. 2020 Oct;1(1):e12. doi: 10.1016/S2666-7568(20)30002-7. Epub 2020 Oct 20.
2
[Health-related consequences of social isolation: a qualitative study on psychosocial stress and resources among older adults in the COVID-19 pandemic].[社会隔离对健康的影响:一项关于新冠疫情期间老年人心理社会压力与资源的定性研究]
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021 Mar;64(3):334-341. doi: 10.1007/s00103-021-03281-5. Epub 2021 Feb 2.
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Mental wellbeing in the German old age population largely unaltered during COVID-19 lockdown: results of a representative survey.
在 COVID-19 封锁期间,德国老年人口的心理健康状况基本保持不变:一项代表性调查的结果。
BMC Geriatr. 2020 Nov 23;20(1):489. doi: 10.1186/s12877-020-01889-x.
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