认知脆弱与社区居住老年人残疾的横断面关联：关注社会因素的作用。
Cross sectional association between cognitive frailty and disability among community-dwelling older adults: Focus on the role of social factors.
机构信息
Department of Nursing, Korea National University of Transportation, Chungju, Chungbuk, Republic of Korea.
College of Nursing, Gachon University, Incheon, Republic of Korea.
出版信息
Front Public Health. 2023 Feb 9;11:1048103. doi: 10.3389/fpubh.2023.1048103. eCollection 2023.
BACKGROUND
This study aimed to investigate the prevalence of cognitive frailty and the influence of social factors on the association between different levels of cognitive frailty and disability.
METHODS
A nationally representative survey of non-institutionalized community-dwelling older adults in Korea was used. A total, 9,894 older adults were included in the analysis. We assessed the effects of social factors using social activities, social contacts, living arrangements, emotional support, and satisfaction with friends and neighbors.
RESULTS
The prevalence of cognitive frailty was 1.6%, which was consistent with other population-based studies. Hierarchical logistic analysis demonstrated that the association between different levels of cognitive frailty and disability was attenuated when social participation, social contact, and satisfaction with friends and community were included in the model, and the magnitude of these effects differed across the levels of cognitive frailty.
DISCUSSION
Considering the influence of social factors, interventions to enhance social relationships can help slow down the progression of cognitive frailty to disability.
背景
本研究旨在调查认知脆弱的流行程度，以及社会因素对不同程度认知脆弱与残疾之间关联的影响。
方法
本研究使用了一项针对韩国非机构化社区居住的老年人的全国代表性调查。共纳入了 9894 名老年人进行分析。我们使用社会活动、社会联系、居住安排、情感支持以及对朋友和邻居的满意度来评估社会因素的影响。
结果
认知脆弱的患病率为 1.6%，与其他基于人群的研究一致。分层逻辑回归分析表明，当模型中纳入社会参与、社会联系和对朋友和社区的满意度时，不同程度的认知脆弱与残疾之间的关联减弱，且这些影响的程度因认知脆弱的程度而异。
讨论
考虑到社会因素的影响，增强社会关系的干预措施有助于减缓认知脆弱向残疾的进展。
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