社会关系与慢性病老年人功能受限的发生：性别重要吗？
Social Relationships and Onset of Functional Limitation among Older Adults with Chronic Conditions: Does gender matter?
机构信息
Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.
Department of Nursing, The First Affiliated Hospital and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China.
出版信息
Sultan Qaboos Univ Med J. 2023 Feb;23(1):13-21. doi: 10.18295/squmj.5.2022.035. Epub 2023 Feb 23.
OBJECTIVES
This study aimed to examine the longitudinal association between social relationships and physical functioning among community-dwelling older adults with chronic conditions.
METHODS
Self-reported questionnaires were distributed and collected between 2014 and 2017 from participants ≥65 years old. The Index of Social Interaction was used to evaluate social relationships and the instrumental activities of daily living (IADL) subscale of the Tokyo Metropolitan Institute of Gerontology Index of Competence was used to examine functional status.
RESULTS
A total of 422 participants (190 males and 232 females) were included in the final analysis. High social relationships demonstrated significant adverse effects (odds ratio [OR] = 0.77, 95% confidence interval [CI]: 0.64-0.93) on the decline of IADL in the overall sample, particularly for females (OR = 0.71, 95% CI: 0.55-0.93) but not as much for males ( = 0.131).
CONCLUSION
This finding suggests that functional limitation was influenced by social relationships among disabled older adults and the influence of social relationships on functional limitation differed based on gender.
目的
本研究旨在探讨慢性病社区居住的老年人群中社会关系与身体机能之间的纵向关联。
方法
于 2014 年至 2017 年期间，向≥65 岁的参与者发放并收集了自我报告问卷。使用社会互动指数评估社会关系，使用东京都立老年医学研究所机能指数的工具性日常生活活动（IADL）子量表评估功能状态。
结果
共有 422 名参与者（男性 190 名，女性 232 名）纳入最终分析。高社会关系对 IADL 下降具有显著的不利影响（比值比[OR] = 0.77，95%置信区间[CI]：0.64-0.93），在总体样本中，这一影响在女性中更为显著（OR = 0.71，95% CI：0.55-0.93），但在男性中则不那么明显（OR = 0.131）。
结论
这一发现表明，残疾老年人群的功能限制受到社会关系的影响，而社会关系对功能限制的影响因性别而异。
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