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接近退休年龄人群的健康状态认知:与生活方式习惯及个体特征的关系。

Health state perception of people close to retirement age: Relationship with lifestyle habits and subjects' characteristics.

作者信息

Monge-Martín Diana, Caballero-Martínez Fernando, João Forjaz Maria, J Castillo Manuel, Rodríguez-Blázquez Carmen

机构信息

Faculty of Medicine, Francisco de Vitoria University Foundation, Madrid, Spain.

Instituto de Salud Carlos III, National Center of Epidemiology, Madrid, Spain.

出版信息

Heliyon. 2023 Jul 17;9(7):e17995. doi: 10.1016/j.heliyon.2023.e17995. eCollection 2023 Jul.

Abstract

AIM

Societal ageing increases the need for correct and healthy ageing to ensure the well-being of older adults. Practical strategies are needed to acquire healthy habits for the ageing process. This study aims to analyse the lifestyle habits of subjects who are retired or close to retirement and identify factors that could influence their perceived health and that could be related to these habits.

METHODS

A Spanish observational, descriptive, cross-sectional study of subjects close to retirement-age. Socio-demographic, family, work, leisure, social, and clinical-psychological indicators were evaluated.

RESULTS

1,700 participants (581 employed; 714 retirees; 405 other-status) were included, average age 63 years, 52% women. Most reported a satisfactory social life (90%), were in live-in relationships (74%), non-smoking (80%), followed a Mediterranean diet (73%), and took medicines daily (70%). Perceived health (EQ-VAS) was 75.9/100, with low disability (12-WHODAS) (7.4/100) and moderate/severe depression. Women reported higher disability (p < 0.001) and depression (p < 0.001), a better social life, and healthier lifestyle, but lower physical/work activity. Retirees reported less depression, better social life, healthier lifestyle, higher physical/work activity, and better sleeping habits. The multivariate model showed a significant association of health-status with disability level, number of chronic diseases, sleep habits, exercise, diet, and alcohol consumption. When depression level was introduced, age and being a woman were also related.

CONCLUSIONS

Retirement does not mean worse health but rather an opportunity to reinforce favourable health activities and improve lifestyle factors. Incorporating the differences related to gender and employment status in health-perception will facilitate the design of healthy ageing strategies.

摘要

目的

社会老龄化增加了对正确和健康老龄化的需求,以确保老年人的福祉。需要切实可行的策略来养成老龄化过程中的健康习惯。本研究旨在分析已退休或接近退休的受试者的生活方式习惯,并确定可能影响其自我认知健康且与这些习惯相关的因素。

方法

对接近退休年龄的受试者进行一项西班牙观察性、描述性横断面研究。评估了社会人口统计学、家庭、工作、休闲、社会和临床心理指标。

结果

纳入了1700名参与者(581名在职;714名退休人员;405名其他状态),平均年龄63岁,52%为女性。大多数人报告社交生活令人满意(90%),处于同居关系(74%),不吸烟(80%),遵循地中海饮食(73%),且每天服药(70%)。自我认知健康(EQ-VAS)为75.9/100,残疾程度低(12项世界卫生组织残疾评定量表)(7.4/100),抑郁程度为中度/重度。女性报告的残疾程度(p<0.001)和抑郁程度(p<0.001)更高,社交生活更好,生活方式更健康,但身体/工作活动较少。退休人员报告的抑郁程度较低,社交生活更好,生活方式更健康,身体/工作活动更多,睡眠习惯更好。多变量模型显示健康状况与残疾水平、慢性病数量、睡眠习惯、运动、饮食和饮酒量之间存在显著关联。当引入抑郁程度时,年龄和女性身份也与之相关。

结论

退休并不意味着健康状况变差,而是强化有益健康活动和改善生活方式因素的机会。将与性别和就业状况相关的差异纳入健康认知中,将有助于设计健康老龄化策略。

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