网络类型和老年人的功能健康：重要的不仅仅是网络的大小。
Network Types and Functional Health in Old Age: It is Not Just the Size of the Network That Matters.
机构信息
Department of Community Health, Tufts University, Medford, MA, USA.
Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI, USA.
出版信息
J Aging Health. 2024 Dec;36(10):619-630. doi: 10.1177/08982643231209351. Epub 2023 Oct 20.
OBJECTIVES
Findings on the effect of network size and support on functional health are mixed. We examine whether network types, that simultaneously incorporate multiple network characteristics, are associated with functional health in late life.
METHODS
Data are from the National Social Life, Health, and Aging Project ( = 3005). We estimated the longitudinal effect of membership in five multidimensional network types on disability in six activities of daily living using negative binomial regression, and on mobility (assessed using a timed walk test) using a generalized linear mixed model.
RESULTS
Compared to those in the network, older adults in the network had fewer disabilities but worse mobility, while those in the also had worse mobility.
DISCUSSION
Care plans focusing on function and mobility should consider multiple aspects of older adults' social networks including network size, diversity, and relationship strain.
目的
关于网络规模和支持对功能健康影响的研究结果不一。我们研究了同时包含多种网络特征的网络类型是否与老年人的功能健康相关。
方法
数据来自国家社会生活、健康和老龄化项目（n = 3005）。我们使用负二项回归估计了五种多维网络类型的成员身份对六项日常生活活动中残疾的纵向影响，以及使用广义线性混合模型对移动性（使用计时步行测试评估）的影响。
结果
与 网络中的老年人相比， 网络中的老年人残疾较少但移动性较差，而 网络中的老年人移动性也较差。
讨论
关注功能和移动性的护理计划应考虑老年人社交网络的多个方面，包括网络规模、多样性和关系紧张。
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