Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.
Department of Nursing, Umeå University, Umeå, Sweden.
Int J Aging Hum Dev. 2024 Oct;99(3):373-394. doi: 10.1177/00914150241231189. Epub 2024 Feb 11.
This study aimed to investigate the prevalence of having plans for the future among very old people and the factors associated with having such plans. A longitudinal population-based study with home visits for 85-, 90-, and ≥95-year-old participants in Sweden and Finland was used. Multivariate logistic regression and Cox proportional-hazards regression models with a maximum 5-year follow-up period were used. The prevalence of having plans for the future was 18.6% (174/936). More men than women and more people living in Sweden than in Finland had plans for the future. In multivariate models, having plans for the future was associated with speaking Swedish, being dentate, and living in the community in the total sample; speaking Swedish and being dentate among women; and speaking Swedish, having a lower Geriatric Depression Scale score, and urban residence among men. Having plans for the future was associated univariately, but not multivariately, with increased survival.
本研究旨在调查超高龄人群对未来的规划情况及其相关因素。该研究采用了瑞典和芬兰的一项基于人群的纵向研究，对 85 岁、90 岁和≥95 岁的参与者进行家访。使用了多变量逻辑回归和 Cox 比例风险回归模型，随访时间最长为 5 年。有未来规划的比例为 18.6%（174/936）。与女性相比，男性和居住在瑞典的人比居住在芬兰的人更有未来规划。在多变量模型中，在总样本中，有未来规划与讲瑞典语、有牙齿和居住在社区有关；在女性中，与讲瑞典语和有牙齿有关；在男性中，与讲瑞典语、较低的老年抑郁量表评分和城市居住有关。有未来规划与生存增加有关，但这种关联在单变量分析中成立，而在多变量分析中不成立。
