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老年人对 COVID-19 大流行和生活空间流动性的看法。

Perspectives on the COVID-19 pandemic and life-space mobility in older adults.

机构信息

Department of Epidemiology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.

Department of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.

出版信息

J Am Geriatr Soc. 2024 Nov;72(11):3448-3456. doi: 10.1111/jgs.19118. Epub 2024 Aug 12.

Abstract

BACKGROUND

The COVID-19 pandemic significantly affected the physical health of older adults around the world, causing day-to-day disruptions in routines and changes to usual patterns of mobility. Despite the passing of 2 years since vaccinations, older adults continue to experience detriments, including social isolation and reduced mobility. This study aims to understand how views of the COVID-19 pandemic are associated with life-space mobility-moving about the community. We hypothesize that endorsing stronger perspectives about the persistence of COVID-19 is correlated with reduced life-space mobility.

METHODS

Survey data were collected via online questionnaire in October and November of 2022. Linear regression models were used to examine the relationship between five perspectives on the COVID-19 pandemic (e.g., agreeing that "I wish people would take COVID-19 more seriously") and life-space mobility, measured using a modified version of the life space assessment, in older adults (n = 510). Analyses were adjusted for demographic factors and mental and physical health indicators, including depressive symptoms and number of chronic conditions.

RESULTS

In fully adjusted models, the study found that endorsing a stronger lingering impact of the COVID-19 pandemic across any of the five perspectives was associated with significantly lower life-space mobility.

CONCLUSIONS

The results of this study show that endorsing a stronger lingering impact of the COVID-19 pandemic is associated with reduced life-space mobility, which underscores the importance of designing public health strategies that carefully balance the safety concerns of older adults with opportunities for physical activity and social interaction.

摘要

背景

COVID-19 大流行对全球老年人的身体健康造成了重大影响,导致日常生活规律中断,日常活动模式发生变化。尽管自接种疫苗以来已经过去了 2 年,但老年人仍在经历社会隔离和活动能力下降等不利影响。本研究旨在了解对 COVID-19 大流行的看法如何与生活空间移动性(在社区中的移动)相关。我们假设,对 COVID-19 持续存在的观点越强,与生活空间移动性降低相关。

方法

2022 年 10 月至 11 月,通过在线问卷收集了调查数据。使用线性回归模型,研究人员检验了 COVID-19 大流行的五个观点(例如,“我希望人们能更认真地对待 COVID-19”)与老年人生活空间移动性(使用生活空间评估的修订版进行测量)之间的关系,共有 510 名老年人参与了研究。分析调整了人口统计学因素和心理健康及身体健康指标,包括抑郁症状和慢性疾病数量。

结果

在完全调整的模型中,研究发现,在五个观点中的任何一个观点中,对 COVID-19 大流行持续存在的影响越强,与生活空间移动性显著降低相关。

结论

本研究结果表明,对 COVID-19 大流行持续存在的影响的观点越强,与生活空间移动性降低相关,这凸显了制定公共卫生策略的重要性,这些策略需要在平衡老年人的安全关切和提供身体活动和社交互动机会之间仔细权衡。

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