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老年人的家庭支持与痴呆筛查参与情况:来自韩国老年人状况实情调查的证据

Family support and dementia screening participation among older adults: Evidence from a South Korea fact-finding survey on the status of older adults.

作者信息

Kim Jieun, Lee Hooyeon

机构信息

Department of Public Health, Graduate School The Catholic University of Korea Seoul Korea.

Department of Preventive Medicine, College of Medicine The Catholic University of Korea Seoul Korea.

出版信息

Aging Med (Milton). 2024 Dec 13;7(6):754-760. doi: 10.1002/agm2.12380. eCollection 2024 Dec.

Abstract

OBJECTIVES

South Korea is one of the most rapidly aging societies worldwide and the prevalence of dementia is expected to rise to 10.3% by 2025. Early diagnosis requires early access to support, information, and medication. Dementia screening is important for the success of dementia-related healthcare programs. We investigated the rate of participation in dementia screening and the relationship with family support.

METHODS

We used data from the 2020 "South Korea fact-finding survey on status of older adults," a cross-sectional survey targeting adults aged ≥65 years. A total of 9558 respondents were analyzed. We used multivariable logistic regression to analyze the associations between sociodemographic characteristics, including family support, and dementia screening participation.

RESULTS

A total of 62.2% participants received emotional support from their family, and 20.6% received physical support with cleaning, meal preparation, and laundry, general care, nursing, and traveling to the hospital. Of the respondents, 41.8% had participated in dementia screening during the previous 2 years. Older adults with emotional support (OR = 1.41, 95% CI, 1.28-1.54) and physical support (OR = 1.46, 95% CI, 1.31-1.62) were more likely to undergo dementia screening than those without such support. Age, annual household income, education, reason for working, drinking status, exercise, emotional support, and physical support were significantly associated with dementia screening in older adults.

CONCLUSIONS

Older adults with low emotional or physical support from family should be considered a vulnerable population with respect to non-participation in dementia screening. Therefore, policies targeting these high-risk groups are needed to increase the dementia screening rate.

摘要

目的

韩国是全球老龄化速度最快的国家之一,预计到2025年痴呆症患病率将升至10.3%。早期诊断需要尽早获得支持、信息和药物治疗。痴呆症筛查对于痴呆症相关医疗保健项目的成功至关重要。我们调查了痴呆症筛查的参与率及其与家庭支持的关系。

方法

我们使用了2020年“韩国老年人状况实情调查”的数据,这是一项针对65岁及以上成年人的横断面调查。共分析了9558名受访者。我们使用多变量逻辑回归分析社会人口学特征(包括家庭支持)与痴呆症筛查参与之间的关联。

结果

共有62.2%的参与者获得了家人的情感支持,20.6%的参与者在清洁、准备饭菜、洗衣、一般护理、护理以及前往医院等方面获得了身体支持。在受访者中,41.8%的人在过去两年中参加过痴呆症筛查。获得情感支持(比值比[OR]=1.41,95%置信区间[CI]为1.28 - 1.54)和身体支持(OR = 1.46,95% CI为1.31 - 1.62)的老年人比没有此类支持的老年人更有可能接受痴呆症筛查。年龄、家庭年收入、教育程度、工作原因、饮酒状况、运动、情感支持和身体支持与老年人的痴呆症筛查显著相关。

结论

在痴呆症筛查不参与方面,家庭情感或身体支持较低的老年人应被视为弱势群体。因此,需要针对这些高危人群制定政策,以提高痴呆症筛查率。

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本文引用的文献

2
Geriatrics Fact Sheet in Korea 2021.《2021年韩国老年医学概况》
Ann Geriatr Med Res. 2021 Jun;25(2):65-71. doi: 10.4235/agmr.21.0063. Epub 2021 Jun 29.

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