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美国社区医疗保险受益人的户外频率相关因素:一项横断面研究。

Factors Associated With Outdoor Frequency Among U.S. Community-Dwelling Medicare Beneficiaries: A Cross-Sectional Study.

作者信息

Sefcik Justine S, Coates Martha C, Petrovsky Darina V, Glasofer Amy, Okoye Safiyyah, Vader Daniel T, Moore Reneé H, Baker Zachary G, Ma Kris Pui Kwan, Rahemi Zahra, Bacsu Juanita-Dawne R, Smith Matthew Lee, DiMaria-Ghalili Rose Ann

出版信息

Res Gerontol Nurs. 2025 Jan-Feb;18(1):40-52. doi: 10.3928/19404921-20241211-06. Epub 2025 Jan 1.

DOI:10.3928/19404921-20241211-06
PMID:39836770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12015538/
Abstract

PURPOSE

Despite the benefits of outdoor activity in older adults, a paucity of research explores factors associated with the frequency of older adults going outdoors. The aim of the current study was to investigate if factors of cognitive status, physical performance, and neighborhood characteristics were associated with outdoor frequency among older adults.

METHOD

This cross-sectional study used National Health and Aging Trends Study data to characterize outdoor frequency among Medicare beneficiaries by participant demographics, health, and neighborhood characteristics, and estimated relationships between participant factors and outdoor frequency.

RESULTS

The sample included 3,368 participants. The majority (51.6%) were aged 75 to 84 years and female (57.2%). Most (60.4%) participants went outside daily. Probable dementia, physical limitations, and presence of street disorder and sidewalk continuity were associated with decreased outdoor frequency.

CONCLUSION

Research is needed to develop interventions addressing neighborhood conditions and promoting outdoor activity among older adults living with dementia and physical limitations. [(1), 40-52.].

摘要

目的

尽管户外活动对老年人有益,但很少有研究探讨与老年人外出频率相关的因素。本研究的目的是调查认知状态、身体机能和邻里特征等因素是否与老年人的户外出行频率相关。

方法

这项横断面研究使用了国家健康与老龄化趋势研究数据,通过参与者的人口统计学特征、健康状况和邻里特征来描述医疗保险受益人的户外出行频率,并估计参与者因素与户外出行频率之间的关系。

结果

样本包括3368名参与者。大多数(51.6%)年龄在75至84岁之间,女性占57.2%。大多数(60.4%)参与者每天外出。可能患有痴呆症、身体受限以及街道混乱和人行道连贯性的存在与户外出行频率降低有关。

结论

需要开展研究以制定干预措施,改善邻里环境,并促进患有痴呆症和身体受限的老年人进行户外活动。[(1), 40 - 52.]

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本文引用的文献

1
The Next Critical Turn for Ageism Research: The Intersections of Ageism and Ableism.老龄化歧视研究的下一个关键转折点:老龄化歧视与能力歧视的交集。
Gerontologist. 2024 Feb 1;64(2). doi: 10.1093/geront/gnad062.
2
Me, myself, and nature: living with dementia and connecting with the natural world - more than a breath of fresh air? A literature review.自我、自我与自然:在痴呆症中生活并与自然世界相连接——不仅仅是呼吸新鲜空气?文献回顾。
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Social Citizenship Through Out-of-Home Participation Among Older Adults With and Without Dementia.社交参与:老年痴呆症患者与非老年痴呆症患者的对比
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The Psychometric Properties of the Short Physical Performance Battery to Assess Physical Performance in Older Adults: A Systematic Review.简短体能测试组合对评估老年人身体机能表现的心理计量学特性:系统评价。
J Geriatr Phys Ther. 2024;47(1):43-54. doi: 10.1519/JPT.0000000000000337. Epub 2022 Apr 19.
5
Patterns of Caregiving Among Older Adults With and Without Dementia: A Latent Class Analysis.有和没有痴呆症的老年患者的照护模式:潜在类别分析。
J Gerontol B Psychol Sci Soc Sci. 2022 May 20;77(Suppl_1):S74-S85. doi: 10.1093/geronb/gbab237.
6
Modifiable risk factors for homebound progression among those with and without dementia in a longitudinal survey of community-dwelling older adults.在一项针对社区居住的老年人的纵向调查中,有和没有痴呆症的人,导致居家能力下降的可改变风险因素。
BMC Geriatr. 2021 Oct 18;21(1):561. doi: 10.1186/s12877-021-02506-1.
7
Poor Lower Extremity Functioning Is Associated with Modest Increased Incidence of Probable Dementia.下肢功能不佳与可能患痴呆症的发病率适度增加有关。
Geriatrics (Basel). 2021 Aug 10;6(3):77. doi: 10.3390/geriatrics6030077.
8
Outdoor Recreation for Older Adults in Scotland: Qualitatively Exploring the Multiplicity of Constraints to Participation.苏格兰老年人的户外娱乐活动:参与的多重制约因素的定性探讨。
Int J Environ Res Public Health. 2021 Jul 20;18(14):7705. doi: 10.3390/ijerph18147705.
9
Neighborhood Urban Design and Outdoor Later Life: An Objective Assessment of Out-of-Home Time and Physical Activity Among Older Adults in Barcelona.社区城市设计与老年人户外活动:巴塞罗那老年人户外活动时间和身体活动的客观评估。
J Aging Phys Act. 2021 Oct 1;29(5):781-792. doi: 10.1123/japa.2020-0254. Epub 2021 Mar 2.
10
Dementia-Friendly Neighborhood and the Built Environment: A Scoping Review.痴呆症友好社区与建筑环境:范围综述。
Gerontologist. 2022 Jul 15;62(6):e340-e356. doi: 10.1093/geront/gnab019.