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探索社会联系维度对老年人认知障碍的影响:观察性队列研究。

Exploring the Impact of Social Connection Dimensions on Cognitive Impairment in Older Adults: Observational Cohort Study.

作者信息

Lim Eunjung, Uechi Matthew, Taira Deborah A, Davis James, Ishikawa Kyle M, Kaholokula Joseph Keawe'aimoku

机构信息

University of Hawaii at Manoa, Honolulu, USA.

University of Hawaii at Hilo, Honolulu, USA.

出版信息

Inquiry. 2025 Jan-Dec;62:469580251356121. doi: 10.1177/00469580251356121. Epub 2025 Aug 9.

Abstract

This study aimed to identify unique social connection factors associated with cognitive impairment among older adults. Longitudinal data from the 2010 to 2020 Health and Retirement Study were used. Discrete-time survival models were applied to examine the impact of the social factors like loneliness, depression, positive and negative support from family and friends, volunteerism, attending sports or social clubs, charity work, and computer use on cognitive impairment. The sample included 15 548 adults aged 50 and older, with 11.4% living in poverty. Key factors associated with cognitive impairment were loneliness, depression, charity work, participation in sports or social clubs, computer use, positive family support, and negative family support. In adults living in poverty, depression and computer use were most strongly linked to cognitive impairment. These results underscore the need for interventions and educational programs that help older adults maintain or improve cognitive function through enhanced social connections.

摘要

本研究旨在确定与老年人认知障碍相关的独特社会联系因素。使用了2010年至2020年健康与退休研究的纵向数据。应用离散时间生存模型来检验孤独、抑郁、来自家人和朋友的积极和消极支持、志愿服务、参加体育或社交俱乐部、慈善工作以及计算机使用等社会因素对认知障碍的影响。样本包括15548名50岁及以上的成年人,其中11.4%生活在贫困中。与认知障碍相关的关键因素包括孤独、抑郁、慈善工作、参与体育或社交俱乐部、计算机使用、积极的家庭支持和消极的家庭支持。在生活贫困的成年人中,抑郁和计算机使用与认知障碍的联系最为紧密。这些结果强调了需要开展干预措施和教育项目,以帮助老年人通过加强社会联系来维持或改善认知功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d3e/12335654/2e7ad90adeb1/10.1177_00469580251356121-fig1.jpg

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