摘要
目的:探讨我国老年人社会经济地位与轻度认知障碍之间的关系,为轻度认知障碍的早期预防与干预提供科学依据。方法:基于中国健康与养老追踪调查(China health and retirement longitudinal study, CHARLS)第五期(2020年)随访数据,采用多因素logistic回归分析老年人社会经济地位与轻度认知障碍之间的关联,并进一步进行亚组分析并检验交互作用。结果:5812名研究对象中检出轻度认知障碍914例,检出率为15.73%。多因素logistic回归分析显示,在完全调整控制变量后,相较于高社会经济地位,中(OR=2.136, 95%CI:1.534-3.047)、低(OR=4.004, 95%CI:2.852-5.756)社会经济地位轻度认知障碍发生率更高。亚组分析结果显示,社会经济地位与轻度认知障碍之间的关联与主分析基本一致,年龄与社会经济地位之间存在显著的交互作用,60-74岁组中社会经济地位与轻度认知障碍的关联更强。结论:老年人社会经济地位与轻度认知障碍呈显著负相关,低社会经济地位老年人是轻度认知障碍的高风险人群,建议政府相关部门采取措施促进其养成健康生活方式、改善心理健康并加强社会支持网络。
Objective:To investigate the association between socioeconomic status(SES)and mild cognitive impairment(MCI)in older adults in China,providing scientific evidence for early prevention and intervention of MCI.Methods:Based on the fifth follow-up data from the China health and retirement longitudinal study(CHARLS)in 2020,multivariable logistic regression analysis was used to examine the association between SES and MCI in older adults.Subgroup analysis was further conducted to test for interactions.Results:Among the 5812 study participants,914 cases of MCI were identified,with a detection rate of 15.73%.Multivariable logistic regression analysis showed that,after fully adjusting for confounding variables,compared with high SES,middle SES(OR=2.136,95%CI:1.534-3.047)and low SES(OR=4.004,95%CI:2.852-5.756)were associated with higher prevalence of MCI.Subgroup analyses demonstrated that the associations between SES and MCI were generally consistent with the main analysis.A significant interaction was observed between age and SES,with stronger associations found in the 60-74 age group.Conclusion:There is a negative association between SES and MCI in older adults.Those with low SES are at higher risk for MCI.It is recommended that government departments take measures to promote healthy lifestyles,improve mental health,and strengthen social support networks for this population.
作者
青麟岚
井玉荣
林淑娜
黄子硕
王颖
赵新平
QING Linlan(School of Public Health,Key Laboratory of Public Health Safety,NHC Key Laboratory of Health Technology Assessment,Fudan University,Shanghai,200032,China)
出处
《医学与社会》
北大核心
2025年第8期130-136,共7页
Medicine and Society
基金
癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项,编号为2024ZD0524200
复旦大学原创科研个性化支持项目,编号为DF201021/010
2024年度医学名师培育工程,编号为DGF828023-1/002。
关键词
医学心理
社会经济地位
轻度认知障碍
老年人
Medical Psychology
Socioeconomic Status
Mild Cognitive Impairment
Older Adult
