摘要
目的分析中国老年人社会融合与认知功能的关系,为促进社会融合降低老年人认知障碍发生风险提供理论依据。方法收集中国健康与养老追踪调查(CHARLS)2015年(T1期)、2018年(T2期)和2020年(T3期)中5464名≥60岁老年人认知功能和社会融合(经济融合、关系融合、社区融合)的相关数据。应用交叉滞后模型分析T1~T3期老年人社会融合对认知功能变化的影响。结果纳入分析的5464名≥60岁老年人T1、T2和T3期的认知功能总分分别为(14.11±5.26)、(12.55±6.17)和(12.14±5.99)分;社会融合总分分别为(2.15±1.06)、(1.73±0.85)和(1.64±0.87)分;在控制性别、年龄和文化程度等混杂因素后,老年人T1期和T2期社会融合总分对T2期和T3期认知功能总分均有正向作用(β′=0.019和0.017,均P<0.01);T1期和T2期社区融合得分对T2期和T3期认知功能总分均有正向作用(β′=0.016和0.016,均P<0.05),T1期认知功能总分可分别正向预测T2期社会融合总分、经济融合得分、关系融合得分和社区融合得分(β′=0.051、0.023、0.025和0.057,均P<0.05);T2期认知功能总分可分别正向预测T3期社会融合总分、经济融合得分、关系融合得分和社区融合得分(β′=0.063、0.031、0.027和0.075,均P<0.05)。结论老年人良好的社会融合可保护其认知功能,特别是社区融合;老年人良好的认知功能亦可促进社会融合。
Objective To analyze the relationship between social inclusion and cognitive function of older adults in China and provide a theoretical basis for future research on reducing the risk of cognitive impairment in older adults through social inclusion interventions.Methods Data were collected from the China Health and Retirement Longitudinal Study(CHARLS)in 2015(T1),2018(T2),and 2020(T3),which measured cognitive function and social inclusion(economic inclusion,relational inclusion,and community inclusion)of 5464 elderly people aged of and above 60.A cross-lagged model was adopted to analyze the effect of social inclusion on changes in cognitive function of older adults from T1 to T3.Results The 5464 people aged of and above 60 included in the analysis showed the total cognitive function scores of(14.11±5.26),(12.55±6.17),and(12.14±5.99)and total social inclusion scores of(2.15±1.06),(1.73±0.85),and(1.64±0.87)in T1,T2,and T3 periods,respectively.After the control of confounding factors such as sex,age,and education,the total social inclusion scores in T1 and T2 could positively predict the total cognitive function scores in T2 and T3(β′=0.019 and 0.017,both P<0.01),respectively.The community inclusion scores in T1 and T2 could positively predict the total cognitive function scores in T2 and T3(β′=0.016 and 0.016,both P<0.05),respectively.The total cognitive function score in T1 could positively predict the total social inclusion score,economic inclusion score,relational inclusion score,and community inclusion score(β′=0.051,0.023,0.025,and 0.057,all P<0.05)in T2.The total cognitive function score in T2 could positively predict the total social inclusion score,economic inclusion score,relational inclusion score,and community inclusion score(β′=0.063.0.031,0.027,and 0.075,all P<0.05)in T3.Conclusions Good social inclusion of older adults can protect their cognitive function,especially community inclusion,and good cognitive function of older adults can promote social inclusion.
作者
段文涵
陈燕红
任晓晖
DUAN Wenhan;CHEN Yanhong;REN Xiaohui(Department of Health Behavior and Social Medicine,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China;The People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530022,China)
出处
《中国公共卫生》
北大核心
2025年第12期1429-1434,共6页
Chinese Journal of Public Health
关键词
认知功能
社会融合
关系
交叉滞后分析
老年人
中国
认知障碍
cognitive function
social inclusion
relationship
cross-lagged model analysis
older adults
China
cognitive impairment
