生活方式活动在老年期社会贫困与认知之间的中介作用:健康与退休(HRS)研究的结果。

IF 2.2 3区 医学 Q2 GERONTOLOGY
Lena M Hofbauer, Pd Francisca S Rodriguez
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引用次数: 0

摘要

研究目的我们旨在研究生活方式在社会贫困与认知之间的关联中的中介作用。研究方法为了进行研究,我们使用增长曲线和路径分析方法分析了美国健康与退休研究(HRS)中的 3867 名受访者(平均年龄:73.37 岁,标准差:5.57 岁)的数据,并对人口统计学和健康协变量进行了调整。结果显示社会贫困指数高(与中等)组与认知得分较低有关(β = -2.63,[95 % CI:-2.90, -2.36])。相反,生活方式指数得分越高(相对于越低),认知得分越高(β = 1.17, [95 % CI: 0.72, 1.63])。在中介分析中,生活方式指数得分可解释 27% 的 So Dep 指数组与最终随访时认知能力的关联。讨论虽然生活方式活动确实对社会贫困与认知之间的关联起到了中介作用,但未调查的因素却占了大部分差异。这些因素可能包括系统性不利因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Mediating Role of Lifestyle Activities in the Association Between Social Deprivation and Cognition in Older Adulthood: Results From the Health and Retirement (HRS) Study.

Objectives: We aimed to investigate the mediating role of lifestyle activities in the association between social deprivation and cognition. Methods: To investigate, we analysed data of 3867 respondents (Mean Age: 73.37, SD: 5.57) in the U.S. Health and Retirement Study (HRS) using growth curve and path analysis, adjusted for demographic and health covariates. Results: Being in the high (vs. moderate) Social Deprivation Index group was associated with lower cognition scores (β = -2.63, [95 % CI: -2.90, -2.36]). Conversely, higher (vs. lower) Lifestyle Index scores were associated with higher cognition scores (β = 1.17, [95 % CI: 0.72, 1.63]). In mediation analysis, the Lifestyle Index score explained 27 % of the association of So Dep Index group on cognition at the final follow-up. Discussion: While lifestyle activities did mediate the association between social deprivation and cognition, factors not investigated accounted for the majority of the variation. These may include systemic disadvantages.

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来源期刊
CiteScore
5.60
自引率
3.60%
发文量
113
期刊介绍: The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.
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