社会排斥对中老年人认知健康的影响：系统回顾。

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2024-12-21 DOI:10.1016/j.archger.2024.105730

Paula Maria Fernandes Rodrigues, Alice Delerue-Matos

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引用次数: 0

摘要

本系统综述旨在评估社会排斥在经济、社会关系和公民参与三个特定领域对中老年人认知健康的独立和联合影响。从2000年1月到2023年10月的纵向研究通过Web of Science、Scopus和PubMed进行鉴定，其中65项研究符合纳入标准。采用纽卡斯尔-渥太华量表对研究质量进行评估。分析显示，经济排斥与认知能力下降之间存在很强的联系，大多数研究都表明了显著的负面影响。10项研究发现志愿服务与公民参与的认知健康之间存在积极联系，而8项研究没有发现，证据不一。在社会关系方面，大多数研究将孤独感、社会隔离、较小的社会网络、与家人和朋友的联系减少、活动参与度降低以及消极的社会互动与认知能力下降联系起来。值得注意的是，一项研究发现，同时在多个领域遭受社会排斥的老年人面临更大的认知衰退。总之，这篇综述表明，在经济、社会关系和公民参与等所有领域的社会排斥与老年人的认知能力下降有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

The effect of social exclusion on the cognitive health of middle-aged and older adults: A systematic review

查看原文本刊更多论文

The effect of social exclusion on the cognitive health of middle-aged and older adults: A systematic review

This systematic review aimed to evaluate the independent and joint effects of social exclusion in three specific domains—economic, social relations, and civic participation—on the cognitive health of middle-aged and older adults. Longitudinal studies from January 2000 to October 2023 were identified via Web of Science, Scopus, and PubMed, with sixty-five studies meeting inclusion criteria. The quality of the studies was assessed with Newcastle-Otawa Scale.

Analysis revealed a strong association between economic exclusion and cognitive decline, with most studies indicating a significant negative impact. Ten studies found a positive link between volunteering and cognitive health for civic participation, while eight did not, showing mixed evidence. In social relations, most studies connected loneliness, social isolation, smaller social networks, reduced contact with family and friends, lower engagement in activities, and negative social interactions with cognitive decline. Notably, one study found that older adults experiencing social exclusion in multiple domains simultaneously face even greater cognitive decline.

In summary, this review shows that social exclusion in economic, social relations, and civic participation and all together domains is associated with greater cognitive decline in older adults.

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.