中国社区居住老年人的社会网络、社区参与与认知障碍

IF 1.4 Q4 CLINICAL NEUROLOGY

Dementia and Geriatric Cognitive Disorders Extra Pub Date : 2019-09-10 DOI:10.1159/000502090

Jinlei Li, Zijuan Wang, Z. Lian, Zhikai Zhu, Yuanli Liu

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引用次数: 10

摘要

目的:探讨社区居住的中国老年人的社会网络和社区参与与认知障碍的关系。方法:2017年11月至2018年5月，采用随机整群抽样方法，从北京、合肥和兰州3个华人社区抽取1115名老年人，记录人口统计学、社会网络特征、社区活动和认知功能等数据。在逻辑回归模型中对这些关联的比值比(ORs)进行了校正，以排除潜在的混杂因素。结果:认知功能障碍患病率为25.7% (n = 287)。充足的社交网络(OR 0.55;95%可信区间[CI] 0.33-0.91)和来自朋友的足够的社会支持(OR 0.43;95% CI 0.29-0.62)与认知障碍呈负相关。家庭支持与认知障碍无显著相关性(OR 0.64;95% ci 0.34-1.21)。参加老年人团体旅游、使用b微信与他人交流、以及太极和一起散步等社区活动与认知障碍呈负相关。结论:社会网络特征和社区参与与社区居住老年人的认知功能有关。

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Social Networks, Community Engagement, and Cognitive Impairment among Community-Dwelling Chinese Older Adults

Aims: To examine the association of social networks and community engagement with cognitive impairment among community-dwelling Chinese older adults. Methods: From November 2017 to May 2018, we selected 1,115 elderly individuals from 3 Chinese communities (Beijing, Hefei, and Lanzhou) using a random-cluster sampling method, and recorded data on demographics, social network characteristics, community activities, and cognitive function. The odds ratios (ORs) of these associations were adjusted for potential confounders in logistic regression models. Results: The prevalence of cognitive impairment was 25.7% (n = 287). An adequate social network (OR 0.55; 95% confidence interval [CI] 0.33–0.91) and enough social support from friends (OR 0.43; 95% CI 0.29–0.62) were negatively associated with cognitive impairment. Family support was not significantly associated with cognitive impairment (OR 0.64; 95% CI 0.34–1.21). Taking part in elderly group travel, communication with others using WeChat, and community activities such as Tai Chi and walking together were negatively associated with cognitive impairment. Conclusion: Social network characteristics and community engagement were found to be related to cognitive function among community-dwelling Chinese elderly adults.

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来源期刊

Dementia and Geriatric Cognitive Disorders Extra Medicine-Psychiatry and Mental Health

CiteScore

4.30

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： This open access and online-only journal publishes original articles covering the entire spectrum of cognitive dysfunction such as Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field. Dementia and Geriatric Cognitive Disorders Extra provides additional contents based on reviewed and accepted submissions to the main journal Dementia and Geriatric Cognitive Disorders Extra .