摘要
目的:探讨社区支持与老年人认知功能的关系,为制定相关的干预策略提供依据。方法:使用中国老年健康影响因素跟踪调查项目2014年横截面数据,剔除缺失值后得到样本6154例,男性2839例(46.1%),女性3315例(53.9%)。使用修改后的简易精神状态量表测量老年人的认知情况。社区支持指以社区为基本单位,为老年人提供各种形式的服务和帮助(包含起居照料、精神慰藉、医疗服务等)。分析社区支持组和无社区支持组的认知功能差异,并采用二元logistic回归分析社区支持与老年人认知功能的关系。结果:无社区支持组的认知功能受损比为33.8%(820/2428),社区支持组为30.5%(1137/3726),差异具有统计学意义(χ~2=7.19,P=0.007);二元logistic回归显示,在调整性别、年龄、受教育程度,城乡、婚姻情况、居住安排和经济状况后,社区支持组发生认知功能受损的风险为无社区支持组的0.84倍(OR=0.84,95%CI:0.74~0.95,P=0.006)。结论:社区支持是老年人认知功能的保护因素。
Objective： To explore the relationship between community support and cognitive function among the elderly in China,and provide a basis for further policy-making. Methods： Totally 6154 aged persons [2839 males （46.1%）,3315 females （53.9%）] from the Chinese Longitudinal Healthy Longevity Survey（CLHLS） 2014 wave were included in this study.Community support services contained personal care services,psychological consulting service,health care services and other related services.The cognitive function of the elderly was measured with the modified Mini Mental State Examination （MMSE）.Chi square tests and a binary logistic regression model were used to analyze the relationship between community support and cognitive function among elders in China. Results： The percentage of cognitive impairment was 30.5% （1137/3726） and 33.8% （820/2428） in community support group and the group without community support respectively （ χ 2=7.19, P =0.007）.In the binary logistic regression model,after adjustment for gender,age,years of education,area of rural and urban,marital status,living arrangements and economic status,the risk of cognitive impairment in community support group was 0.84 of that in the group without community support （ OR =0.84,95% CI ：0.74-0.95, P =0.006）. Conclusion： It suggests that community support be protective factor of cognitive function among aged persons in China.
作者
余玉善
马利
雷骏
李金芳
麻超
YU Yushan 1,MA Li 2,LEI Jun 1,LI Jinfang 1,MA Chao 3(1Department of Prevention Medicine,Medical College of Shihezi University,Shihezi 832000,Xinjiang Uygur Autonomous Region,China 2Department of Human Resource,the First Affiliated Hospital of Medical College,Shihezi University,Shihezi 832000,Xinjiang Uygur Autonomous Region,China 3Department of Psychology,Normal College,Shihezi University,Shihezi 832000,Xinjiang Uygur Autonomous Region,China)
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2018年第6期490-494,共5页
Chinese Mental Health Journal
基金
兵团科技支疆计划项目(2014AB042)
石河子大学人文社科中青年人才培育基金项目
关键词
社区支持
认知功能
老年人
community support
cognitive function
aged
