Associations between living alone, depression, and falls among community-dwelling older adults in the US.
Associations between living alone, depression, and falls among community-dwelling older adults in the US.
复制标题
在美国，独自生活，抑郁和落在社区居住的老年人之间的联系。
DOI：
10.1016/j.pmedr.2020.101273
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发表时间：
2020-12
影响因子：
2.8
通讯作者：
Rice D
中科院分区：
文献类型：
--
作者：
Das Gupta D;Kelekar U;Rice D
社交孤立与晚年的抑郁和福尔斯密切相关，在老年人中很常见。虽然文献强调了这三种老年疾病与年龄相关的变化，但缺乏关于老年人年龄类别异质性的证据。为了解决这一差距，我们提出了横截面分析使用的指标，社会孤立，抑郁症，和福尔斯的老年人构建的最新行为风险因素监测系统（BRFSS）的数据。基于年龄的理解对于改善健康干预措施至关重要，因为老年人的健康变化速度比任何其他人口亚组都快。我们在2018年BRFSS固定电话数据集中纳入了所有60岁及以上的成年人（n = 113，233），并使用这些老年人报告的独居状态，抑郁症诊断和跌倒发生率分别创建了社交孤立，抑郁和跌倒指标。我们进行了多变量logistic回归分析，在调整了一组共同的协变量后，比较了60-69岁、70-79岁和80岁及以上三个年龄组的这些指标的结果。结果表明，独居和报告抑郁症的老年人的可能性是80岁及以上的人中最高的。相反，抑郁的老年人报告福尔斯跌倒的几率在60-69岁的人群中最大。因此，我们强调有针对性的健康促进和护理提供给老年人的关键影响。
Social isolation is closely linked to depression and falls in late life and are common among seniors. Although the literature has highlighted age-related variations in these three geriatric conditions, evidence on heterogeneities across older adult age categories is lacking. To address this gap, we present cross-sectional analyses using indicators of social isolation, depression, and falls of older adults constructed from the most recent Behavioral Risk Factor Surveillance System (BRFSS) data. An age-based understanding is critical to improve health interventions since health changes occur at a faster rate among seniors than in any other population subgroup. We included all adults 60 years and older (n = 113,233) in the 2018 BRFSS landline dataset and used the status of living alone, depressive disorder diagnosis, and fall incidences reported by these seniors to respectively create the social isolation, depression, and fall indicators. We conducted multivariable logistic regressions to compare findings on these indicators across the three age categories of 60–69, 70–79, and 80 and above after adjusting for a common set of covariates. Results indicate that the likelihood of seniors living alone and reporting depression is the highest among those 80 years and above. Conversely, the odds of depressed seniors reporting falls is the greatest among the 60–69 year olds. Accordingly, we highlight key implications for targeted health promotion and care delivery to seniors.
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影响因子：
--
作者：
Chang, JT;Morton, SC;Shekelle, PG
通讯作者：
Shekelle, PG
影响因子：
5.5
作者：
Escobar-Viera CG;Jones PD;Schumacher JR;Hall AG
通讯作者：
Hall AG
影响因子：
18.4
作者：
Fiske A;Wetherell JL;Gatz M
通讯作者：
Gatz M
DOI：
10.1093/geronb/gby037
发表时间：
2020-01-01
影响因子：
6.2
作者：
Cudjoe, Thomas K. M.;Roth, David L.;Thorpe, Roland J., Jr.
通讯作者：
Thorpe, Roland J., Jr.
影响因子：
33.9
作者：
Bergen, Gwen;Stevens, Mark R.;Burns, Elizabeth R.
通讯作者：
Burns, Elizabeth R.