Multimorbidity and functional limitation: the role of social relationships
Multimorbidity and functional limitation: the role of social relationships
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DOI：
10.1016/j.archger.2020.104249
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发表时间：
2021-01-01
影响因子：
4
通讯作者：
Anme, Tokie
中科院分区：
文献类型：
--
作者：
Jiao, Dandan;Watanabe, Kumi;Anme, Tokie
目的：探讨多发病与功能限制之间的关系，以及社会关系如何改变这种关系。方法：本横断面研究使用了2017年日本农村地区65岁及以上老年人自我报告问卷收集的数据。该分析包括570名居民的完整数据。多病状态定义为同一个体同时存在两种慢性疾病，通过其长期护理需求来衡量其功能状态。社会关系以社会互动指数（Index of Social Interaction）进行评估，并分为高、低两级。多元逻辑回归分析用于检验社会关系与功能限制之间的关联，并评估社会关系在这种关联中的作用。结果：logistic回归模型显示，多病组功能受限的风险高于无多病组（OR = 2.55, 95% CI = 1.56-4.16）。与无多重疾病和高水平社会关系的参与者相比，低水平社会关系增加了有和没有多重疾病的参与者功能限制的风险，OR = 7.71, 95% CI = 3.03-19.69, OR = 3.28, 95% CI = 1.30-8.27。然而，在多重发病和高水平社会关系的参与者中没有发现显著的结果（P = 0.365）。结论：多发病与功能限制有关。然而，这种联系可以在低水平的社会关系中增强，在高水平的社会关系中减弱。
Objectives: To examine the relationship between multimorbidity and functional limitation, and how social relationships alter that association.Methods: This cross-sectional study used data collected by self-reported questionnaires from adults aged 65 years and older living in a rural area in Japan in 2017. This analysis included complete data from 570 residents. Multimorbidity status was defined as having two chronic diseases exist simultaneously in one individual, and the function status was measured by their long-term care needs. Social relationships were assessed by the Index of Social Interaction and divided into high and low levels. Multiple logistic regression analysis was used to examine the association between social relationships and functional limitation and to assess the role of social relationships in this association.Results: The logistic regression model indicated that the risk of functional limitation was higher in multimorbidity participants than free-of-multimorbidity participants (OR = 2.55, 95% CI = 1.56-4.16). Compared with participants with no multimorbidity and a high level of social relationships, low level of social relationships increased the risk of functional limitation among participants both with and without multimorbidity, with the OR = 7.71, 95% CI = 3.03-19.69 and OR = 3.28, 95% CI = 1.30-8.27, respectively. However, no significant result was found in participants with multimorbidity and a high level of social relationships (P = 0.365).Conclusions: Multimorbidity was associated with functional limitations. However, this association could be increased by a low level of social relationships and decreased by a high level of social relationships.