The impact of structural and functional characteristics of social relations as determinants of functional decline
The impact of structural and functional characteristics of social relations as determinants of functional decline
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DOI：
10.1093/geronb/59.1.s44
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发表时间：
2004-01-01
影响因子：
6.2
通讯作者：
Heikkinen, RL
中科院分区：
文献类型：
--
作者：
Avlund, K;Lund, R;Heikkinen, RL
目标。这项研究考察了非残疾老年男性和女性在5年的随访中，基线的社会关系方面是否与功能衰退有关。这项调查是基于对651名非残疾75岁老人的基线和随访数据，这些人来自芬兰的Jyveskyla和丹麦的Glostrup。这些分析分别针对男性和女性进行。通过使用三种结果指标来考虑可能的选择问题：第一，幸存者中的功能下降(n=425)；第二，功能下降，包括死亡，假设死亡是一般下降模式的一部分(n=565)；以及第三，死亡率(n=651)。以社会网络的结构和功能为重点，在基线上通过几个项目来测量社会关系。在男性中，每周没有电话接触与功能衰退和死亡率有关。在女性中，每周不到一次的电话接触，没有退休俱乐部的会员资格，以及不为他人缝纫与功能衰退和死亡率显著相关。当死亡被包括在结果测量中时，相关性更强。研究结果表明，社会关系在预防老年人功能衰退方面的重要性。
Objectives. This study examines whether aspects of social relations at baseline are related to functional decline at 5-year follow-up among nondisabled old men and women.Methods. The investigation is based on baseline and follow-up data on 651 nondisabled 75-year-old persons in Jyvaskyla (Finland) and Glostrup (Denmark). The analyses are performed separately for men and women. Possible selection problems were considered by using three outcome measures: first, functional decline among the survivors (n = 425); second, functional decline, including death, assuming that death is part of a general decline pattern (n = 565); and third, mortality (n = 651). Social relations were measured at baseline by several items focusing on the structure and function of the social network.Results. In men, no weekly telephone contact was related to functional decline and mortality. Among women, less than weekly telephone contact, no membership in a retirement club, and not sewing for others were significantly related to functional decline and mortality. The associations were stronger when the dead were included in the outcome measure.Discussion. The results point to the importance of social relations in the prevention of functional decline in older adults.