Can the higher risk of disability onset among older people who live alone be alleviated by strong social relations? A longitudinal study of non-disabled men and women
Can the higher risk of disability onset among older people who live alone be alleviated by strong social relations? A longitudinal study of non-disabled men and women
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DOI：
10.1093/ageing/afq020
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发表时间：
2010-05-01
期刊：
影响因子：
6.7
通讯作者：
Avlund, Kirsten
中科院分区：
文献类型：
--
作者：
Lund, Rikke;Nilsson, Charlotte Juul;Avlund, Kirsten
目的：探讨高社会参与度或对社会关系的满意是否可以降低独居老年人残疾发生风险的增加。设计和方法：对来自丹麦预防性家访纵向研究的2697名非残疾老年男性和女性进行两波logistic回归模型检验。结果：独居和社会参与度低是男性残疾晚发的重要危险因素。对社会关系不满意与残疾的发生有显著的相关性。在独居男性中，低社会参与度是残疾发病的显著预测因子[比值比，OR=2.30 (1.00-5.29)]；同居男性的社会参与与残疾发作无关，[校正OR=0.91(0.49-1.71)]。在男性对社会关系的满意度方面也出现了类似的结果。对女性没有明显的相互作用。结论：该研究表明，独居男性可以通过积极参与社会活动和拥有令人满意的社会关系来减轻他们患残疾的风险。尽管独居和对社会关系不满意的女性也构成了一个重要的风险类别，但女性似乎没有像男性那样从同居中受益。
Purpose: to investigate if the increased risk of disability onset among older people who live alone could possibly be moderated by either high social participation or by being satisfied with the social relations.Design and methods: logistic regression models were tested using two waves in a study population of 2,697 non-disabled older men and women from The Danish Longitudinal Study on Preventive Home Visits.Results: living alone and low social participation were significant risk factors for later male disability onset. Not being satisfied with the social relations was significantly associated with onset of disability for both genders. Among men who lived alone low social participation was a significant predictor of disability onset [odds ratio, OR=2.30 (1.00-5.29)]; for cohabiting men social participation was not associated with disability onset, [adjusted OR=0.91 (0.49-1.71)]. Similar results were present concerning satisfaction with the social relations among men. There was no significant interaction for women.Conclusions: the study suggests that men who live alone can possibly alleviate their risk of disability onset by being socially active and by having access to satisfactory social relations. Women do not seem to benefit as much from cohabitation as men, although women who live alone and who are not satisfied with their social relations also constitute a significant risk category.