The Association between Social Support and Cognitive Impairment among the Urban Elderly in Jinan, China.

The Association between Social Support and Cognitive Impairment among the Urban Elderly in Jinan, China.
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中国济南城市老年人社会支持与认知障碍协会

DOI:
10.3390/healthcare9111443
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发表时间:
2021-10-26
期刊:
Healthcare (Basel, Switzerland)
影响因子:
--
通讯作者:
Li S
Li S
中科院分区:
其他
文献类型:
--
作者:
Jiang F;Kong F;Li S

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中国目前正面临着人口老龄化的严峻挑战。然而,还没有研究专门探讨社会支持与中国城市60岁及以上老年人认知功能障碍之间的关系。本研究探讨了济南市60岁以上城市老年人认知功能障碍的患病率及其与社会支持的关系。采用多阶段整群随机抽样的方法,共调查了522名城市老年人,其中男性占35.55%,女性占64.45%。所有参与者的平均年龄为69.66 ± 8.91岁。社会支持采用社会支持评定量表进行评定。认知状态评估使用简易精神状态检查。数据收集通过面对面的访谈,使用结构化问卷。进行描述性分析、卡方检验和逻辑回归分析。在分析了512名参与者的数据后,分别有154名(30.1%)、352名(68.8%)和6名(1.2%)参与者的社会支持水平较高、中等和较低。此外,125名参与者(24.4%)有认知障碍,而其他387名参与者(75.6%)有正常的认知状态。二元Logistic回归分析显示,年龄、教育程度、职业或退休前职业、社会支持与认知功能障碍有统计学相关性。济南市城市老年人的社会支持与认知功能障碍存在显著相关,为老年人认知功能障碍的干预提供了有用的信息。应重视城市老年人的社会支持,有效减少认知功能障碍的发生。
China is currently facing a severe challenge of population ageing. However, no study has specifically explored the association between social support and cognitive impairment in Chinese urban elderly aged 60 and older. We explored the prevalence of cognitive impairment and its relationship with social support among the urban elderly aged above 60 years in Jinan, China. A total of 522 urban elderly individuals were recruited using multi-stage cluster random sampling, of which 35.55% were males and 64.45% were females. The average age of all participants was 69.66 ± 8.91 years old. Social support was assessed using the Social Support Rating Scale. Cognitive status was assessed using the Mini-Mental State Examination. Data were collected through face-to-face interviews using structured questionnaires. Descriptive analysis, chi-square tests, and logistic regression analyses were conducted. After analysing the data from 512 participants, 154 (30.1%), 352 (68.8%), and 6 (1.2%) participants had high, moderate, and low levels of social support, respectively. In addition, 125 participants (24.4%) had a cognitive impairment, while the other 387 participants (75.6%) had a normal cognitive status. Binary logistic regression analyses showed that age, educational level, occupation or pre-retirement occupation, and social support were statistically associated with cognitive impairment. A significant association between social support and cognitive impairment was found among the urban elderly in Jinan, China, which provided useful information for the intervention of cognitive impairment. More attention should be paid to the social support of the urban elderly to effectively reduce the occurrence of cognitive impairment.
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