The change and correlates of healthy ageing among Chinese older adults: findings from the China health and retirement longitudinal study.
The change and correlates of healthy ageing among Chinese older adults: findings from the China health and retirement longitudinal study.
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中国老年人健康老龄化的变化及其相关性：中国健康与退休纵向研究的结果
DOI：
10.1186/s12877-021-02026-y
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发表时间：
2021-01-27
期刊：
影响因子：
4.1
通讯作者：
Wang Y
中科院分区：
文献类型：
--
作者：
Nie P;Li Y;Zhang N;Sun X;Xin B;Wang Y
本研究尝试构建了中国健康老龄化指数（CHAI）的综合测度，并考察了CHAI在2011 - 2015年的变化及其与社会人口学特征的关系。本文使用了2011年和2015年中国健康与退休纵向研究（CHARLS，全国代表性样本）中收集的8182名60岁以上老年人的数据。使用血压、呼气峰流速、认知状态评分、空腹血糖、肾功能和C反应功能的六个医学测量来构建CHAI（范围0 - 12，0 - 2 =最健康，7 - 12 =最不健康）。普通最小二乘法，逻辑和随机效应模型研究的社会和空间的决定因素的CHAI评分和流行的理想CHAI。无条件分位数回归测试CHAI评分的社会人口学决定因素的异质性影响。平均CHAI评分从5.7下降到5.2，理想CHAI（CHAI评分= 0 - 2）的比例在2011 - 2015年期间从5.6%增加到9.4%，表明健康老龄化随着时间的推移而改善。2011 - 2015年，中国东南部和东部地区的理想CHAI率最高。老年人，男性，居住在中心和西部，吸烟，肥胖/超重和慢性疾病与总CHAI评分呈正相关，与理想CHAI的较高患病率呈负相关。已婚、文化程度高、经常参加社会活动与理想CHAI的发生率高有关。总CHAI的阳性预测因子在CHAI状态较差的患者中更强。中国的健康老龄化在2011 - 2015年期间有所改善，但在改善中存在很大的地理和社会人口异质性，这表明健康平等在中国仍然是一个挑战。未来的政策和干预措施应特别关注中国中部和西部的男性，并解决肥胖、慢性病和不健康行为等健康问题。在线版本包含补充材料，可在10.1186/s12877 - 021 - 02026-y获得。
This study tentatively constructs a composite measure of Chinese Healthy Ageing Index (CHAI) among older adults aged 60+ and investigates change of CHAI during 2011–2015 and its association with sociodemographic characteristics. Data collected from 8182 old adults aged 60+ in the 2011 and 2015 China Health and Retirement Longitudinal Study (CHARLS, a nationally representative sample) were used. Six medical measures of blood pressure, peak expiratory flow, cognitive status score, fasting glucose, kidney function and C-reactive function were used to construct CHAI (range 0–12, 0–2 = healthiest, 7–12 = unhealthiest). Ordinary least squares, logistic and random effects models examined social and spatial determinants of CHAI score and the prevalence of the ideal CHAI. Unconditional quantile regression tested heterogeneous impacts of sociodemographic determinants of CHAI score. Mean CHAI score declined from 5.7 to 5.2, and the proportion of the ideal CHAI (CHAI score = 0–2) increased from 5.6 to 9.4% during 2011–2015, indicating an improvement in healthy ageing over time. During 2011–2015, the highest rates of the ideal CHAI were in Southeast and East of China. Older adults, male, living in the Center and West, smoking, obesity/overweight and having chronic diseases were positively associated with total CHAI score and negatively with a higher prevalence of the ideal CHAI. Being married, having high education and regular social activities were associated with a higher rate of the ideal CHAI. The positive predictors for total CHAI were stronger in those with worse CHAI status. In China healthy ageing has improved during 2011–2015, but substantial geographical and sociodemographic heterogeneities exist in the improvements, suggesting health equality remains a challenge in China. Future policies and interventions should especially focus on men, those in Central and West China, and combat health problems like obesity, chronic diseases and unhealthy behaviors. The online version contains supplementary material available at 10.1186/s12877-021-02026-y.
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影响因子：
2.2
作者：
Lei, Xiaoyan;Smith, James P;Sun, Xiaoting;Zhao, Yaohui
通讯作者：
Zhao, Yaohui
DOI：
10.1158/1055-9965.epi-14-0064
发表时间：
2014-09
期刊：
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影响因子：
--
作者：
Brenner DR;Scherer D;Muir K;Schildkraut J;Boffetta P;Spitz MR;Le Marchand L;Chan AT;Goode EL;Ulrich CM;Hung RJ
通讯作者：
Hung RJ
DOI：
10.1093/gerona/glt117
发表时间：
2014-04-01
影响因子：
5.1
作者：
Sanders, Jason L.;Minster, Ryan L.;Newman, Anne B.
通讯作者：
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影响因子：
3.6
作者：
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通讯作者：
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DOI：
10.1093/geronb/gbz016
发表时间：
2019-10-01
影响因子：
6.2
作者：
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通讯作者：
Pan, Xi