老年人自我忽视行为发展轨迹及其影响因素
Development trajectories and influencing factors of self-neglect behavior in older adults
孙晨宇 1丁忆晗 1李腾飞 2周泰 3刘梦卿 4贺业珂 2姜国庆 5李杰2
作者信息
- 1. 安徽医科大学第二附属医院普外科,合肥 230601
- 2. 安徽医科大学公共卫生学院健康促进与行为科学系,合肥 230032
- 3. 湖北省第三人民医院医疗美容科,武汉 430000
- 4. 安徽医科大学巢湖临床医学院临床医学系,合肥 230601
- 5. 安徽医科大学公共卫生学院流行病与卫生统计学系,合肥 230032
- 折叠
摘要
目的 识别老年人自我忽视行为发展轨迹,并探索相关影响因素.方法 基于中国老年健康影响因素跟踪调查(Chinese longitudinal healthy longevity survey,CLHLS)2011-2018 年 3 次调查数据构建固定队列,选取居住环境、生活方式、社会交往、医疗保健4个维度共8个变量评价自我忽视,采用组基轨迹模型识别老年人自我忽视行为发展轨迹,采用多项式Logistic回归模型探索其影响因素.统计软件为Stata16.1.结果 最终纳入2 754名≥60岁老年人.根据组基轨迹模型老年人自我忽视行为发展轨迹可划分为平稳-较低组(n=268,9.7％),下降-中等组(n=2 224,80.8％),下降-较高组(n=262,9.5％).多项式Logistic回归结果显示:与平稳-较低组相比,农村(B=1.116,OR=3.053,95％CI=2.278～4.091),日常生活能力得分较高(B=0.137,OR=1.147,95％CI=1.046～1.258)是下降-中等组的危险因素;教育年限1～6年(B=-0.398,OR=0.672,95％CI=0.469～0.963)、＞6 年(B=-1.072,OR=0.342,95％CI=0.229～0.513),在婚(B=-0.476,OR=0.621,95％CI=0.444～0.870),自评健康好(B=-0.808,OR=0.446,95％CI=0.213～0.932),健康变化变好(B=-0.704,OR=0.495,95％CI=0.320～0.766),自评经济一般(B=-1.065,OR=0.345,95％CI=0.148～0.802)、自评经济好(B=-1.634,OR=0.195,95％CI=0.082～0.467),认知功能得分高(B=-0.142,OR=0.867,95％CI=0.798～0.942)是下降-中等组的保护因素.除以上因素外,与平稳-较低组相比,年龄75～89岁(B=0.481,OR=1.617,95％CI=1.057～2.473)是下降-较高组的危险因素.结论 本研究识别出了3种老年人自我忽视行为发展轨迹,提示躯体健康、经济状况等是老年人自我忽视发展轨迹的影响因素.
Abstract
Objective To identify the development trajectories of self-neglect behavior in older a-dults and explore the associated influencing factors.Methods A fixed cohort was constructed based on the data from three surveys of Chinese longitudinal healthy longevity survey(CLHLS)from 2011 to 2018.A to-tal of eight variables from 4 dimensions including living environment,lifestyle,social interaction,and health care were selected to evaluate self-neglect.Group-based trajectory model was used to identify the develop-ment trajectory of self-neglect behavior in the older adults,and polynomial Logistic regression model was used to explore its influencing factors by Stata 16.1.Results Finally,2 754 older adults aged 60 and above were included.The development trajectory of self-neglect behavior in older adults,based on the group-based trajec-tory model,can be classified into stable-low group(n=268,9.7％),descending-moderate group(n=2 224,80.8％),and decreasing-high group(n=262,9.5％).Polynomial Logistic regression showed that,compared with stable-low group,living in rural areas(B=1.116,OR=3.053,95％CI=2.278-4.091)and higher ac-tivities of daily living scores(B=0.137,OR=1.147,95％CI=1.046-1.258)were the risk factors of de-scending-moderate group.Education levels with 1-6 years(B=-0.398,OR=0.672,95％CI=0.469-0.963),＞6 years(B=-1.072,OR=0.342,95％CI=0.229-0.513),being married(B=-0.476,OR=0.621,95％CI=0.444-0.870),self-reported good health(B=-0.808,OR=0.446,95％CI=0.213-0.932),improved health status(B=-0.704,OR=0.495,95％CI=0.320-0.766),self-reported average eco-nomic status(B=-1.065,OR=0.345,95％CI=0.148-0.802),self-reported good economic status(B=-1.634,OR=0.195,95％CI=0.082-0.467),and a higher cognition score(B=-0.142,OR=0.867,95％CI=0.798-0.942)served as protective factors of descending-moderate group.In addition to the above factors,being in the age group of 75-89 years(B=0.481,OR=1.617,95％CI=1.057-2.473)was a risk factor for decreasing-high group compared to stable-low group.Conclusions Three types of self-neglect be-havior trajectories among older adults were identified in this study,suggesting that physical health and econo-my are the influencing factors of the development trajectory of self-neglect of the elderly.
关键词
自我忽视/轨迹/影响因素/老年人Key words
Self-neglect/Trajectory/Influencing factor/Older adults引用本文复制引用
基金项目
安徽省高等学校自然科学类重点研究项目(KJ2021A0231)
出版年
2024
NETL
NSTL
万方数据