社会支持对社区老年人群阿尔茨海默病的影响  

EFFECT OF SOCIAL SUPPORT ON ALZHEIMER'S DISEASE AMONG THE ELDERLY IN COMMUNITY

作　　者：黄文湧[1] 王艳[1] 杨敬源[1] 杨星[1] 汪俊华[1] 邓厚才[1] 韩志琰[1] 

机构地区：[1]贵阳医学院公共卫生学院流行病学教研室,贵阳550004

出　　处：《现代预防医学》2011年第6期1001-1003,1006,共4页Modern Preventive Medicine

基　　金：贵州省省长资金(黔科教办(2004)07);贵州省教育厅自然科学研究项目(黔教科2005108)

摘　　要：[目的]探讨社会支持对阿尔茨海默病(AD)发生的影响,为进一步探明AD的病因和制订预防策略奠定基础。[方法]采用以社区人群为基础的成组病例对照研究,对可能影响AD发生的社会支持相关因素进行分析。资料分析采用非条件Logistic回归分析方法,先进行单因素分析,然后再进行多因素分析。[结果]在控制了年龄和受教育程度后,与配偶和子女共同居住的老年人患AD的危险性最低(OR=0.14,95%CI:0.03～0.67),其次是丧偶与子女居住的老年人(OR=0.30,95%CI:0.12～0.79),与配偶居住的老年人(OR=0.35,95%CI:0.14～0.85);家人尊重和有子女者可能是AD的保护性因素(OR=0.40,95%CI:0.17～0.95;OR=0.17,95%CI:0.03～0.89);独自在家的频率≥2次/周者患AD的危险性明显增多(OR=2.37,95%CI:1.10～5.09)。[结论]AD的发生和发展与老年人的社会支持状况有关。调动有效的社会支持来源,尽可能地让老年人获得帮助与支持,有助于预防AD的发生。[Objective] To investigate the relationship between social support and Alzheimer＇s disease （AD） among the elderly in community of Guiyang. [ Methods ] By using a case-control study based on apopuladon in community, the effect of social support on AD was analyzed. A non-conditional logistic regression was used in data＇analysis. [ Results] After adjusting for age and education, it was showed that the lowest risk of AD was existed in the elderly living with their partners and their children （OR=0.14, 95%CI： 0.03-0.67）, and then the widow hving with their children, and with their partners （OR= 0.30, 95%CI： 0.12-0.79; 0R=0.35. 95%CI： 0.14-0.85）. Respect perceived from the family members and having children might have protective effects on AD （OR=0.40, 95%CI： 0.17-0.95; 0R=0.17, 95% CI： 0.03-0.89）. The elderly who hved alone over 2 times per week showed a higher risk for AD （0R=2.37, 95%CI=1.10-5.09）. [Conclusion] Social support plays an important role in the development of AD. It will be helpful to prevention of AD through providing effective social support for the elderly.

关 键 词：阿尔茨海默病 老年人 社会支持 病例对照研究 

分 类 号：R395.2[哲学宗教—心理学]