童年时期父母去世与老年人晚年认知功能的关系——基于2018年CLASS数据的分析  

The relationship between childhood parental death and cognitive function in later life among Chinese old adults based on 2018 CLASS data

作　　者：许静 周晟宇[1,2] 孔凡磊 XU Jing;ZHOU Sheng-yu;KONG Fan-lei(Center for Health Management and Policy Research,School of Public Health,Shandong University,Jinan,Shandong 250000,China;不详)

机构地区：[1]山东大学公共卫生学院卫生管理与政策研究中心,山东济南250000 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),山东济南250000

出　　处：《现代预防医学》2023年第9期1682-1688,共7页Modern Preventive Medicine

摘　　要：目的本研究旨在探索我国60岁及以上老年人的认知功能现状以及童年时期经历父母去世对老年人晚年认知功能的影响。方法使用2018年中国老年社会追踪调查(CLASS)数据,纳入有效样本11088个;采用简易精神状态量表(MMSE)测量老年人的认知功能,t检验用于分析老年人的认知功能在不同特征对象中的差异,多元线性回归分析用于探索童年时期经历父母去世对老年人晚年认知功能的影响。结果共有1177位老年人有过童年父母去世经历,约占总人数的10.6%;经历过童年父母去世的老年人的MMSE平均得分为(12.87±3.19),没有经历过的老年人MMSE平均得分为(13.37±3.07),差异存在统计学意义(t=5.18,P<0.001);多模型多元线性回归结果表明,童年时期是否经历父母去世与老年人晚年的认知功能相关(β=-0.02,P=0.007),有此经历的老年人认知功能更差。结论目前我国老年人的认知功能较差,童年时期经历父母去世会对老年人晚年的认知功能产生影响,需要采取针对性的措施来减缓老年人认知功能的下降。Objective To investigate the current status of cognitive function in Chinese elderly aged 60 years and above and the impact of parental death in childhood on cognitive function in the later life.Methods The data of the 2018 Chinese Longitudinal Aging Social Survey(CLASS)were used,with a total of 11088 valid samples included in the data analysis.The Mini-Mental State Examination(MMSE)was employed to measure the cognitive function of the elderly.The t-test was used to analyze the differences of cognitive function in different characteristic subjects,and multivariate linear regression analysis the effects of childhood parental death on cognitive function of the elders.Results In total 1177 older adults(approximately 10.6%)suffered childhood parental death.The mean MMSE score was 12.87±3.19 for those who experienced the death of a parent in childhood and 13.37±3.07 for those who did not,with statistically significant difference(t=5.18,P<0.001).The results of multiple linear regression showed that experiencing the death of a parent in childhood was statistically associated with the cognitive function in later life of the Chinese old adults(β=-0.02,P=0.007),and the cognitive function was worse among those who experienced it.Conclusion Currently,the cognitive function of the elderly in China is poor.Experiencing the death of their parents in childhood will have an impact on the cognitive function of the elderly in their later years.Measures are needed to alleviate the decline of cognitive function of older adults.

关 键 词：老年人 童年时期父母去世经历 父母早逝 认知功能 CLASS数据库 

分 类 号：R161.7[医药卫生—公共卫生与预防医学] R749.1