居住地类别与社会支持及其交互作用对老年人躯体功能受损风险的影响  

Interaction between residence and social support on the risk of physical function impairment in olderadults

作　　者：孙可 孙超[2] 袁莹[3] 武冬冬[4] 胡慧秀[2] 许华钊 Sun Ke;Sun Chao;Yuan Ying;Wu Dongdong;Hu Huixiu;Xu Huazhao(Department of the Dean's Office,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Science,Beijing 100730,China;Department of Nursing,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Science,Beijing 100730,China;Department of Geriatrics,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Science,Beijing 100730,China;Department of Neurology,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Science,Beijing 100730,China)

机构地区：[1]北京医院院办公室、国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [2]北京医院护理部、国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [3]北京医院老年医学科、国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [4]北京医院神经内科、国家老年医学中心、中国医学科学院老年医学研究院,北京100730

出　　处：《中华老年医学杂志》2023年第12期1472-1478,共7页Chinese Journal of Geriatrics

基　　金：国家重点研发计划(2020YFC2008500);中国医学科学院临床与转化医学研究专项(2022-I2M-C&T-B-110)

摘　　要：目的探讨社会支持与居住地类别及其交互作用对老年人躯体功能受损风险的影响。方法采用多阶段方便抽样法, 于2022年1月至2023年1月应用一般资料调查表和简易体能状况量表对全国范围内9个省级行政单位的老年人进行问卷调查, 使用二元Logistic回归分析探讨居住地类别、社会支持与躯体功能受损的关系, 并建立相乘和相加模型分析居住地类别与社会支持的交互作用。结果共调查23 922例老年人, 其中躯体功能受损18 719例(78.3%), 居住地类别与社会支持可独立影响躯体功能受损风险(P<0.001), 且居住地类别与社会支持对躯体功能受损风险有相乘交互作用(OR=0.763, 95%CI:0.615~0.947, P=0.014), 叉生分析结果显示, 农村社会支持缺乏老年人躯体功能受损概率最大(OR=1.521, 95%CI:1.308~1.769, P<0.001), 但居住地类别与社会支持间不存在相加交互作用。结论居住在农村地区与社会支持缺乏存在交互作用, 两者同时存在时增加老年人躯体功能受损风险。Objective To explore the interaction effectiveness of residence and social support on physical function for older adults..Methods Using multistage sampling method,the older adults in 9 provinces were chosen to investigate from January 2022 to January 2023 by using general information questionnaire and Short Physical Performance Battery.Binary Logistic regression analysis was used to explore the independent effectiveness of social support and residence category on physical function.The additive and multiplicative models were used to analyze the interactions between above two factors.Results A total of 23922 older adults were investigated.And 18719(78.3%)older adults had poor physical function.There were significant independent effect of social support and residence category on physical function of older adults(P<o.001).Besides,the results showed that residence category and social support had a significant multiplicative interaction on physical function(OR=0.763,95%CI:0.615-0.947,P=0.014).The crossover analysis showed that older adults living in rural as well as lack of social support had the highest probability of impaired physical function(OR=1.521,95%CI:1.308-1.769,P<0.001).But there was no difference found in additive interaction.Conclusions An interaction effect was found in rural living and lack of social support.Older adults living in rural as well as lack of social support have a higher risk of impaired physical function.

关 键 词：居住特征 社会支持 躯体功能 交互分析 

分 类 号：R195[医药卫生—卫生统计学]