老年人认知功能障碍与其童年期抚养人精神状况的关系研究  

Relationship between cognitive impairment in old people and the mental status of their childhood caregivers

作　　者：俞斐 陈娜[1] 陈珍妮 李嘉雨 陈昊[1] YU Fei;CHEN Na;CHEN Zhen-ni;LI Jia-yu;CHEN Hao(Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210023,China)

机构地区：[1]南京中医药大学,江苏南京210023

出　　处：《现代预防医学》2024年第4期645-650,共6页Modern Preventive Medicine

基　　金：江苏省中医药科技发展计划专题研究项目(ZT202202);江苏省高等教育教改研究课题重点项目(2021JSJG053);养老服务与管理学院(南京中医药大学)专项研究项目(2023YLFWYGL013);江苏高校“青蓝工程”。

摘　　要：目的 了解老年人认知功能障碍与其童年期抚养人精神状况的关系,为认知功能障碍重点人群的筛查与预防提供新思路。方法 选取2014年和2018年中国健康与养老追踪调查数据库中60岁及以上样本作为研究对象(n=6 991),利用简易精神状况检查量表评价我国老年人认知功能状况。应用χ2检验进行单因素分析,采用二元logistic模型进行逐步回归分析。结果 我国60岁及以上老年人认知功能障碍检出率为16.08%。童年期抚养人精神状况越差(OR=1.03,P<0.05)的老年人患有认知功能障碍的可能性越大。此外,男性、已婚、非农村户口、有社交活动、有轻度体力活动的老年人患有认知功能障碍的可能性低;中龄、高龄、吸烟、轻度失能的老年人患有认知功能障碍的可能性高。结论 老年人认知功能障碍与其童年期抚养人精神状况具有显著关系。应加大对童年期曾暴露于抚养人不良精神状况的老年人认知功能状况的筛查与预防工作。Objective To understand the relationship between cognitive impairment in old people and the mental status of their childhood caregivers,and to provide new ideas for screening and prevention of key population with cognitive impairment.Methods sSamples aged 60 and above in the China Health and Elderly Care Longitudinal Survey Database in 2014 and 2018 were selected as research subjects(n=6991),and the cognitive status of old people in China was evaluated by using the simple mental status examination scale.X test was used for single factor analysis,and binary logistic model was used for stepwise regression analysis.Results The detection rate of cognitive impairment in old people aged 60 and above in China was 16.08%.Older adults with poorer mental health among caregivers during childhood(OR=1.03,P<0.05)were more likely to suffer from cognitive impairment.In addition,old people who are male,married,non rural household registration,having social activity and having mild physical activity were less likely to have cognitive impairment.Old people with middle age,advanced age,smoking,and mild disability were more likely to suffer from cognitive impairment.Conclusion There is a significant relationship between cognitive impairment in old people and the mental state of their childhood caregivers.We should increase the screening and prevention of cognitive function among old people who have been exposed to adverse mental conditions of their caregivers during childhood.

关 键 词：认知障碍 老年人 童年 二元LOGISTIC模型 

分 类 号：R179[医药卫生—妇幼卫生保健]