中国三省老年人手机使用情况与认知功能的相关性研究  

Study on the correlation between mobile phone usage and cognitive function in elderly from three provinces in China

作　　者：宋隽清 张肇南 张晗 刘杨 吴静[5] SONG Junqing;ZHANG Zhaonan;ZHANG Han;LIU Yang;WU Jing(Chinese Field Epidemiology Training Program,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Department of Non-Communicable Diseases and Ageing Health Management,Chinese Center for Disease Control and Prevention,Beijing 102206,China;不详)

机构地区：[1]中国疾病预防控制中心现场流行病学项目,北京100050 [2]中国疾病预防控制中心慢病和老龄健康管理处,北京102206 [3]传染病溯源预警与智能决策全国重点实验室 [4]中国疾病预防控制中心免疫规划中心 [5]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [6]南方医科大学中西医结合医院

出　　处：《中国慢性病预防与控制》2025年第1期2-7,共6页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：中国现场流行病学培训项目;中美疾控中心合作项目(6NU2GGH002164-05-07)。

摘　　要：目的了解中国三省60岁及以上老年人手机使用及认知功能情况,并探究手机使用、性别对认知功能的影响,为老年人群认知障碍的早期预防和干预提供依据。方法资料来源于2019年老年期重点疾病预防和干预项目,该项目采用多阶段分层随机抽样方法在辽宁、河南、广东3省抽取5664名60岁及以上老年人为研究对象,评估认知功能,调查基本情况和手机使用情况(UMPF),UMPF分为0(调查对象不使用手机)、1(非智能手机用户、使用智能机但不上网者)和≥2(使用智能机并经常上网)。采用SPSS 22.0进行χ^(2)检验、多重线性回归分析。结果5664名老年人中检出认知异常1189例,检出率为20.99%,女性检出率(22.74%)显著高于男性(18.59%),差异有统计学意义(P<0.01)。UMPF为0、1和≥2组的老年人分别占21.24%、59.50%、19.26%,认知异常检出率分别为37.41%、19.47%、7.61%,差异有统计学意义(P<0.01)。研究对象认知功能总分为(24.29±5.25)分,其中定向力、即刻记忆力、注意力和计算力、回忆能力、语言和视空能力分别为(8.81±1.88)分、(2.73±0.71)分、(3.05±1.88)分、(2.05±1.16)分和(7.65±1.49)分。调整人口学特征和生活方式因素后多重线性回归分析结果显示,女性老年人的认知功能总分(β=-0.65)、定向力(β=-0.19)、注意力和计算力(β=-0.34)、语言和视空能力(β=-0.11)得分均低于男性(P<0.05);≥70岁的老年人认知功能总分(β=-0.40)、定向力(β=-0.11)、即刻记忆力(β=-0.09)、回忆能力(β=-0.21)得分均低于60~69岁年龄组(P<0.05);与UMPF=0相比,UMPF=1的老年人认知功能总分(β=1.96)、定向力(β=0.70)、即刻记忆力(β=0.20)、注意力和计算力(β=0.43)、回忆能力(β=0.33)、语言和视空能力得分(β=0.30)均较高(P<0.05),UMPF≥2的老年人的认知功能总分(β=3.03)、定向力(β=0.90)、即刻记忆力(β=0.21)、注意力和计算力(β=0.81)、回忆能力(β=0.48)、语言和视空能力(βObjective To understand the mobile phone usage and cognitive function of elderly(≥60 years old)from three provinces in China,explore the impact of mobile phone usage and gender on cognitive function,and provide the basis for early prevention and intervention of cognitive impairment in the elderly population.Methods The data were from the 2019 Elderly Disease Prevention and Intervention Program,in which the multi-stage stratified random sampling method was used to select 5664 elderly(≥60 years old)from Liaoning,Henan,and Guangdong provinces as the subjects.Cognitive function was assessed,and the basic demographic information and the usage of mobile phone functions(UMPF)was investigated.UMPF was divided into O(subjects did not use mobile phones),1(non-smartphone users,users who used smartphones but did not use internet access),and≥2(subjects used smartphones and internet regularly).The x test and multiple linear regression were used to analyze the data.The used software was SPSS 22.0.Results Among the 5664 elderly,the detected rate of cognitive impairment was 20.99%(1189 cases).The detection rate(22.74%)in females was significantly higher than that(18.59%)in males(P<0.01).The proportions of UMPF groups 0,1 and≥2 were 21.24%,59.50%and 19.26%,respectively;the detected rates of cognitive impairment in three groups were 37.41%,19.47%,and 7.61%,respectively(P<0.01).The total score of cognitive function in the subjects was(24.29±5.25),the scores of directional force,immediate memory,attention and computation,recall,language and visual space were 8.81±1.88,2.730.71,3.05±1.88,2.05±1.16 and 7.65±1.49,respectively.Results of multiple linear regression analysis after adjusting for demographic characteristics and lifestyle factors showed that the total cognitive function score(β=-0.65),directional force(β=-0.19),attention and calculation force(β=-0.34),language and visual space ability(β=-0.11)scores in female elderly were all lower than those in male elderly(P<0.05);the total score of cognitive function(β=-0

关 键 词：老年人 手机使用 认知功能 简易智能状态检查表 

分 类 号：R749.1[医药卫生—神经病学与精神病学]