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首页> 外文期刊>Dementia and Geriatric Cognitive Disorders Extra >Marital Status and Cognitive Impairment among Community-Dwelling Chinese Older Adults: The Role of Gender and Social Engagement
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Marital Status and Cognitive Impairment among Community-Dwelling Chinese Older Adults: The Role of Gender and Social Engagement

机译：中国社区老年人的婚姻状况和认知障碍：性别与社会参与的作用

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Aims: To examine the association between marital status and cognitive impairment among community-dwelling Chinese older adults. Methods: We analyzed data from 2,498 Chinese aged 55 and older from the Singapore Longitudinal Aging Study cohort. Cognitive impairment was defined as a Mini-Mental State Examination total score of 23 or below. Odds ratios of associations were reported and adjusted for potential confounders in logistic regression models. Results: The prevalence of cognitive impairment was 12.2% (n = 306). Being single was associated with about 2.5 times increased odds of cognitive impairment compared to being married (adjusted OR = 2.53, 95% CI: 1.41-4.55). The association between marital status and cognitive impairment was much stronger in men compared to that in women, and was indeed statistically significant only for men. Among the single and widowed persons social engagement was associated with a lower risk of cognitive impairment. Compared with subjects in the lowest tertile of social engagement scores, the odds of having cognitive impairment was lowered by 50% for subjects in the second and the third tertile. Conclusion: Being single or widowed was associated with higher odds of cognitive impairment compared to being married in a cohort of older Chinese men but not women.
机译：目的：研究居住在中国社区的老年人中婚姻状况与认知障碍之间的关系。方法：我们分析了来自新加坡纵向老龄化研究队列的2498名55岁及以上的中国人的数据。认知障碍定义为最低精神状态考试总成绩为23或以下。报告了几率的比率，并针对逻辑回归模型中的潜在混杂因素进行了调整。结果：认知障碍的患病率为12.2％（n = 306）。与结婚相比，单身与认知障碍几率增加约2.5倍（校正后的OR = 2.53，95％CI：1.41-4.55）。与女性相比，男性的婚姻状况和认知障碍之间的关联要强得多，并且仅在男性中确实具有统计学意义。在单身和丧偶者中，社交参与与较低的认知障碍风险相关。与社交参与度得分最低的受试者相比，第二和第三位受试者的认知障碍几率降低了50％。结论：与在年龄较大的中国男性而非女性中结婚相比，单身或丧偶与更高的认知障碍几率相关。

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