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首页> 外文期刊>International journal of geriatric psychiatry >Cognitive functioning transitions, health expectancies, and inequalities among elderly people in China: A nationwide longitudinal study
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Cognitive functioning transitions, health expectancies, and inequalities among elderly people in China: A nationwide longitudinal study

机译：在中国老年人中的认知功能过渡，健康期望和不平等：全国范围内的纵向研究

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Objective In China, cognitive impairment has become a huge challenge owing to the rapid aging process. We investigate cognitive health expectancy and potential factors leading to inequalities of cognitive health for Chinese older people. Methods The study included 19?943 participants aged 65 to 95 at the first observation in Chinese Longitudinal Healthy Longevity Survey collected during 2002‐2014. Cognitive impairment was categorized into none, mild, and severe by the score of cMMSE. Multistate models based on continuous‐time Markov process were applied to calculate cognitive health expectancies and estimate hazard ratio from no impairment to impairment for potential factors. Results Urban women and men aged 65 were expected to spend 31.18% and 19.82% of their remaining 17.46 and 15.45?years with cognitive impairment; meanwhile, rural women and men aged 65 were expected to spend 35.31% and 21.39% of their remaining 16.73 and 14.87?years with cognitive impairment. Women achieving lower educational attainment (HR 1‐6?years ?=?0.78, 95% CI, 0.71‐0.87; HR 7+?years ?=?0.59, 95% CI, 0.49‐0.70) than men and rural residents having less access to medical service (HR?=?0.79, 95% CI, 0.68‐0.92) and doing less regular exercise (HR?=?0.87, 95% CI, 0.80‐0.96) than urban people caused the differences of cognitive health for genders and regions. Conclusions Women and rural people experience less cognitive health expectancies compared with their counterparts, respectively. Chinese government should pay more attention to rural women and make efforts to reduce the inequalities of cognitive health by increasing opportunities of education for women and improving access to medical service and healthy lifestyle for rural people.
机译：目的在中国，由于衰老过程迅速，认知障碍已成为一个巨大的挑战。我们调查认知健康期望和导致中国老年人认知健康不平等的潜在因素。方法研究包括19岁？943名参加者，在2002 - 2014年期间收集的中国纵向健康寿命调查的第一次观察中为65至95岁。通过CMMSE的分数，认知障碍被分类为None，轻度和严重。应用基于连续时间马尔可夫进程的多岩模型来计算认知健康期望，并估算危险比对潜在因素的损害无损。结果65岁的城市妇女和男子预计将花费31.18％和19.82％的剩余17.46和15.45岁及以15.45？多年来的认知障碍;与此同时，65岁的农村妇女和男子预计将花费35.31％和21.39％，剩余的16.73和14.877岁以上的认知障碍。妇女获得更低的教育程度（HR 1-6？年？=？0.78,95％CI，0.71-0.87; HR 7+？年？=？0.59,95％CI，0.49-0.70）比男性和农村居民少访问医疗服务（HR？= 0.79,95％CI，0.68-0.92），常规运动较少（HR？= 0.87,95％CI，0.80-0.96）引起了对性别的认知健康的差异和地区。结论妇女和农村人民分别与同行相比的认知健康预期较少。中国政府应更加关注农村妇女，努力通过增加妇女的教育机会，从而改善农村人民的医疗服务和健康生活方式的机会，减少认知健康的不平等。

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