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題名 | Depression is the Strongest Independent Risk Factor for Poor Social Engagement Among Chinese Elderly Veteran Assisted-living Residents=憂鬱為華人老年榮家住民中『社交參與度』偏低最顯著之危險因子 |
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作者 | 蔡佳芬; 歐陽文貞; 陳亮恭; 藍忠孚; 黃信彰; 楊誠弘; 蘇東平; | 書刊名 | Journal of the Chinese Medical Association |
卷期 | 72:9 2009.09[民98.09] |
頁次 | 頁478-483+CA89 |
分類號 | 415.9518 |
關鍵詞 | 協助生活; 憂鬱; 老人; 危險因子; 社交參與; Assisted-living; Depression; Elderly; Risk factor; Social engagement; |
語文 | 英文(English) |
英文摘要 | Background: Social engagement prolongs the lifespan and preserves cognition in the elderly. However, most studies concerning social engagement have been conducted in Western countries; few have been performed in the Chinese population. This study attempted to identify the risk factors for poor social engagement among elderly veterans in Taiwan. Methods: A total of 597 male veterans were enrolled, with a mean age of 80.8 ± 5.0 years. This cross-sectional study employed the Resident Assessment Instrument (RAI) Minimum Data Set (MDS), the Geriatric Depression Scale–Short Form (GDS-SF), and the Mini-Mental State Examination (MMSE). Multivariate logistic regression analysis was done to investigate significant independent risk factors for poor social engagement, which were identified using the MDS Index of Social Engagement (ISE). Results: Mean ISE score was 1.5 ± 1.3 (range, 0–5); 52% of subjects had poor levels of social engagement (ISE < 2; 312/597). Regression analyses suggested that depression (OR, 6.6; 95% CI, 2.7–16.1; p < 0.001), illiteracy (OR, 2.2; 95% CI, 1.3–3.8; p = 0.003), the presence of unsettled relationships (OR, 3.6; 95% CI, 1.5–8.7; p = 0.004), and cognitive impairment (OR, 2.0; 95% CI, 1.1–3.9; p = 0.03) were significant independent risk factors for poor social engagement, after controlling for age, marital status, level of daily living activity and degree of sensory impairment. Conclusion: Poor social engagement is common among Chinese assisted-living veteran home residents. Depression is the greatest risk factor of poor social engagement in this population. |
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