Association of religious participation with cognitive impairment among the elderly in China
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摘要: 目的 探究中国城乡老人宗教参与与认知障碍的相关性,为预防和控制认知障碍提供参考。方法 对目前涉及“宗教-认知”迄今为止最近的全国代表性公开调查资料(2002年中国老年健康影响因素追踪调查)中13 290名老人使用简易精神状态检查表(MMSE)进行调查,利用logistic模型研究城乡老人宗教参与与认知障碍的关系,并探究其原因。结果 无宗教参与老年人中认知障碍1 872人(17.4%),高于有宗教参与行为老人(264人,10.3%)。宗教参与与老年人认知障碍存在负向关联和城乡差异:在调整人口学变量、躯体健康、主观情绪和休闲活动变量后,有宗教参与行为老人比无宗教参与行为老人认知障碍发生风险低(OR=0.67,95%CI=0.57~0.70)。城市老人认知障碍发生风险低于农村老人(农村OR=0.62,95%CI=0.51~0.77;城市OR=0.75,95%CI=0.58~0.96)。休闲活动变量在“宗教参与-认知障碍”中起调节作用,与模型1比较,模型2中有宗教参与行为与有认知障碍的OR值由0.60(95%CI=0.51~0.70)变为0.67(95%CI=0.57~0.79)。结论 宗教参与与中国老年人认知障碍呈负向关联,且该关联作用存在城乡差异,农村老人关联强度高于城市。休闲活动变量在中国老年人“宗教参与-认知障碍”中起调节作用。Abstract: Objective To explore the correlation between religious participation (RP) and cognitive impairment (CI) in the elderly and to provide references for the prevention and control of cognitive impairment.Methods Data for this study was derived from Chinese Longitudinal Healthy Longevity Survey in 2002,which is a national representative dataset including 13 290 old persons aged 65 years and above and is the latest open data in China so far involving both RP and cognitive function.The Mini Mental State Examination (MMSE) was used for screening CI in the 13 290 participants.Binary logistic model was utilized to analyze the relationship between RP and CI.Results The number of participants identified as CI was 1 872 (17.4%) and 264 (10.3%) among the eldely without and with RP.There were a reverse correlation and a between urban and rural region difference in the correlation of RP with CI in the elderly surveyed.After adjusting for demographic,physical health,subjective emotion,and leisure activities variables,the odds ratio (OR) value of CI was 0.67 (95% confidence interval[95%CI]:0.57-0.70) for the elderly with RP compared to the elderly without RP and both rural and urban elderly with RP showed a lower risk of CI compared to the elderly living in the same regions but without RP,with the adjusted OR values of 0.62(95%CI:0.51-0.77) and 0.75(95%CI:0.58-0.96).Leisure activities demonstrated a moderating effect on the relationship between RP and CI in the participants.Conclusion Religious participation is reversely associated with cognitive impairment among older person in China.There is a difference in the association of religious participation with cognitive impairment between urban and rural elderly and the association is more close among the rural elderly.Leisure activity could mediate the correlation between religious participation and cognitive impairment among the elderly in China.
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Key words:
- religious participation /
- cognitive impairment /
- older adults /
- urban area /
- rural area
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[1] 张学伟,彭仕芳,孙虹,等.老年认知障碍的流行病学研究进展[C].第八届健康产业论坛暨第五次全国健康管理学学术会议论文集,大连:中华医学会,2013. [2] 吴燕璟,王鲁宁.60岁以上老年人认知功能及相关影响因素的研究[J].中国现代神经疾病杂志,2007,7(2):152-156. [3] Van Ness PH,Kasl SV.Religion and cognitive dysfunction in an elderly cohort.[J].Journals of Gerontology,2003,58(1):21-29. [4] Inzelberg R,Afgin AE,Massarwa M,et al.Prayer at midlife is associated with reduced risk of cognitive decline in Arabic women.[J].Current Alzheimer Research,2012,10(3):340-346. [5] Agli O,Bailly N,Ferrand C.Spirituality and religion in older adults with dementia:a systematic review.[J].International Psychogeriatrics,2014,27(5):1-11. [6] Zhang Z.Gender differentials in cognitive impairment and decline of the oldest old in China.[J].Journals of Gerontology,2006,61(2):107-115. [7] 苏向妮,化前珍,陈建华,等.社区老年人认知障碍与生活方式的相关性研究[J].护理学报,2016,23(9):30-33. [8] 柳玉芝,原野.中国高龄老人调查研究[M].北京:中国人口出版社,2007:3. [9] Folstein MF,Folstein SE,Mchugh PR.Mini-mental state:a practical method for grading the cognitive state of patients for the clinician[J].Journal of Psychiatric Research,1975,12(3):189-198. [10] 李格,沈漁邨,陈昌惠,等.老年痴呆简易测试方法研究MMSE在城市老年居民中的测试[J].中国心理卫生杂志,1988,2(1):13-18. [11] 曾毅,柳玉芝,张纯元,等.健康长寿影响因素分析[M].北京:北京大学出版社,2004. [12] 易伟宁,康晓平.中国高龄老人认知功能影响因素的多水平分析[J].中国心理卫生杂志,2008,22(7):538-542. [13] 柳玉芝,原野.中国高龄老人健康长寿调查研究[M].北京:中国人口出版社,2007:283. [14] Zhang W.Religious participation,gender differences,and cognitive impairment among the oldest-old in China[J].Journal of Aging Research,2010,2010(6):77-88. [15] 牛飚,徐勤.中国高龄老人生活基本心理能力分析[J].中国人口科学,2001(S1):55-58. [16] 敖晋,柳玉芝.中国高龄老人认知下降及相关因素[J].中国心理卫生杂志,2004,18(2):119-122. [17] 熊英,苗汝娟,王倩倩,等.天津市社区老年人MCI患病及影响因素分析[J].中国公共卫生,2013,29(1):1-4. [18] 杨帆,王超,毛宗福.武汉市社区老年人轻度认知功能障碍患病现状及其影响因素分析[J].中国公共卫生,2016,32(10):1-3. [19] 周东升,徐银儿,陈中鸣,等.老年人轻度认知功能障碍患病调查[J].中国公共卫生,2011,27(11):1375-1377. [20] Koenig HG.Handbook of religion and mental health[M].London:Academic Press,1998:58. [21] Kaufman Y,Anaki D,Binns M,et al.Cognitive decline in Alzheimer disease:impact of spirituality,religiosity,and QOL[J].Neurology,2007,68(18):1509-1514. [22] Coin A,Perissinotto E,Najjar M,et al.Does religiosity protect against cognitive and behavioral decline in Alzheimer's dementia?[J].Current Alzheimer Research,2010,7(5):445-452. [23] Bassuk SS,Glass TA,Berkman LF.Social disengagement and incident cognitive decline in community-dwelling elderly persons[J].Annals of Internal Medicine,1999,131(3):165-173. [24] Verghese J,Lipton RB,Katz MJ,et al.Leisure activities and the risk of dementia in the elderly[J].New England Journal of Medicine,2003,348(25):2508-2516. [25] Zunzunegui M,Alvarado BE,Ser TD,et al.Social networks,social integration,and social engagement determine cognitive decline in community-dwelling Spanish older adults[J].Journals of Gerontology,2003,58(2):93-100. [26] Wu MS,Lan TH,Chen CM,et al.Socio-demographic and health-related factors associated with cognitive impairment in the elderly in Taiwan[J].BMC Public Health,2011,11(1):22. [27] Wilson RS, Mendes CF, Barnes LL,et al.Participation in cognitively stimulating activities and risk of incident Alzheimer disease[J].JAMA,2002,287(6):742-748. [28] 托马斯奥戴(著),刘润忠,等(译).宗教社会学[M].北京:中国社会科学出版社,1990:58-72,88-96. [29] Green M,Elliott M.Religion,health,and psychological well-being[J].Journal of Religion and Health,2010,49(2):149-163. [30] Bierman A.Does religion buffer the effects of discrimination on mental health? Differing effects by race[J].Journal for the Scientific Study of Religion,2006,45(4):551-565. [31] 丁志宏.宗教信仰对降低中国老年人抑郁的作用[J].中国老年学杂志,2014(2):462-464. [32] Van Ness PH,Kasl SV.Religion and cognitive dysfunction in an elderly cohort[J].Journals of Gerontology,2003,58(1):21-29. [33] 杜鹏,王武林.中国老年人宗教信仰状况及影响因素研究[J].人口研究,2014(6):64-75.
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