Research on the relationship between social isolation,community elderly care service and cognitive function of the elderly
10.3969/j.issn.1673-9701.2025.10.008
- VernacularTitle:社会孤立、社区养老服务与老年人认知功能间的关系研究
- Author:
Yuqi TIAN
1
;
Ruixin MA
;
Song CHEN
;
Guofang MA
Author Information
1. 新疆医科大学公共卫生学院,新疆乌鲁木齐 830000
- Publication Type:Journal Article
- Keywords:
Elderly;
Social isolation;
Cognitive function;
Community elderly care service
- From:
China Modern Doctor
2025;63(10):34-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mediating effect of community elderly care service on the influence of social isolation on cognitive function of the elderly.Methods Based on the data of China Health and Retirement Longitudinal Study in 2018,mini mental status examination(MMSE)was used to assess the cognitive function of the elderly.Multivariate Logistic regression was used to analyze the influence of individual characteristics and social isolation on cognitive function of the elderly,and the correlation among social isolation,community elderly care service and cognitive function was analyzed through mediating effect.Results A total of 6615 elderly individuals were included,among whom 2906 cases(43.93%)had cognitive impairment.The results of multivariate Logistic regression analysis indicated that social isolation,age,gender,educational level,place of residence,marital status,activities of daily living ability,smoking,sleep duration,loneliness,community elderly care service,social interaction,and less than one contact with children per week were all influencing factors for the occurrence of cognitive impairment in the elderly(P<0.05).Community elderly care service exerted a partial mediating effect in the impact of social isolation on the cognitive function of the elderly.Conclusion Social isolation is a risk factor for cognitive impairment in the elderly,and community elderly care service is a protective factor for cognitive impairment in the elderly.It is necessary to improve the coverage and utilization rate of community elderly care service support,improve the social isolation of the elderly,and protect the cognitive function of the elderly.