文献类型：期刊文献

中文题名：我国围绝经期女性认知障碍评价及影响因素研究——基于CHARLS数据的实证分析

英文题名：Evaluation of cognitive impairment and factors influencing perimenopausal women in China:an empirical analysis based on CHARLS data

作者：金籽杉[1,2];杜天依[1,3];段文萱[4];杭行[1];赵林华[2];张伟[5,2]

第一作者：金籽杉

机构：[1]北京中医药大学,北京100029;[2]中国中医科学院广安门医院代谢病研究所;[3]中国中医科学院西苑医院国家中医心血管病临床医学研究中心;[4]北京中医药大学东直门医院;[5]甘肃中医药大学基础医学院

第一机构：北京中医药大学,北京100029

年份：2023

卷号：50

期号：22

起止页码：4094

中文期刊名：现代预防医学

外文期刊名：Modern Preventive Medicine

收录：CSTPCD;;北大核心:【北大核心2020】；

基金：国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-D-202001)。

语种：中文

中文关键词：认知功能;围绝经期;横断面研究

外文关键词：Cognitive function;Perimenopause;Cross-sectional study

摘要：目的了解我国围绝经期女性认知功能状况及影响因素,为干预政策和措施的制定提供依据和参考。方法使用中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)2018年全国调查数据,选取年龄45~60岁的围绝经期女性作为研究对象。使用简易精神状态检查量表(Mini-Mental State Examination,MMSE)评估围绝经期女性的认知功能,采用相关性分析及普通最小二乘(Ordinary Least Squares,OLS)线性回归模型分析等统计学方法对认知功能的相关影响因素进行分析。结果本研究共纳入围绝经期女性4220名,围绝经期妇女认知能力总得分的M(P_(25),P_(75))为16.00(19.00,20.00)。回归分析显示,文化程度高(t=19.588,P<0.001)、居住于城镇地区(t=2.272,P=0.023)、有配偶(t=3.871,P<0.001)、有社交活动(t=6.375,P<0.001)对围绝经期女性认知功能有正向影响,生活满意度较差对认知功能有负向影响(t=-4.876,P<0.001)。结论为提高我国围绝经期女性认知水平,应加强对农村地区、文化程度低、无配偶、社交活动少、生活较不满意等人群的整体关注度和医疗保健。
Objective To understand the status of cognitive function and influencing factors of perimenopausal women in China,and to provide a basis and reference for the development of intervention policies and measures.Methods Using data from the China Health and Retirement Longitudinal Study(CHARLS)2018 national survey,perimenopausal women aged 45-60 years were selected as the study population,with a final sample of 4220 cases.The cognitive function of perimenopausal women was measured using the Simple Mental State Examination Scale(MMSE).Correlation analysis and Ordinary Least Squares(OLS)linear regression model analysis were used to analyze the relevant influences on cognitive function.Results This study included 4220 perimenopausal women.The M(P_(25),P_(75))of the total cognitive score for perimenopausal women was 16.00(19.00,20.00).Regression analysis showed that high level of education(t=19.588,P<0.001),living in urban areas(t=2.272,P=0.023),having a spouse(t=3.871,P<0.001),and having social activities(t=6.375,P<0.001)had a significant positive effect on cognitive functioning in perimenopausal women,and poorer life satisfaction had a negative effect on cognitive functioning(t=-4.876,P<0.001).Conclusion To improve the cognitive level of perimenopausal women in China,we should strengthen the overall attention and health care for people in rural areas,with low literacy,no spouse,little social activity,and less satisfied with life.