首页|期刊导航|南京医科大学学报（自然科学版）|心理韧性与中国老年人全因死亡率关联强度的异质性:一项前瞻性队列研究

心理韧性与中国老年人全因死亡率关联强度的异质性:一项前瞻性队列研究

陈芳怡丁叶周希乔蒋萌王晓骁王威胡馨茹王滢湉于茜俞曼殊杨凡邱玺瑞齐海宁

南京医科大学学报（自然科学版）2026，Vol.46Issue(8)：1197-1210,14.

南京医科大学学报（自然科学版）2026，Vol.46Issue(8)：1197-1210,14.DOI:10.7655/NYDXBNSN251167

心理韧性与中国老年人全因死亡率关联强度的异质性:一项前瞻性队列研究

Heterogeneity in association strength between psychological resilience and all-cause mortality among Chinese older adults:a prospective cohort study

陈芳怡 ¹丁叶 ²周希乔 ³蒋萌 ⁴王晓骁 ³王威 ⁴胡馨茹 ¹王滢湉 ²于茜 ⁵俞曼殊 ³杨凡 ⁶邱玺瑞 ⁷齐海宁²

作者信息

1. 南京中医药大学附属医院(江苏省中医院)临床研究院,江苏南京 210029||南京中医药大学医学院,江苏南京 210023
2. 南京中医药大学护理学院,江苏南京 210023
3. 南京中医药大学附属医院(江苏省中医院)临床研究院,江苏南京 210029
4. 南京中医药大学附属医院(江苏省中医院)GCP中心,江苏南京 210029
5. 南京中医药大学附属医院(江苏省中医院)科技处,江苏南京 210029
6. 南京医科大学公共卫生学院,江苏南京 211166
7. 南京中医药大学附属医院(江苏省中医院)呼吸内科,江苏南京 210029
折叠

摘要

Abstract

Objective:To explore potential heterogeneity in the association between psychological resilience and all-cause mortality across four obesity indices and to identify subpopulations warranting particular attention.Methods:This cohort study included 7 481 eligible participants from the Chinese Longitudinal Healthy Longevity Survey(CLHLS)surveyed between 2011 and 2012.Cox proportional hazards model was employed to assess the associations between psychological resilience and all-cause mortality.Subpopulation treatment effect pattern plot(STEPP)analysis was further applied to investigate heterogeneity in this association strength among Chinese older adults.Results:Higher psychological resilience was significantly associated with a lower risk of all-cause mortality among Chinese older adults(all P＜0.001).Significant heterogeneity in the association strength was observed across subpopulations defined by a body shape index(ABSI)(P＜0.001),body roundness index(BRI)(P＜0.001),waist-to-height ratio(WHtR)(P＜0.001),and body mass index(BMI)(P＜0.001).Conclusion:The association strength between psychological resilience and all-cause mortality varies significantly among different subpopulations of Chinese older adults.Older adults classified as overweight by multiple indices are encouraged to maintain higher levels of psychological resilience to reduce all-cause mortality risk.

关键词

心理韧性/心理健康/肥胖/死亡率/老年人

Key words

psychological resilience/mental health/obesity/mortality/old adult

分类

医药卫生

引用本文复制引用

陈芳怡,丁叶,周希乔,蒋萌,王晓骁,王威,胡馨茹,王滢湉,于茜,俞曼殊,杨凡,邱玺瑞,齐海宁..心理韧性与中国老年人全因死亡率关联强度的异质性:一项前瞻性队列研究[J].南京医科大学学报（自然科学版）,2026,46(8):1197-1210,14.

基金项目

江苏省预防医学科研课题(YM2023103) （YM2023103）

江苏省科技资源(重大疾病生物样本)统筹服务平台开放课题(TC2023B010) （重大疾病生物样本）

江苏省中医疫病研究中心开放课题(JSYB2024KF17) （JSYB2024KF17）

江苏省中药特色制剂融合创新中心(K2024J02) （K2024J02）

南京医科大学学报（自然科学版）

ISSN：1007-4368

访问量0

下载量0

段落导航