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Outline
This study is based on the log-binomial model, aiming to explore the impact of adverse early childhood experiences on frailty in old age among middle-aged and elderly people in rural areas of Ningxia, and to provide scientific methods and evidence-based references for promoting the health of middle-aged and older adults in China.
Utilizing the health follow-up data collected by the research group during the Extended Consolidation Phase of Health Poverty Alleviation (July-August 2024), middle-aged and elderly people aged 45 and above were selected as the research subjects, and a total of 5 644 valid samples were included. The χ2 test was used to analyze the differences in frailty among different characteristic subjects in middle-aged and elderly people, and the log-binomial regression model was used to explore the effect of adverse childhood experiences on frailty in later years in middle-aged and elderly people.
A total of 900 middle-aged and elderly people suffered from frailty in this study, accounting for 15.95% of the total number. The results of the log-binomial regression model showed that two adverse childhood experiences, namely, going hungry during childhood and adolescence (PR=1.587, 95% CI:1.244-2.025), poor physical health during childhood and adolescence (PR=1.492, 95% CI:1.115-1.996), and very poor (PR=1.856, 95% CI:1.351-2.549), were risk factors for frailty in the later years of middle-aged and elderly people in rural Ningxia. The presence of both parents (PR=0.628, 95% CI:0.547-0.720) and the average health of the father (PR=0.644, 95% CI:0.422-0.983) during childhood and adolescence were protective factors for the occurrence of frailty in the later years of middle-aged and elderly people in rural Ningxia.
The incidence of frailty in old age among middle-aged and elderly people in rural Ningxia is relatively high. Among them, the problem of frailty in old age is more severe among middle-aged and elderly people exposed to two kinds of adverse childhood experiences, namely, going hungry during childhood and adolescence, poor physical health during childhood and adolescence, and very poor health. The sensitivity and attention to the public health threat of adverse childhood experiences should be enhanced. The occurrence and development of risk events should be detected and intervened as early as possible to reduce the risk of frailty in the later years of middle-aged and elderly people and improve their physical fitness and health level.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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