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台灣中老年人閱讀與認知衰退之關聯性分析
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Journal Article
台灣中老年人閱讀與認知衰退之關聯性分析
2016
Overview
目標：在高齡化人口中，伴隨老化而來的認知障礙益發受到重視。如何維持中老年人認知功能是一重要課題。本研究欲藉國內大型世代資料，分析台灣中老年人閱讀與認知衰退的關聯性。方法：本研究分析「台灣地區中老年身心社會生活狀況長期追蹤調查」2003及2007年資料。以2003年為基礎點，排除有認知功能缺損或不識字者，及非本人作答或資料不全者，得3,147位≥50歲之研究個案。以羅吉斯迴歸(logistic regression)控制社會人口學、健康狀況及健康行為等變項，分析高低閱讀頻率與四年後認知衰退之關聯。結果：若將閱讀活動保留在所有休閒活動(共十項)中，結果顯示高休閒參與者(≥3項/週)的認知衰退風險較低(OR=0.56, p＜0.001)。若將閱讀活動從休閒項目中個別獨立出來，結果顯示高休閒參與者的認知衰退風險雖仍較低(OR=0.73, p=0.050)，但關聯性較弱；而有高閱讀頻率者的衰退風險則明顯低於低閱讀頻率者(OR=0.51, p＜0.001)。另依教育程度分群分析，發現高休閒參與或高閱讀頻率(OR=0.57, 0.50;p＜0.01)皆對低受教育年數(0-6年)受訪者的認知衰退有延緩作用，但對高教育年數受訪者的影響則不明顯。結論：本研究凸顯閱讀對預防中老年人認知退的重要性。建議中老年人養成每週至少閱讀一次的習慣，以促進認知功能健康及延緩衰退。
