Melissa Hughes-García, Daniela Abigail Ojeda-Salazar, Andrea Rivera-Cavazos, Arnulfo Garza-Silva, Andrea Belinda Cepeda-Medina, Iván Francisco Fernández-Chau, Devany Paola Morales-Rodriguez, Miguel Ángel Sanz-Sánchez, Arnulfo González-Cantú, Maria Elena Romero-Ibarguengoitia
{"title":"综合保健系统对墨西哥北部非长寿人群长寿的影响:一项观察性研究","authors":"Melissa Hughes-García, Daniela Abigail Ojeda-Salazar, Andrea Rivera-Cavazos, Arnulfo Garza-Silva, Andrea Belinda Cepeda-Medina, Iván Francisco Fernández-Chau, Devany Paola Morales-Rodriguez, Miguel Ángel Sanz-Sánchez, Arnulfo González-Cantú, Maria Elena Romero-Ibarguengoitia","doi":"10.1186/s13690-024-01359-5","DOIUrl":null,"url":null,"abstract":"Despite the growth in the older population, there is a noticeable research gap regarding integrative health systems for older people and their impact on longevity in nonagenarians. This study aimed to evaluate the effect of an integrative health system consisting of medical services, recreational facilities, and housing on longevity in a population of nonagenarians in Northern Mexico. This was a cross-sectional, retrospective, descriptive-analytical study in which we measured and analyzed medical history such as number of hospitalizations, visits to geriatric consultation, hypertension, history of chronic pain, polypharmacy, dementia, rheumatic disease, diabetes mellitus, insomnia, depression, ischemic cardiomyopathy, among others. We also measured social engagement and number of caregivers. A logistic regression was performed to evaluate the predictors of mortality in this population. We included one hundred and ninety-five nonagenarians with a mean (SD) age of 94 (4.2) years and of which 112 (55.7%) were female. The findings from logistic regression analysis indicated that a higher frequency of hospitalizations was associated with an elevated mortality risk (OR = 1.272, p = 0.049). Conversely, increased visits to geriatric consultation services as primary care were linked to a reduced mortality risk (OR = 0.953, p = 0.002). Additionally, social engagement displayed a protective effect (OR = 0.336, p = 0.05). This study highlighted the role of systemic health approaches in extending life through insights into nonagenarian patients’ involvement in primary care, as measured by consultation frequency, and participation in social activities, mitigating mortality risks. Meanwhile, it emphasized the potential consequences of higher hospitalization rates on increased mortality risk.","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The impact of an integrative healthcare system on longevity in a nonagenarian population in Northern Mexico: an observational study\",\"authors\":\"Melissa Hughes-García, Daniela Abigail Ojeda-Salazar, Andrea Rivera-Cavazos, Arnulfo Garza-Silva, Andrea Belinda Cepeda-Medina, Iván Francisco Fernández-Chau, Devany Paola Morales-Rodriguez, Miguel Ángel Sanz-Sánchez, Arnulfo González-Cantú, Maria Elena Romero-Ibarguengoitia\",\"doi\":\"10.1186/s13690-024-01359-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Despite the growth in the older population, there is a noticeable research gap regarding integrative health systems for older people and their impact on longevity in nonagenarians. 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The impact of an integrative healthcare system on longevity in a nonagenarian population in Northern Mexico: an observational study
Despite the growth in the older population, there is a noticeable research gap regarding integrative health systems for older people and their impact on longevity in nonagenarians. This study aimed to evaluate the effect of an integrative health system consisting of medical services, recreational facilities, and housing on longevity in a population of nonagenarians in Northern Mexico. This was a cross-sectional, retrospective, descriptive-analytical study in which we measured and analyzed medical history such as number of hospitalizations, visits to geriatric consultation, hypertension, history of chronic pain, polypharmacy, dementia, rheumatic disease, diabetes mellitus, insomnia, depression, ischemic cardiomyopathy, among others. We also measured social engagement and number of caregivers. A logistic regression was performed to evaluate the predictors of mortality in this population. We included one hundred and ninety-five nonagenarians with a mean (SD) age of 94 (4.2) years and of which 112 (55.7%) were female. The findings from logistic regression analysis indicated that a higher frequency of hospitalizations was associated with an elevated mortality risk (OR = 1.272, p = 0.049). Conversely, increased visits to geriatric consultation services as primary care were linked to a reduced mortality risk (OR = 0.953, p = 0.002). Additionally, social engagement displayed a protective effect (OR = 0.336, p = 0.05). This study highlighted the role of systemic health approaches in extending life through insights into nonagenarian patients’ involvement in primary care, as measured by consultation frequency, and participation in social activities, mitigating mortality risks. Meanwhile, it emphasized the potential consequences of higher hospitalization rates on increased mortality risk.
期刊介绍:
rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.