痴呆症风险和处于不利地位的社区
Christina S Dintica1, Amber Bahorik1, Feng Xia2
1Department of Psychiatry and Behavioral Sciences, University of California, San Francisco.
JAMA neurology
|July 19, 2023
概括
生活在弱势社区增加了老老兵痴呆症的风险. 这项研究突出了社区贫困和认知衰退之间的联系在一个大型的国家队列.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 社区的社会经济地位与认知障碍和痴呆症风险有关.
- 处境不利的环境可能会对认知健康产生负面影响.
- 在全国代表性人口的研究是有限的.
研究的目的:
- 通过区域贫困指数 (ADI) 测量邻里处境不利与痴呆症风险之间的关联.
- 调查住宅区的社会经济因素如何影响痴呆症发病率.
主要方法:
- 从1999年到2021年,对超过160万名美国退伍军人的回顾性队列研究.
- 区域贫困指数 (ADI) 将社区划分为处于不利地位的五分之一.
- 考克斯的比例危险模型评估了痴呆症诊断的时间,并对死亡率进行了竞争性风险分析.
主要成果:
- 更高的ADI排名五分位数 (更大的劣势) 与痴呆风险增加有关.
- 调整后的危险比为1.09至1.22的范围,以增加不利的五分位数.
- 当将死亡的竞争风险考虑在内时,研究结果仍然是一致的.
结论:
- 居住在更不利的社区与老年退伍军人中痴呆症的风险更高有关.
- 社区社会经济环境是认知健康结果的重要因素.
- 解决社区层面因素的公共卫生干预措施可能对预防痴呆症至关重要.
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