所有澳大利亚人和人口群体内的潜在可修改的痴呆风险因素:使用横截面调查数据的分析
Rhiann Sue See1, Fintan Thompson2, Sarah Russell3
1Cairns and Hinterland Hospital and Health Service, Queensland Health, Cairns, QLD, Australia.
The Lancet. Public health
|August 26, 2023
概括
澳大利亚近40%的痴呆症与可改变的风险因素有关,如身体不活动,听力损失和肥胖. 针对性的预防策略,特别是针对澳大利亚原住民,显示出降低痴呆症患病率的巨大潜力.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是指老年学的学科.
背景情况:
- 痴呆症在澳大利亚代表着严重的疾病负担.
- 识别可修改的风险因素对于公共卫生干预至关重要.
研究的目的:
- 计算澳大利亚与11个可修改的风险因素相关的痴呆症人口归因分数 (PAF).
- 分析这些PAF在不同的祖先群体:第一民族,欧洲和亚洲.
主要方法:
- 利用来自澳大利亚国家健康和社会调查的横截面数据.
- 调整为共同性的计算PAF,并对创伤性脑损伤进行敏感性分析.
主要成果:
- 澳大利亚大约38.2%的痴呆症可归因于11个可修改的风险因素.
- 澳大利亚第一民族人显示出最高的PAF (44.9%),其次是欧洲 (36.4%) 和亚洲 (33.6%) 的祖先.
- 身体不活动,听力损失和肥胖是主要原因,占PAF总数的一半.
结论:
- 澳大利亚有很大一部分痴呆症是可以预防的.
- 预防策略必须考虑澳大利亚原住民面临的独特挑战和更高风险.
- 文化上适当的,社区知情的预防工作对于不同的人口至关重要.
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