在农村老年非洲-加勒比群体中评估阿尔茨海默病知识和认知风险
E Valerie Daniel1, Lisa Ann Kirk Wiese2, Janet K Holt3
1Comprehensive Center for Brain Health, University of Miami, Miller School of Medicine, Boca Raton, Florida, USA.
Journal of community health nursing
|September 14, 2023
概括
老年,农村的非洲加勒比人面临更高的痴呆风险. 这项研究发现认知风险超过50%,并与较低的阿尔茨海默氏症相关.
科学领域:
- 老年学和认知健康
- 神经科学与衰老问题
- 公共卫生和少数群体健康
背景情况:
- 老年,农村的非洲加勒比人是一个不断增长的人口,对阿尔茨海默病和相关痴呆症 (ADRD) 的研究有限.
- 这种人群面临ADRD的风险增加,需要针对性地调查痴呆症风险因素和检测.
研究的目的:
- 调查居住在农村地区的非洲加勒比地区老年人的痴呆风险.
- 检查年龄,性别,教育和阿尔茨海默病知识作为痴呆风险的潜在预测因素.
主要方法:
- 使用了前后的相关设计.
- 认知查使用纳斯雷丁的迷你精神状态检查 (迷你MoCA) 和语言流性/定向/回忆测试.
- 与线性回归分析一起进行了阿尔茨海默病基本知识调查 (BKAD).
主要成果:
- 在55名参与者中,超过50%的参与者在认知风险范围内得分.
- 在Mini-MoCA得分和教育年数 (p < 0.01) 之间发现了显著的关联.
- 有限干预增加了BKAD得分,较低的BKAD得分与更高的痴呆风险相关.
结论:
- 迷你MoCA在受教育程度较低的老年非加勒比人中表现出可靠性,尽管得分取决于教育程度.
- 干预后观察到阿尔茨海默病知识增加 (BKAD分数).
- 对于农村老年移民人口,建议进行语言中立的认知评估.
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