美国老年人的出生地和认知:协调认知评估协议的发现
Zhuoer Lin1, Xi Chen1,2,3
1Department of Health Policy and Management, Yale School of Public Health, New Haven, CT, USA.
medRxiv : the preprint server for health sciences
|October 24, 2023
概括
出生地对老年人的认知功能有很大影响,并且观察到地理差异. 早期生活环境和基于地点的政策对于改善认知健康公平至关重要.
科学领域:
- 老年学是一门学科.
- 认知科学 认知科学
- 公共卫生 公共卫生
背景情况:
- 出生地 (PoB) 和相关情况可能对后来的生活结果产生持久影响.
- 了解PoB对老年人群不同认知功能的特定影响至关重要.
研究的目的:
- 研究出生地对以后生活中广泛的认知结果的贡献.
- 探索与PoB相关的认知功能的地理差异.
主要方法:
- 利用来自健康和退休研究 (HRS) 协调认知评估协议 (HCAP) 的65岁以上美国人的全国代表性样本 (N=3,216).
- 将认知评估数据与州级PoB数据联系起来.
- 采用基于回归的沙普利分解来量化PoB对认知差异的贡献.
主要成果:
- PoB显著影响了记忆,执行功能,语言,视觉空间功能,定向,全球认知,认知障碍和痴呆症.
- 在美国南部州出生的个人和外国出生的个人表现出较差的认知结果.
- PoB解释了2.4-13.9%的认知差异,在调整社会人口统计和健康因素后,独立占2.0-7.1%.
结论:
- 出生地在老年时对认知健康产生持久的影响,其特点是显著的地理差异.
- 解决这些差异需要公平的基于地方的政策,资源和早期生活环境,以促进整个生命过程中的健康平等.
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