大人对脑部扫描结果的反应如何不同,这取决于自认的黑人和白人种族
Shana D Stites1, Emily A Largent2, Rosalie Schumann1
1Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|November 29, 2023
概括
黑人成年人报告说,与白人成年人相比,在脑部扫描中对阿尔茨海默病 (AD) 诊断的耻辱感更高,信心更低. 解决污名化问题对于公平的AD诊断和治疗机会至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 在阿尔茨海默病 (AD) 诊断和治疗方面存在差异.
- 了解对脑部扫描等诊断工具的反应的种族差异对于健康公平至关重要.
研究的目的:
- 为了研究黑人和白人成年人对脑部扫描结果的反应如何不同.
- 为了确定对公平的阿尔茨海默病诊断的潜在障碍.
主要方法:
- 随机对照试验涉及1055名黑人和1451名白人成年人.
- 参与者被呈现了一个虚构的患者标签,详细介绍了来自记忆中心的大脑扫描结果.
- 他们测量了耻辱感和诊断信心,并在种族群体之间进行了比较.
主要成果:
- 黑人参与者在七个测量领域中的四个领域报告的耻辱性明显高于白人参与者.
- 根据脑部扫描结果对阿尔茨海默病诊断的信心在黑人参与者中较低 (72.2分),而不是白人参与者 (78.1分).
结论:
- 脑部扫描结果后的耻辱和信心的种族差异可能会导致阿尔茨海默病的诊断差异.
- 针对阿尔茨海默病的耻辱的公众宣传和教育对于公平获得早期诊断和治疗是必要的.
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