在经历无家可归和住房不稳定的退伍军人中患痴呆症的风险
Jill S Roncarati1,2,3, Frank DeVone4, Christopher Halladay4
1U.S. Department of Veterans Affairs, Center for Healthcare Organization & Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, Massachusetts, USA.
Journal of the American Geriatrics Society
|December 6, 2023
概括
经历住房不稳定的退伍军人面临着阿尔茨海默病和相关痴呆症 (ADRD) 诊断的显著更高风险. 认知查和量身定制的支持对这个脆弱的人群至关重要.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 神经科学是一个神经科学.
背景情况:
- 无家可归影响了大量的美国退伍军人,其中许多人正在衰老,并有复杂的健康状况.
- 老年和无家可归增加了与年龄有关的疾病的脆弱性,如阿尔茨海默病和相关痴呆症 (ADRD).
研究的目的:
- 调查住房不稳定与退伍军人中ADRD诊断率之间的关联.
- 为了比较无家可归或住房不稳定的退伍军人与住房稳定的退伍军人中的ADRD诊断率.
主要方法:
- 一项为期9年的研究比较了ADRD诊断率.
- 使用考克斯的比例危险模型进行分析.
- 匹配了一组稳定住房的退伍军人与那些经历无家可归或住房不稳定的退伍军人.
主要成果:
- 与住房不稳定的退伍军人相比,住房不稳定的退伍军人患ADRD诊断的风险高1.53倍.
- 研究队列主要由年长的白人男性退伍军人组成.
结论:
- 住房不稳定与退伍军人的ADRD诊断风险大幅增加有关.
- 医疗保健提供者应该为住房不安全的个人实施认知查.
- 永久性支持性住房计划可能需要适应患有ADRD的退伍军人服务.
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