在墨西哥裔美国人和非西班牙裔白人中对痴呆症的社区研究
Lewis B Morgenstern1,2, Emily M Briceño1,3, Roshanak Mehdipanah4
1Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, USA.
Journal of Alzheimer's disease : JAD
|December 25, 2023
概括
认知障碍,包括轻度认知障碍 (MCI) 和痴呆症,在墨西哥裔美国人和非西班牙裔白人社区中普遍存在. 较低的教育程度显著增加了认知能力下降的风险.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 关于墨西哥裔美国人认知障碍患病率的数据有限.
- 跨种族群体可能存在认知健康差异.
研究的目的:
- 确定老年人 (65岁以上) 中轻度认知障碍 (MCI) 和痴呆症的患病率.
- 在社区环境中比较墨西哥裔美国人和非西班牙裔白人之间的患病率.
主要方法:
- 基于人口的队列研究在德克萨斯州努埃塞斯县.
- 使用蒙特利尔认知评估 (MoCA) 进行查和协调认知评估 (HCAP) 进行诊断.
- 后勤回归分析了种族,年龄,性别和教育与MCI和痴呆症的关联.
主要成果:
- 整体痴呆症患病率为11.6%,MCI患病率为21.2%.
- 墨西哥裔美国人最初的MCI和痴呆率较高,但经过对共变量进行调整后,种族差异并不显著.
- 显著更高的痴呆率 (OR=4.9) 和MCI (OR=3.5) 与较低的教育程度相关 (≤11年对≥16年).
结论:
- 墨西哥裔美国人和非西班牙裔白人人口都表现出高水平的认知障碍.
- 教育成就是影响认知障碍风险的关键因素,比调整后的种族更重要.
- 进一步的研究应该探索导致认知健康教育差异的因素.
关键词:
阿尔茨海默氏症是阿尔茨海默氏症的一种疾病.西班牙裔西班牙裔.墨西哥裔美国人 墨西哥裔美国人社区社区社区社区社区社区社区社区社区痴呆症 痴呆症是一种痴呆症.不同的差异,不平等的差异.教育教育教育教育的教育.流行病学流行病学卫生公平性健康公平性轻度的认知障碍 轻度的认知障碍更多相关视频
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