中老年和老年美国成年人的负面财富冲击和认知衰退和痴呆症
Liulu Pan1, Bin Gao2, Junpeng Zhu3
1Zhejiang University School of Medicine, Hangzhou, China.
JAMA network open
|December 26, 2023
概括
财务困难,特别是负面的财富冲击,与美国老年人更快的认知衰退和痴呆风险增加有关. 这凸显了金融不稳定对大脑健康的影响.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 众所周知,负面财富冲击,一种经济困难的形式,会影响健康.
- 然而,它们与认知衰退和痴呆症的特定关联仍未得到充分研究.
研究的目的:
- 为了研究负面财富冲击和认知衰退之间的关系.
- 为了检查负面财富冲击和美国中年和老年人的痴呆症发病率之间的联系.
主要方法:
- 利用了来自健康和退休研究 (HRS) 的数据,这是一项前性队列研究.
- 分析了8082名50岁以上的参与者的数据,财富量化和负财富冲击定义为两年内总财富损失≥75%.
- 认知功能和痴呆状态使用修改的认知状态电话采访 (TICS-m) 和代理评估进行评估.
主要成果:
- 负财富冲击与加速的认知衰退 (β = -0.014,P = .03) 和痴呆风险增加 (HR = 1.27,P < .001) 有关.
- 基线时的资产贫困也显示出更高的痴呆风险 (HR = 1.61,P < .001).
- 这些关联在白人参与者和65岁以下的参与者中更为明显.
结论:
- 负面的财富冲击与中年和老年美国成年人加速认知衰退和更高的痴呆风险有关.
- 这项研究表明,年龄和种族的潜在变化.
- 建议进行进一步的研究,包括前性和干预性研究,以证实这些发现.
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