埃及社区老年人的认知障碍模式及其与社会经济地位的关系
Amany A Tawfik1, Sarah A Hamza2, Nermien N Adly2
1Department of Geriatrics and Gerontology, Faculty of Medicine, Helwan University, Cairo, Egypt. amanyabass87@yahoo.com.
The Journal of the Egyptian Public Health Association
|February 7, 2024
概括
认知障碍影响了埃及一半以上的老年人,特别是那些社会经济地位较低的人. 解决这一群体获得教育和医疗保健的问题对于减少健康不平等至关重要.
科学领域:
- 老年学与公共卫生
- 神经科学与衰老问题
背景情况:
- 认知能力下降显著影响老年人的日常功能,生活质量和独立性.
- 了解社区老年人认知障碍 (CI) 的患病率和模式对于有针对性的干预至关重要.
研究的目的:
- 评估在埃及社区居住的老年人中认知障碍 (CI) 的患病率和模式.
- 调查社会经济地位 (SES) 对CI健康不平等的贡献.
主要方法:
- 在埃及卡弗尔·埃尔-谢赫省的470名老年人 (≥60岁) 的横截面研究.
- 使用了蒙特利尔认知评估 (MoCA和MoCA-B),哈辛斯基缺血评分 (HIS),艾因沙姆斯认知评估 (ASCA) 和埃及SES尺度.
- 通过家庭访问,老年俱乐部和门诊收集的数据.
主要成果:
- 认知障碍的患病率为50.2% (37.7%轻度CI,12.5%痴呆症).
- 退行性CI是最常见的 (47.9%),影响视觉空间功能最严重 (94%).
- CI患病率随年龄,女性性别,寡妇,低学历,并发症和低SES (p<0.001) 增加.
结论:
- 认知障碍在埃及非常普遍,不成比例地影响社会经济地位较低的个人.
- 轻度认知障碍比痴呆症更常见,退行性原因占主导地位.
- 建议改善低SES人口的教育水平和医疗保健准入,以减轻CI不平等.
相关概念视频
01:30Cognitive Development During Adulthood
111
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
111
01:30Negative and Cognitive Symptoms of Schizophrenia
48
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
48
01:27Language and Cognition
346
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
346
01:30Dementia
115
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
115
01:29Intellectual Disability
54
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
54
01:26Alzheimer's Disease: Overview
487
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
487