六个低收入和中等收入国家的潜在可修改的痴呆风险因素:一项基于人口的跨国调查
Natan Feter1, Jayne S Feter2, Wyllians V Borelli3
1Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Av. Protásio Alves, 211, Rio Branco, Porto Alegre, Rio Grande do Sul 90410-000, Brazil.
Maturitas
|March 14, 2024
概括
在六个低收入和中等收入国家,大约38%的痴呆病例是可以预防的. 关键的风险因素包括教育不足,吸烟和身体不活动,突出了痴呆症预防策略的机会.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 老年学是指老年学的学科.
背景情况:
- 痴呆症是一个重大的全球健康挑战,特别是在低收入和中等收入国家 (LMICs).
- 识别和量化可修改的风险因素对于制定有效的预防策略至关重要.
研究的目的:
- 确定在六个LMIC中潜在可预防的痴呆病例的比例.
- 分析十个可修改的风险因素对痴呆症负担的贡献.
主要方法:
- 分析了来自中国,南非,加纳,印度,俄罗斯和墨西哥50岁以上的19278名成年人的数据 (世卫组织关于全球老龄化和成人健康的研究).
- 计算十个可修改的风险因素的可归因人口分数,考虑它们的相互关系.
主要成果:
- 据估计,在研究的LMIC中,大约37.6%的痴呆症负担归因于十个可修改的风险因素.
- 教育程度较低 (8.3%),吸烟 (6.3%) 和身体不活动 (5.7%) 是主要原因.
- 在最贫穷的收入类别 (38.1%) 中,总体可归因的部分比最富裕的收入类别 (30.9%) 高 (38.1%).
结论:
- 在选定的低低收入国家和地区中,近38%的痴呆病例可归因于十个潜在可修改的风险因素.
- 心脏代谢风险因素对富裕人口中痴呆症负担产生不成比例的影响.
- 缺乏教育成为最重要的可归因于人口的风险因素,无论社会经济地位如何.
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