人口和行为风险因素预测与美国慢性阻塞性肺部疾病患者的主观认知衰退相关的功能限制:二次分析
Michael Stellefson1, Min Qi Wang2, Sarah Flora1
1Department of Health Science, The University of Alabama, Tuscaloosa, AL 35487, USA.
概括
患有慢性阻塞性肺病 (COPD) 的老年人经历主观认知衰退 (SCD) 面临功能限制. 退休人员,失业者和患有COPD和SCD的少数群体需要有针对性的支持.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 认知科学 认知科学
背景情况:
- 主观认知衰退 (SCD) 影响了大约三分之一的慢性阻塞性肺病 (COPD) 的老年人.
- 有限的基于人口的研究存在于与SCD相关的功能限制的风险因素在这个人口群体.
- 了解这些风险因素对于制定有针对性的干预措施至关重要.
研究的目的:
- 确定与COPD和SCD的老年人功能限制相关的社会人口统计学和健康相关的风险因素.
- 分析基于人口的数据,以了解SCD相关功能限制的流行率和相关性.
- 为脆弱子组提供文化敏感干预措施的发展信息.
主要方法:
- 2019年行为风险因素监测系统 (BRFSS) 的二次数据分析.
- 专注于45岁及以上的美国成年人,他们被诊断患有COPD (N = 107,204).
- 使用调整的赔率比率 (AOR) 来确定独立协会的统计分析.
主要成果:
- 退休和失业的COPD和SCD患者由于认知问题而需要帮助进行日常活动的几率显著更高.
- 失业人士报告说,认知能力下降对社会活动的影响更大.
- 种族差异很明显,黑人/非洲裔美国人和西班牙裔比非西班牙裔白人更有可能因为SCD而停止日常工作.
结论:
- 诸如就业状况和种族等社会人口统计因素与SCDCOPD患者的功能限制有显著的关联.
- 文化敏感的干预措施是必要的,以解决退休人员,失业者和患有COPD和SCD的少数民族成年人的独特需求.
- 进一步的研究应该探索量身定制的支持策略,以减轻这一群体的功能衰退.
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