在老年美国人的人口代表样本中,在事件诊断时痴呆症的严重程度
Shengjia Xu1,2, Niloofar Fouladi-Nashta2, Yi Chen3
1Price School of Public Policy University of Southern California Los Angeles California USA.
Alzheimer's & dementia (New York, N. Y.)
|July 11, 2024
概括
大多数被诊断患有痴呆症的老年美国人接受早期诊断. 随着时间的推移,检测率有所提高,并因种族/种族和性别而异,凸显了需要公平的痴呆症检测策略的需要.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 美国老年人诊断时痴呆症严重程度的首次人口代表性分析.
- 使用来自衰老,人口统计和记忆研究 (ADAMS),健康退休研究 (HRS) 和医疗保险索赔的链接数据.
研究的目的:
- 分析老年美国成年人代表性样本中初始诊断时痴呆症严重程度的分布.
- 确定早期痴呆症检测中的趋势和差异.
主要方法:
- 使用ADAMS参与者的临床痴呆症评分表来估计痴呆症严重程度.
- 应用参数估计来预测医疗保险索赔中痴呆症诊断的HRS参与者的痴呆症严重程度.
主要成果:
- 70%的老年人被诊断为轻度认知障碍或轻度痴呆症.
- 早期诊断的比例从65% (2000年至2008年) 增加到76% (2009年至2016年).
- 观察到的差异:72%的非西班牙裔白人,63%的非西班牙裔黑人,59%的西班牙裔个人在早期阶段被诊断出. 男性的诊断时间比女性的诊断时间更早 (75%vs67%). 更高的财富和教育与早期诊断有关.
结论:
- 链接数据使得人口监测和痴呆症检测成为可能.
- 突出了改善老年美国人痴呆症诊断的公平性和及时性的机会.
- 告知临床和政策干预措施,以提高痴呆症检测率和减少差异.
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