健康和逆境的社会决定因素对计算机化神经认知评估的影响
Jillian Lemke1, Alena Sorensen D'Alessio2, Farren B S Briggs3
1Neurological Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
The Clinical neuropsychologist
|July 12, 2024
概括
贫困和社区贫困等社会决定因素会对学生运动员的神经认知测试产生负面影响. 了解这些因素对于准确的基线评估和文化敏感的护理至关重要.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 运动医学 运动医学
背景情况:
- 健康和逆境的社会决定因素在计算机化神经认知评估中未得到充分探索.
- 贫困,虐待和社区贫困等因素可能会影响认知测试的表现.
研究的目的:
- 研究个人层面的社会决定因素对计算机认知测试的影响.
- 检查贫困,虐待,社区贫困和社会流动性对学生运动员神经认知表现的影响.
主要方法:
- 利用了从3,845名完成基线即时脑震荡后评估和认知测试 (ImPACT) 的学生运动员的数据.
- 采用多变量线性回归来分析社会决定因素 (例如,SNAP入学,滥用案件,地区贫困指数) 与ImPACT复合分数之间的关联.
- 评估四个认知领域:口头记忆,视觉记忆,视觉运动功能和反应时间.
主要成果:
- 持续的贫困和社区贫困与较低的认知综合分数有关.
- 上升的社会流动性与认知表现没有显著的关联.
- 在控制逆境措施时,母亲种族对认知测试的影响减少了.
结论:
- 健康的社会决定因素对于解释计算机化神经认知测试结果至关重要.
- 纳入这些因素可以提高运动基线评估的文化敏感性和精度.
- 这项研究强调了在不同人群中对神经认知评估需要更全面的方法.
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