美国老年人的出生地和认知功能:协调认知评估协议的发现
Zhuoer Lin1, Xi Chen1,2
1Department of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut, USA.
概括
出生地 (PoB) 在多个领域显著影响后期的认知功能. 在认知方面存在地理差异,这突显了需要公平的以地方为基础的政策来促进终身健康.
科学领域:
- 老年学是指老年学的学科.
- 认知神经科学 认知神经科学
- 公共卫生 公共卫生
背景情况:
- 出生地 (PoB) 和相关因素可能会影响长期健康结果.
- PoB对晚年生活中的各种认知领域的具体影响尚未得到充分证实.
研究的目的:
- 研究出生状态对美国老年人的各种认知功能的贡献.
- 量化PoB对生命晚期认知差异的影响程度.
主要方法:
- 利用来自健康和退休研究 (HRS) 协调认知评估协议 (HCAP) 的65岁以上美国人的全国代表性样本 (N=3,333).
- 将认知评估数据与HRS出生状态 (PoB) 数据联系起来.
- 采用基于回归的沙普利分解来量化PoB对认知功能差异的贡献.
主要成果:
- PoB显著预测了记忆,执行功能,语言,视觉空间技能,定向和一般认知.
- 美国南部州和国外出生的个人表现出较差的认知功能.
- 出生状态解释了2.2%-9.7%的认知差异,在调整社会经济和健康因素后降至2.0%-7.0%.
结论:
- 出生地对老年人的认知功能有持久的影响,有助于观察到的地理差异.
- 促进公平资源和早期生活环境的政策对于解决这些PoB相关的生命过程中的健康不平等至关重要.
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