孤立的衰老:在导航认知衰退中的性取向差异
Nathaniel M Tran1,2,3, Tara McKay1,2,4, Gilbert Gonzales1,2,4
1Department of Health Policy, Vanderbilt University, United States.
SSM - population health
|August 14, 2024
概括
性少数群体 (SM) 个体的认知能力下降和日常生活工具活动 (IADL) 障碍率更高. SM女性面临着大量未得到满足的社会支持需求,突出了LGBTQ+人群的护理差异.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 主观认知衰退 (SCD) 影响日常生活和独立性,往往需要非正式的护理.
- 性少数群体 (SM) 可能面临独特的挑战,导致认知健康和护理准入方面的差异.
- 歧视和结构性不平等可能会加剧健康和社会支持差异.
研究的目的:
- 为了比较性少数群体和异性恋个体之间SCD和日常生活工具活动 (IADL) 障碍的患病率和严重程度.
- 根据性认同和性别,评估因IADL损伤而获得的社会支持方面的差异.
- 识别性少数群体在护理和支持需求中的差异.
主要方法:
- 一项横截面研究分析了2015-2019年行为风险因素监测系统中172,047名参与者的数据.
- 使用流行率估计和多变量Poisson回归模型来比较按性别和性认同分层的结果.
- 调整模型对潜在的混因素进行控制,以隔离性取向对认知衰退和社会支持的影响.
主要成果:
- 性少数民族的男性和女性报告说,与异性恋同龄人相比,认知能力下降的患病率更高.
- 由于认知能力下降,SM女性更有可能经历IADL损伤,并且不太可能获得社会支持.
- 与异性恋男性相比,SM男性也表现出IADL损伤的可能性增加,但与异性恋男性相比,在获得社会支持方面没有显著差异.
结论:
- 对于IADL障碍,社会支持存在重大未满足的需求,特别是在中小企业女性中.
- 支持LGBTQ+的辅助生活和基于社区的服务对于确保为SM人口提供公平的长期支持至关重要.
- 解决系统性不平等问题对于改善认知健康结果和改善性少数群体获得社会支持至关重要.
相关概念视频
01:30Cognitive Development During Adulthood
72
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
72
01:26Aging
40
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
40
02:55Stereotypes, Prejudice, and Discrimination
90.1K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.1K
01:26Alzheimer's Disease: Overview
456
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
456
02:12Relationship Formation
39.9K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
39.9K
01:27Erikson's Theory on Socioemotional Development during Adulthood
73
Erik Erikson's theory of psychosocial development outlines a series of stages through which individuals progress across the lifespan. Each stage involves a psychosocial conflict that significantly influences personal growth and well-being. Three key stages — intimacy versus isolation, generativity versus stagnation, and integrity versus despair — highlight the developmental challenges faced in adulthood.
Intimacy Versus Isolation in Early Adulthood
Individuals in early...
Intimacy Versus Isolation in Early Adulthood
Individuals in early...
73