种族与老年痴呆症患者的并发症之间的关联
Parham Habibzadeh1,2, Jennifer Albrecht2
1Department of Medicine, University of Pittsburgh Medical Center, Montefiore Hospital, 200 Lothrop Street, N715, Pittsburgh, PA 15213, USA.
Journal of clinical medicine
|November 9, 2024
概括
与白人成年人相比,患有痴呆症的老年黑人有更多的健康问题,如心脏病和肥胖. 这种更高的疾病负担会影响他们的生活质量和医疗保健需求.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 预计到2050年,痴呆症的患病率将超过1.5亿.
- 痴呆症患者的并发症严重影响生活质量和医疗费用.
- 了解痴呆症并发症的种族差异对于有针对性的干预措施至关重要.
研究的目的:
- 为了确定非西班牙裔黑人与白人65岁及以上的美国成年痴呆症患者合并疾病的发生频率.
- 为了比较痴呆症人口中种族群体之间的特定慢性疾病的患病率.
主要方法:
- 采用国家医院门诊医疗保健调查和国家门诊医疗保健调查 (2016-2021) 的数据进行的横截面研究.
- 痴呆症诊断通过医疗记录抽象证实.
- 对1354名参与者 (179名黑人,1175名白人) 的13种并发性疾病 (包括肥胖,高血压和心血管疾病) 的分析.
主要成果:
- 与白人成年人相比,患有痴呆症的非西班牙裔黑人成年人显示出相应疾病的平均数量明显高 (p < 0.01).
- 肥胖,脑血管疾病,充血性心力衰竭和冠状动脉疾病的患病率在黑人参与者中明显高.
- 黑人参与者比白人参与者 (95% CI 1.6-3.7) 患有超过两种并发症的可能性是黑人参与者的2.5倍.
结论:
- 非西班牙裔黑人老年人患有痴呆症的共同疾病负担比他们的白人同行更大.
- 这些发现突显了老年痴呆症患者健康状况的显著种族差异.
- 需要进一步的研究来探索对生活质量和医疗保健利用的影响.
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