暴露于学校种族隔离和晚年认知结果
Zhuoer Lin1,2, Yi Wang3, Thomas M Gill3
1Division of Health Policy and Administration, School of Public Health, University of Illinois Chicago, Chicago.
JAMA network open
|January 3, 2025
概括
儿童暴露于学校种族隔离对认知功能产生了负面影响,并增加了黑人老年人的痴呆风险. 减少隔离对于解决健康不平等问题和促进认知健康至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 老年学是指老年学的学科.
背景情况:
- 认知差异,包括痴呆症,在黑人和白人老年人之间仍然存在.
- 结构性种族主义和早期教育差异可能会影响这些差异.
- 学校种族隔离与晚年认知之间的联系尚未得到充分研究.
研究的目的:
- 调查童年暴露在学校种族隔离和晚年认知结果之间的关联.
- 检查调解者的作用,如教育程度,在这个协会.
主要方法:
- 使用健康和退休研究 (1995-2018) 数据进行的横截面研究.
- 检查的美国老年人 (黑人和白人,65岁以上).
- 从20世纪60年代末使用州级黑白不相似指数测量学校隔离;通过认知状态和代理报告的电话访谈评估认知.
主要成果:
- 暴露于高中隔离的参与者认知得分较低,认知障碍和痴呆症的患病率更高.
- 在黑人参与者中发现了学校隔离和晚年认知之间的显著负相关性,但不是白人参与者.
- 调解者,包括教育程度,解释了黑人个人中相当大一部分 (57.6%72.6%) 的协会.
结论:
- 儿童暴露于学校隔离与黑人老年人的认知结果较差有关.
- 为了解决健康不平等问题,需要制定教育政策来减少隔离.
- 了解早期的教育环境可以为认知健康查和预防策略提供信息.
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