认知表现与告密者评级认知衰退之间的关联中的种族差异
Emily M Briceño1, Barbara Mendez Campos2, Roshanak Mehdipanah3
1Department of Physical Medicine and Rehabilitation (EMB), University of Michigan Medical School, Ann Arbor, MI; Department of Neurology (EMB, DAL, NG, DBZ, LBM), University of Michigan Medical School, Ann Arbor, MI.
概括
与非西班牙裔白人 (NHW) 老年人相比,西班牙裔/拉丁裔-a-e-x (H/L) 老年人的认知测试分数与信息人评级认知衰退的相关性较小. 这表明,在不同的人群中,潜在的认知障碍被低估了.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 对老龄化人口来说,认知衰退的评估至关重要.
- 文化和语言的多样性可能会影响认知评估的有效性.
- 协调认知评估协议 (HCAP) 提供了一个标准化的认知评估.
研究的目的:
- 检查HCAP认知领域得分与信息人评级认知衰退之间的关联.
- 为了比较这些协会跨西班牙裔/拉丁裔-a-e-x (H/L) 和非西班牙裔白人 (NHW) 的老年人.
主要方法:
- 来自"健康与退休研究" (HRS) 和"科普斯克里斯蒂认知 (BASIC-C) 研究中的脑发作监测" (Brain Attack Surveillance in Corpus Christi-Cognitive) 的联合数据.
- 包括H/L (n=566) 和NHW (n=2,145) 的老年人.
- 使用HCAP认知领域得分 (记忆,注意力/执行功能,语言等) 以及老年人认知能力下降的信息人问卷 (IQCODE).
主要成果:
- 在四个领域 (一般认知表现,执行功能,视觉空间,定向) 中,认知领域得分与NHW的IQCODE得分比H/L参与者更强烈.
- 告知者报告NHW的认知衰退较大,与H / L个人相比,具有类似的认知测试分数.
- 报告下降的差异在较低的认知测试分数中更为明显.
结论:
- 认知表现和告知者评级下降之间的关联在H / L老年人中较弱,而不是NHW老年人.
- 研究结果表明,在认知评估中,可能存在文化或语言测量差异.
- 这些差异可能导致低估H/L人群的认知障碍.
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