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导致痴呆症种族/种族不平等的途径
Jordan D Palms1, Ketlyne Sol2, Laura B Zahodne1
1Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA;
Annual review of clinical psychology
|January 13, 2025
概括
结构性种族主义导致阿尔茨海默病 (AD) 和相关痴呆症 (ADRD) 在少数群体中的健康差异. 解决健康的社会决定因素对于理解和干预痴呆症不平等至关重要.
科学领域:
- 公共卫生 公共卫生
- 神经科学是一个神经科学.
- 社会学 社会学 社会学
背景情况:
- 少数种族/民族群体遭受阿尔茨海默病和相关痴呆症 (ADRD) 的不成比例负担.
- 在ADRD中的健康不平等与结构性种族主义及其对健康社会决定因素 (SDOH) 的影响有关.
- 了解这些差异需要检查个人和系统因素.
研究的目的:
- 审查将SDOH与痴呆症中的种族/种族不平等联系在一起的证据.
- 强调作为干预目标的上游因素和机制.
- 讨论对痴呆症不平等的弹性和研究考虑.
主要方法:
- 对现有文献进行系统审查.
- 分析将特定的SDOH与痴呆症差异联系在一起的证据.
- 综合了个人和系统层面因素的发现.
主要成果:
- 结构性种族主义显著影响SDOH,造成痴呆风险差异.
- 主要的SDOH领域包括教育,经济稳定,社区环境,环境和医疗保健.
- 针对这些决定因素的上游干预措施对于减少痴呆不平等至关重要.
结论:
- 解决结构性种族主义及其对SDOH的影响对于减轻痴呆症健康差异至关重要.
- 需要进一步的研究,以了解不同少数群体的独特和共同的途径.
- 促进性和实施系统层面的变化对于实现痴呆症护理中的健康公平至关重要.
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