COPD的主观认知衰退 - - 对行为风险因素监测系统的横截面分析
Michael L Stellefson1, Min Qi Wang2, Isabelle M Boyd3
1Department of Health Science, The University of Alabama, Tuscaloosa, AL, USA. stell001@ches.ua.edu.
Journal of general internal medicine
|March 11, 2025
概括
主观认知衰退 (SCD) 影响了近四分之一的慢性阻塞性肺病 (COPD) 的成年人. 失业和健康状况不佳等因素增加SCD风险,而年龄较大和收入较高与风险较低有关.
科学领域:
- 肺部医学 肺部医学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 主观认知衰退 (SCD) 是认知障碍的早期指标.
- 慢性阻塞性肺病可能会影响慢性阻塞性肺病 (COPD) 患者的护理和治疗结果.
- 在COPD患者中,SCD的社会人口统计学关联尚未得到充分理解.
研究的目的:
- 为了确定各个年龄组的COPD患者中SCD的患病率.
- 确定与COPD患者自我报告的SCD相关的人口,行为和并发症相关的因素.
主要方法:
- 分析了来自24个州的2019年行为风险因素监测系统 (BRFSS) 数据.
- 包括12003名45岁及以上的COPD成年人.
- 后勤回归模型被用来评估人口统计,行为,并发症和SCD之间的关联,调整混因素.
主要成果:
- 总体而言,有24.1%的COPD成年人报告SCD.
- 在55-64岁年龄组中,SCD患病率最高 (30.2%).
- 较低的SCD几率与年龄较大和收入较高有关. 较高的几率与失业,中风病史和健康状况良好/不良有关.
结论:
- 在COPD患者中,SCD的患病率因年龄而异,在55-64岁年龄组达到顶峰.
- 在COPD中,SCD与社会经济因素和健康风险独立相关.
- 这些发现突出了COPD患者中SCD中人口和健康因素的复杂相互作用.
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