认知障碍患者在护理需求中的种族差异
Roshanak Mehdipanah1, Emily M Briceño2, Madelyn Malvitz3
1University of Michigan, School of Public Health, Ann Arbor, MI, USA.
Journal of Alzheimer's disease : JAD
|April 22, 2025
概括
认知障碍和痴呆症 (CID) 患者的需求很高. 非西班牙裔白人比墨西哥裔美国人有更多未满足的社会需求,这凸显了公平支持的需要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 越来越多的认知障碍和痴呆症 (CID) 患者在家中得到照顾.
- 对于患有CID的老年人群,支持服务的需求增加.
- 了解护理需求的种族差异的重要性.
研究的目的:
- 调查CID个体需求的种族差异.
- 比较墨西哥裔美国人 (MA) 和非西班牙裔白人 (NHW) 人口之间的需求.
- 识别满足和未满足需求的差异.
主要方法:
- 这项研究包括65岁以上可能有认知障碍的成年人 (蒙特利尔认知评估得分<26) 和他们的护理人员.
- 利用坎伯韦尔对老年人需求评估 (CANE) 工具评估环境,身体,心理和社会领域的需求.
- 采用负二项式和Poisson回归来分析需求的种族差异.
主要成果:
- 包括473名参与者 (150名NHW,323名MA);NHW参与者年龄较大,患MCI和痴呆率较高.
- 所有参与者都报告了高水平的满足和未满足的需求.
- 与MA参与者相比,NHW参与者报告的社会需求较少,但未满足的社会需求水平较高.
结论:
- 患有CID的个体表现出实质性的需求,既满足又未满足.
- 存在显著的种族差异,特别是在社会需求方面,NHW个人面临着更大的未满足的社会需求.
- 对所有患有CID的族群来说,公平地获得资源和支持系统至关重要.
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