美国医疗保险受益者中痴呆症的发生率和流行率,2015年至21年:基于人口的研究
Beau Blass1, Cassie B Ford1, Samir Soneji1
1Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
概括
从2015年到2021年,痴呆症发病率有所下降,但患病率却有所上升. 这些趋势,以及不同的人口群体中痴呆率的差异,凸显了对健康公平倡议的需要.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 痴呆症是一个重大的公共卫生挑战,影响全球数百万人.
- 了解痴呆的趋势和差异对于有效的医疗保健规划和干预至关重要.
研究的目的:
- 确定美国医疗保险受益者全国队列中痴呆症的发病率和流行率.
- 分析痴呆症趋势,按年龄,性别,种族/种族和社会经济地位分层.
主要方法:
- 一项基于人口的全国性研究,利用2015年至2021年的服务费医疗保险受益者数据.
- 纳入标准:年龄在66岁以上的受益者,连续入学至少一年.
- 在关键的人口分组中计算和分析了痴呆症发病率和流行率.
主要成果:
- 在2015年至2021年期间,记录了超过500万例痴呆病例.
- 总体而言,年龄标准化痴呆症发病率从3.5%降至2.8%,患病率从10.5%增加至11.8%.
- 在性别,种族/种族和社会经济地位之间观察到发生率和流行率的显著差异,随着时间的推移,差异有所缩小.
结论:
- 痴呆症发病率正在下降,但在美国医疗保险人口中,患病率正在增加.
- 人口群体之间痴呆症指标的持续差异强调需要有针对性的干预措施来促进健康公平.
- 未来的研究应该集中在解决痴呆症的社会决定因素和减少健康不平等问题上.
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