老年黑人妇女的邻居劣势和主观认知功能
Tanisha G Hill-Jarrett1, Peter T Buto2, Devon Delaney3
1Department of Neurology, Memory and Aging Center, University of California San Francisco.
Psychology and aging
|July 3, 2025
概括
用区域贫困指数 (ADI) 衡量的邻里处境不利,在考虑教育后,与黑人女性的认知问题无关. 进一步的研究可能会探索这个人群的其他邻里措施.
科学领域:
- 老年学与公共卫生
- 神经科学与认知衰老
背景情况:
- 美国黑人患有认知障碍的风险更高,黑人女性患阿尔茨海默病和相关痴呆症的患病率最高.
- 黑人女性认知障碍背后的机制尚不清楚,可能受到影响结构性种族主义和性别歧视影响邻里环境.
- 邻居层面的暴露可能独特地影响黑人女性的认知衰老.
研究的目的:
- 通过使用区域贫困指数 (ADI) 检查邻居处境不利与黑人女性队列主观认知功能之间的关联.
- 调查邻居层面的因素是否有助于黑人女性的认知问题.
主要方法:
- 对20768名来自黑人妇女健康研究队列的参与者的横截面研究.
- 2015年的区域贫困指数 (ADI) 用于衡量邻里处于不利地位.
- 多项逻辑回归分析了ADI五分位数与主观认知功能 (好,中等,差) 之间的关联.
主要成果:
- 未经调整的模型显示,更大的邻居劣势和主观认知障碍之间存在关联.
- 当教育水平被纳入调整后的模型时,这种关联完全减弱.
- 根据ADI测量,邻居层面的劣势在控制教育后,与黑人妇女的认知问题增加没有显著关联.
结论:
- 区域贫困指数 (ADI) 可能不是评估邻里层面对黑人妇女认知功能的影响最相关的衡量标准.
- 在这一群体中,教育似乎是社区劣势和主观认知功能之间的关系中介的重要因素.
- 未来的研究应该探索其他邻居环境措施,以更好地了解黑人妇女的认知衰老风险.
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