以色列痴呆症诊断和治疗的种族差异
Haya Bishara1, Hilla Cohen2, Dana Hadar2
1Neurology Department, Carmel Medical Center, Haifa 3436212, Israel.
Journal of clinical medicine
|September 13, 2025
概括
阿拉伯参与者被诊断出患有痴呆症,包括阿尔茨海默病和血管痴呆症,年龄比犹太参与者更小. 然而,在阿拉伯人中,轻度认知障碍 (MCI) 的诊断较少.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 老年病的医生 老年病的医生
背景情况:
- 生活方式和社会经济因素对全球不同族群的痴呆症患病率和治疗产生重大影响.
- 在痴呆症研究中,获得医疗保健和医疗结果的种族差异是一个关键问题.
研究的目的:
- 调查和比较在以色列阿拉伯和犹太人口之间的轻度认知障碍 (MCI) 和各种痴呆类型的诊断,工作和治疗.
- 确定痴呆症和MCI护理途径中的潜在种族差异.
主要方法:
- 克莱利特医疗服务 (Clalit Health Services) 的匿名数据的回顾性分析 (2010年1月至2021年9月).
- 纳入标准:60岁以上患有MCI或痴呆症的个人.
- 基于居住在阿拉伯或犹太主要城市的种族确定.
主要成果:
- 与犹太参与者 (80.14) 相比,阿拉伯参与者在较年轻的平均年龄 (75.78) 中被诊断出患有痴呆症.
- 在阿拉伯参与者中,阿尔茨海默氏病 (AD) 和血管痴呆症 (VD) 的患病率较高 (分别为38%和12.6%),而不是犹太参与者 (29.8%和6.42%).
- 在犹太参与者 (26.2%) 中,轻度认知障碍 (MCI) 的诊断比阿拉伯参与者 (10.3%) 更频繁.
结论:
- 在以色列,痴呆症和MCI诊断模式存在显著的种族差异,在阿拉伯人口中早期诊断痴呆症.
- 在阿拉伯参与者中,AD和VD的更高率要求进一步调查潜在的原因和潜在的健康不平等.
- 阿拉伯参与者的MCI诊断率较低表明潜在的诊断不足或疾病呈现不同,需要有针对性的研究和干预.
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