美国成年人中认知障碍作为公共卫生问题不断增加:行为风险因素监测系统的趋势,2013-2023年
Ka-Ho Wong1,2, Christopher D Anderson3, Cecilia Peterson4
1Department of Neurology, University of Utah, Salt Lake City.
Neurology
|September 24, 2025
概括
认知障碍的患病率在全国范围内增加,主要是由于年龄在18-39岁的年轻人中几乎翻了一番. 这一趋势凸显了年轻人群体日益关注的公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是指老年学的学科.
背景情况:
- 认知障碍,定义为严重难以集中注意力,记忆或做出决定,是美国成年人报告最多的残疾.
- 以前的研究表明,种族,年龄和社会经济地位存在差异,但最近的趋势仍未得到充分研究.
研究的目的:
- 从2013年到2023年,分析自我报告认知障碍的国家趋势.
- 调查不同年龄组,种族/族裔人口和健康的社会决定因素之间认知障碍患病率的差异.
主要方法:
- 从行为风险因素监测系统 (BRFSS),2013-2023年 (不包括2020年) 来对美国成年人 (≥18岁) 的全国代表性数据进行回顾性分析.
- 排除报告患有抑郁症的参与者,以关注非精神病学认知障碍.
- 调查加权后勤回归用于建模流行趋势和与人口统计/社会经济因素的关联.
主要成果:
- 经年龄调整的认知障碍患病率从2013年的5.3%上升到2023年的7.4%.
- 年轻成年人 (18-39岁) 的患病率几乎翻了一番,从5.1%上升到9.7%,成为全国增长的主要驱动力.
- 从2016年开始,人们观察到认知障碍的统计显著增加.
结论:
- 年轻人中认知障碍的不成比例增长是整体国家趋势的主要驱动因素.
- 这些发现需要进一步调查,因为它们可能对人口健康,劳动力和医疗保健系统产生长期影响.
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