扩大痴呆症风险模型:基于2024年"柳叶刀"委员会的报告,为更具包容性的全球框架而建立
Cyprian M Mostert1, Chinedu Udeh-Momoh2, Andrea Sylvia Winkler3
1Global Brain Health Institute, The University of Dublin, Trinity College Institute of Neuroscience, D02 PN40, Ireland; Aga Khan University, Brain and Mind Institute, 3rd Parklands Avenue, Nairobi, 0010, Kenya; Department of Population Health, Aga Khan University, 3rd Parklands Avenue, Nairobi, 00100, Kenya.
EBioMedicine
|September 26, 2025
概括
新的痴呆风险因素,包括贫困和艾滋病毒,可能会使可预防的病例增加20%. 解决这些问题以及性别差异是全球公平的痴呆症预防策略的关键.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 2024年柳叶刀委员会确定了14种可修改的痴呆风险因素,占全球病例的45%.
- 痴呆症不成比例地影响女性,但57%的确定的风险在男性中更为普遍.
- 现有的模型可能缺乏全球适用性和公平考虑.
研究的目的:
- 为了确定2024年"柳叶刀"报告之外的其他可修改的痴呆症风险因素.
- 将性别平等,贫困,财富冲击,收入不平等和艾滋病毒纳入痴呆风险模型.
- 加强公平的全球痴呆症预防战略.
主要方法:
- 采用了全球多维方法.
- 整合性别平等,贫困,财富冲击,收入不平等和艾滋病毒感染率.
- 分析的重点是提高2024年"柳叶刀"委员会报告的全球适用性.
主要成果:
- 还确定了四个额外的风险因素 (贫困,财富冲击,收入不平等,艾滋病毒).
- 纳入这些因素可以将可预防的痴呆病例从45%提高到大约65%.
- 大约56%的可修改痴呆风险不成比例地影响女性.
结论:
- 扩大痴呆风险模型的社会经济和性别因素对于公平的预防至关重要.
- 这种方法提高了现有的痴呆症预防指南的全球适用性.
- 为代表性不足的地区制定有针对性的战略对于减少全球痴呆症负担至关重要.
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