在45岁或以上的美国人口中,可修改的痴呆风险因素的农村和城市差异
Zhigang Xie1, Jiamin Hu1, Sericea Stallings-Smith2
1Department of Health Services Research, Management, and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA.
Journal of Alzheimer's disease reports
|November 10, 2025
概括
与城市人口相比,农村成年人患上高血压和肥胖等可修改痴呆风险因素的患病率更高. 有针对性的公共卫生战略对于农村社区的痴呆症预防至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 阿尔茨海默病和相关痴呆症 (ADRD) 构成了重大的公共卫生挑战.
- 在美国的农村人口中,ADRD的负担不成比例地更高.
研究的目的:
- 调查可修改的痴呆风险因素在农村和城市发病率上的差异.
- 检查45岁及以上的美国成年人对这些危险因素的治疗方法的差异.
- 分析这些差异如何因年龄组和地理区域而异.
主要方法:
- 来自2023年国家健康访谈调查的全国代表性数据的横截面分析.
- 通过自我报告评估了11种可修改的痴呆风险因素和7种治疗方法的患病率.
- 使用强大的波桑回归模型来估计调整后的利率比率 (aRR).
主要成果:
- 与城市居民相比,农村居民的高血压,肥胖,糖尿病和听力损失的患病率明显高.
- 差异在45-64岁的成年人以及南方/中西部地区最为明显.
- 对于心脏代谢疾病的治疗率很高,并且在各地区保持一致,但对感觉/行为因素的治疗仍然很低.
结论:
- 美国农村的成年人经历了更大的可修改痴呆风险因素的负担,包括心脏代谢和感觉障碍.
- 需要有针对性的公共卫生干预措施来解决结构性不平等问题.
- 改善农村社区痴呆症预防策略至关重要.
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