国家层面的结构性种族主义与主观认知衰退流行率-行为风险因素监测系统的关联,2015-2016年
Joshua E Cohen1, Owais Gilani2, Belinda L Needham3
1Department of Community Health, Tufts University, Medford, MA, United States.
American journal of epidemiology
|November 20, 2025
概括
结构性种族主义 (SR) 暴露与老年人的认知能力下降没有联系. 然而,西班牙裔,多种族,年轻的夏威夷原住民/其他太平洋岛民和年长的美国印第安人/阿拉斯加原住民成年人显示,随着更高的SR暴露,认知能力下降的几率较低.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 老年学是一门学科.
背景情况:
- 结构性种族主义 (SR) 是一种创造和维持种族不平等的社会结构和政策系统.
- 主观认知衰退 (SCD) 在老年人群中越来越令人担忧,影响生活质量和独立性.
研究的目的:
- 研究老年人暴露于结构性种族主义 (SR) 和主观认知衰退 (SCD) 之间的关联.
- 探索这种关联在种族和族群以及年龄层之间存在的潜在差异.
主要方法:
- 利用了2010年结构性种族主义相关国家法律数据库和2015-2016年行为风险因素监测系统 (n=184,731) 的数据.
- 根据22个州法律制定了犯罪司法,经济,医疗保健,住房,移民和政治参与的暴露指数.
- 员工调整的混合效应后勤回归和效果测量修改模型,以分析SR暴露和自我报告的SCD之间的关系.
主要成果:
- 在总样本中,较高的SR暴露和增加SCD的几率之间没有发现显著的关联 (OR=1.00).
- 白人和黑人受访者没有显示与SR暴露相关的SCD几率的显著差异.
- 西班牙裔 (OR=0.91) 和多种族 (OR=0.95) 成年人表现出较低的SCD几率与更大的SR暴露.
- 与年龄相关的差异出现了:年轻的夏威夷原住民/其他太平洋岛民 (OR=0.91) 和年长的美国印第安人/阿拉斯加原住民 (OR=0.92) 的SCD几率较低,SR暴露增加.
结论:
- 该研究没有发现结构性种族主义暴露与老年人主观认知衰退之间的总体联系.
- 然而,特定的少数群体,包括西班牙裔,多种族,年轻的夏威夷原住民/其他太平洋岛民和年长的美国印第安人/阿拉斯加原住民,表现出一种保护性关联,SCD的几率较低.
- 需要进一步的研究,以了解结构性种族主义与不同人口和年龄组的认知健康之间的复杂,细微的关系.
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