公共卫生 公共卫生
Yian Gu1,2,3, Dolly Reyes-Dumeyer2,4,5, Pei-Chuan Ho6
1Departments of Neurology and Epidemiology, the Sergievsky Center, Columbia University Irving Medical Center, New York, NY, USA.
同文化化可能会提高老年亚洲移民的认知健康,可能会抵消较低的教育水平. 这表明在老年人群中考虑认知健康的两个因素.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 社会学 社会学 社会学
背景情况:
- 同文化化显著影响移民的健康结果,包括老年亚裔美国人和加拿大人 (ASACs).
- 教育是众所周知的认知保护因素,可能与文化融合相互作用,影响认知健康.
- 了解这种相互作用对于解决老龄化移民社区认知健康差异至关重要.
研究的目的:
- 为了检查在老年ASACs中与文化和认知功能之间的关系.
- 调查文化和教育对这一群体认知健康的相互作用效应.
主要方法:
- 对来自阿尔茨海默病亚洲队列 (ACAD) 的622名无痴呆症ASAC参与者的横截面研究.
- 文化化得分取自出生地和英语水平,分为分离,整合和同化组.
- 使用认知能力查仪器 (CASI) 和常见对象记忆测试 (COMT) 评估认知功能.
- 多变量线性回归分析了同文化,教育和认知之间的关联和相互作用.
主要成果:
- 较高的同化得分与CASI的更好的表现有关 (p=0.042).
- 对于CASI和COMT (分别p<0.001和p<0.01) 观察到教育和适应文化之间的显著负面相互作用.
- 与分离组相比,在整合和同化组中,教育与认知的积极关联在整合和同化组中较弱.
结论:
- 更高的培养程度可能会弥补低教育对老年ASACs认知功能的影响.
- 在评估老龄化移民人口的认知健康时,应考虑教育和适应文化的水平.
- 进一步的研究应探讨社会经济和情境因素,这些因素影响了融入文化,教育和认知健康.
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