公共卫生 公共卫生
Alissa Kurzman1, Bruce Albala1,2,3, Xueting Ding1
1Joe C Wen School of Population & Public Health, Henry and Susan Samueli College of of Health Sciences, University of California, Irvine, Irvine, CA, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
较低的教育程度与拉丁裔和越南成年人的蒙特利尔认知评估 (MoCA) 等认知测试的分数较低有关. 这凸显了对文化敏感评估的需要,以准确地选不同人群中的认知障碍.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 在美国,种族和民族少数群体面临着不成比例的阿尔茨海默病和相关痴呆症 (ADRD) 负担.
- 拉丁裔和越南裔美国人患ADRD的风险增加.
- 准确的认知查对于早期ADRD干预至关重要,但教育和文化因素可能会影响评估绩效.
研究的目的:
- 对拉丁裔和越南成年人蒙特利尔认知评估 (MoCA) 上的教育成就和认知表现之间的关系进行检查.
- 确定这些人群中受教育水平影响最大的特定认知领域.
- 为文化上适当的认知评估的发展提供信息.
主要方法:
- 利用了来自奥兰治县减少血管事件 (SERVE OC) 试验的基于社区技能的教育策略的数据.
- 分析了292名随机拉丁裔和越南裔参与者 (≥18岁) 的基线MoCA总和域分数.
- 采用多变量回归模型来评估教育 (≤8年 vs>8年) 和MoCA绩效之间的关联,调整为共变量.
主要成果:
- 具有≤8年教育经验的参与者显示MoCA总得分明显较低.
- 在拉丁裔中,较低的教育程度与视觉空间/执行功能,注意力和语言领域的表现较差有关.
- 教育程度较低的越南参与者在抽象领域得分较低;与越南参与者相比,拉丁裔的MoCA平均得分较低.
结论:
- 教育水平显著影响MoCA的表现,特别是在特定的认知领域.
- 对于文化上适当且经过验证的认知评估,以解释教育差异,有着至关重要的需求.
- 未来的研究应该专注于验证全球多样化,低教育人口的认知评估.
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