公共卫生 公共卫生
Christine L Williams1, Lisa Ann Kirk Wiese2, Janet Holt2
1Florida Atlantic University, C.E. Lynn College of Nursing, Boca Raton, FL, USA.
农村居民,特别是少数群体,面临阿尔茨海默氏症和相关痴呆症 (ADRD) 的更高风险. 高等教育和西班牙裔/拉丁裔种族与较低的ADRD风险有关,但环境因素需要进一步研究.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 神经科学是一个神经科学.
背景情况:
- 认知功能下降在中晚年生活中很常见,不成比例地影响农村和少数民族人口.
- 佛罗里达州奥基科比湖附近的农村社区表现出高慢性疾病负担和有限的医疗保健机会.
- 这项研究采用了基于长期关系的社区参与,居民主导的方法.
研究的目的:
- 评估佛罗里达州农村人口的认知功能和阿尔茨海默病和相关痴呆症 (ADRD) 的风险.
- 确定与认知功能和ADRD风险相关的社会人口和社区因素.
- 在服务不足的农村地区为认知健康提供有针对性的干预信息.
主要方法:
- 一项为期12个月的研究选了399名参与者,使用迷你MoCA来确定资格.
- 通过MoCA测量认知功能和主观记忆衰退;通过mCAIDE评估ADRD风险.
- 收集了社会人口统计数据,包括种族和区域贫困指数 (ADI).
主要成果:
- 51%的参与者在MoCA上得分26+,而38%的人报告记忆力下降.
- 高等教育和西班牙裔/拉丁裔种族预测了更好的MoCA分数 (p < .001).
- 年龄和教育预测了较高的ADRD风险 (mCAIDE分数),而其他因素则没有.
结论:
- 一半的农村参与者表现出患ADRD的风险.
- 虽然教育和种族与较低的ADRD风险相关,但影响认知衰退的环境因素需要进一步调查.
- 基于社区的研究对于理解和解决农村环境中的认知健康差异至关重要.
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