公共卫生 公共卫生
Wenjun Fan1, Jiahui Dai2, Yuxi Shi1
1University of California Irvine, Irvine, CA, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
认知障碍在美国印第安人和阿拉斯加土著成年人中很高,特别是在45-60岁的人群中. 应急症和糖尿病等并发症与认知能力下降有关,一些关联因年龄而异.
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:
- 在美国印第安人和阿拉斯加原住民 (AI/AN) 成人中,认知障碍和并发症的关联不清楚.
- 这项研究调查了跨年龄段的AI/AN社区的认知障碍患病率和并发症联系.
研究的目的:
- 确定45岁以上的AI/AN成年人认知障碍的比例.
- 在这个人群中检查各种并发症和认知障碍之间的关联.
- 探索这些协会中的与年龄相关的差异.
主要方法:
- 2019年对太平洋西北地区,落基山脉和北平原地区772名AI/AN志愿者 (年龄在45岁以上) 的横截面调查.
- 收集的数据包括人口统计数据,确定痴呆症8项问卷 (AD8) 答案,以及自我报告的并发症 (抑郁症,糖尿病,高血压,心脏病,中风,头部损伤,酒精使用障碍,肥胖症).
- 普森回归模拟了AD8分数 (表明认知障碍) 和并发症之间的关联,并根据年龄和性别进行调整.
主要成果:
- 总体认知障碍为35.0%,在45-60岁年龄组为41.2%.
- 在调整后的模型中,所有并发症都与较高的AD8得分有显著的关联.
- 压力 (IRR=1.97) 和糖尿病 (IRR=1.43) 在两个年龄组中都与认知障碍有关. 头部损伤和酒精使用障碍与年轻人 (<65岁) 相关,而中风与老年人 (≥65岁) 相关.
结论:
- 在这个AI/AN样本中发现了高比例的认知障碍,特别是在中年成人中.
- 与认知功能相关的并发症因年龄不同而有所不同.
- 建议在中年AI/AN成年人中使用像AD8这样的工具进行早期认知查,特别是那些有头部损伤或酒精使用障碍史的人.
更多相关视频
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
2.6K
07:20Dried Blood Spot Collection of Health Biomarkers to Maximize Participation in Population Studies
Published on: January 28, 2014
37.1K
相关概念视频
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Levels of Health Promotion and Illness Prevention
14.1K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
14.1K
Preventive Healthcare Services
1.8K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.8K
Principles of Disease Surveillance
439
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
439
Healthcare Agencies II
1000
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
1000
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
