公共卫生 公共卫生
1Edinburgh Dementia Prevention, Centre for Clinical Brain Sciences, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, United Kingdom, National Institute of Health Applied Research Collaboration North East & Cumbria, Newcastle-upon-Tyne, England, United Kingdom, University of Northumbria, Newcastle upon tyne, England, United Kingdom.
由于生物和社会因素,女性在阿尔茨海默病 (AD) 诊断和护理方面面临着显著的差异. 解决这些不平等问题需要基于性别的,以公平为导向的研究和临床实践模型.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 在全球范围内,女性占阿尔茨海默病病例的三分之二.
- 妇女在研究队伍和服务不足的临床途径中的代表性显著不足.
- 在诊断和照顾阿尔茨海默病和相关痴呆症 (ADRD) 的妇女的现有差异.
研究的目的:
- 探索ADRD诊断和护理差异在女性中的生物,社会文化和系统驱动因素.
- 突出累积压力,荷尔蒙过渡,照顾者负担和诊断偏见如何影响女性,特别是来自边缘化群体的女性.
- 倡导将痴呆症护理模式重新导向到以性别为基础和以公平为导向的方法.
主要方法:
- 综述最近关于女性ADRD的国际研究.
- 分析导致风险和延迟干预的交叉因素.
- 检查特别影响黑人,土著和全球南方妇女的差异.
主要成果:
- 累积的压力,荷尔蒙变化和照顾者的角色加剧了女性ADRD风险.
- 诊断偏差和系统因素导致干预延迟.
- 被边缘化的女性群体面临着复杂的风险和不平等.
结论:
- 需要一个范式转变来重新定位痴呆症诊断和护理模式.
- 模型必须以性别为基础,以公平为导向,以妇女的生物和生活经验为中心.
- 拟议的路线图包括包容性研究,基于社区的工具和公平预防和护理的转化途径.
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