公共卫生 公共卫生
Lauren Bojarski1, Cassity High2, Christopher J McLouth1,3
1University of Kentucky College of Medicine Department of Neurology, Lexington, KY, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
农村的定义有很大的差异,影响了对老年人认知能力下降的研究. 分类显示HRSA和ADI系统之间的重叠,但不是RUCC代码,强调需要仔细考虑每个措施.
科学领域:
- 老年学和认知健康
- 健康差距 研究 研究 研究 研究
- 农村卫生研究 农村卫生研究
背景情况:
- 农村地区的老年人面临着认知障碍的风险增加,包括轻度认知障碍和痴呆症.
- 农村分类是NIH认可的代表性不足群体 (URG) 状态的指标,但缺乏标准的研究定义.
- 多种不利的措施可能与农村指定相关,需要对它们的一致性进行评估.
研究的目的:
- 评估各种农村和社会经济劣势分类系统之间的一致性.
- 评估研究队伍中符合不同农村或处于不利地位的定义的比例.
- 在关于代表性不足的群体的研究中为农村性措施的选择和解释提供信息.
主要方法:
- 来自肯塔基大学阿尔茨海默氏病研究中心队列的790名参与者的横截面分析.
- 识别参与者的地址以确定分类,使用卫生资源和服务管理局 (HRSA) 农村,医疗欠缺地区/卫生专业人员短缺地区 (MUA/HPSA),区域贫困指数 (ADI) 国家十进制和国家百分位数,以及农村-城市连续码 (RUCC).
- 评估符合每个定义的队列比例以及分类之间的一致性.
主要成果:
- 被归类为农村或弱势群体的队列比例在13%至27%之间,取决于所使用的措施.
- 不到1%的参与者满足了所有五个分类标准,这表明重叠很小.
- HRSA农村和MUA/HPSA分类显示显著重叠 (19%) 并与ADI得分高度相关,但不是RUCC代码. ADI分数高度相互关联,但与RUCC码没有关联.
结论:
- HRSA和ADI分类系统之间存在显著的重叠,但与RUCC代码没有重叠.
- 农村的概念是多方面的,包括各种各样的方面,没有一个单一的分类系统完全捕捉到.
- 研究人员在解释或混不同农村措施时应谨慎,因为每个措施都可能代表着独特的劣势维度,并且可能无法互换.
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