公共卫生 公共卫生
Phillip A Cantu1, Jocelyn Jaen2, Mark E Sanderson-Cimino3
1UTMB, Galveston, TX, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
美国和墨西哥的认知功能信息报告不同. 协调的措施显示,墨西哥的告密者报告认知障碍较少,这表明潜在的认知衰退症状报告不足.
科学领域:
- 老年学是一门学科.
- 认知神经科学 认知神经科学
- 跨文化心理学 跨文化心理学
背景情况:
- 关于认知功能的人口研究经常使用调查问卷来估计痴呆症患病率.
- 在国际研究中,信息人问卷与直接认知评估一起使用,例如协调认知评估协议 (HCAP).
- 缺乏对认知功能信息评估的统计协调.
研究的目的:
- 调查有关认知功能的信息者反应的跨文化差异.
- 统计协调美国和墨西哥之间对认知功能的信息评估.
主要方法:
- 利用了美国协调认知评估协议 (HCAP) (n=3,183) 和墨西哥认知衰老研究 (MexCOG) (n=1,259) 的数据.
- 对社区痴呆症查仪器 (CSID) 进行了审查.
- 采用结构方程建模 (SEM) 来测试差异项目功能 (DIF) 并开发一个确认因素分析 (CFA) 模型.
主要成果:
- 一个协调的CSID测量显示固定因素负载,但在美国和墨西哥之间有不同的项目门.
- 信息员报告,当协调时,在控制直接评估认知后,与美国相比,墨西哥老年人的认知障碍较小.
结论:
- 调查结果表明,墨西哥的直接评估可能低估了认知功能,或者墨西哥的告密者系统地低估了认知衰退症状.
- 强调需要在协调认知评估数据方面采取文化敏感的方法.
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