公共卫生 公共卫生
Basma Tnesh1, Tiffany B Kindratt1
1University of Texas at Arlington, Arlington, TX, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
新的美国人口普查种族/种族类别将增加一个中东和北非 (MENA) 标识符. 这一变化凸显了与白人老年人相比,MENA老年人的认知健康差异.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 人口统计数据 人口统计数据
背景情况:
- 管理和预算办公室 (OMB) 在2024年更新了种族/种族测量指南.
- 2030年美国人口普查将为中东和北非 (MENA) 美国人提供一个单独的选项框.
- 与白人相比,这种变化对其他种族/族群的健康估计的影响尚不清楚.
研究的目的:
- 以2020年和2030年美国人口普查种族/种族类别来比较不同年长人群中认知困难的患病率.
- 为了确定认知困难的几率是否与没有MENA标识符有所不同.
主要方法:
- 利用了2018-2022年美国社区调查 (ACS) 对65岁及以上的个人数据 (n=3,351,611).
- 根据2020年美国人口普查类别对种族/种族进行了分类,并为MENA血统创建了一个单独的类别.
- 采用双变量统计和多变量逻辑回归模型进行分析.
主要成果:
- 使用2020年类别,所有种族/种族群体与白人老年人相比,认知困难的几率更高.
- 使用2030类别,MENA老年人与白人老年人相比,认知困难的几率是白人老年人的1.53倍.
- 其他组 (例如,黑人老年人) 观察到几率的轻微变化,有重叠的置信区间,表明报告的认知健康差异没有显著变化.
结论:
- 结果强调了中东北非和白人老年人之间显著的认知健康差异.
- 与白人相比,一个单独的MENA标识符没有改变其他少数群体与白人相比报告的健康差异.
- 从2027年开始,在ACS上实施一个单独的MENA检查框对于推动老年人健康公平讨论至关重要.
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