公共卫生 公共卫生
Jeremy G Grant1, Beniam Daniel Darge1, Lauren Hilderbrand1
1The Ohio State University, Columbus, OH, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
邻居的劣势对黑人男性的心脏代谢和认知健康产生了负面影响. 这项研究强调了邻居处境不利作为一个关键的社会决定因素,影响了这个人口的接受性词汇和整体健康.
科学领域:
- 公共卫生 公共卫生
- 神经科学是一个神经科学.
- 心脏病学 心脏病学
背景情况:
- 黑人美国人面临不成比例地更高的痴呆率和阿尔茨海默氏症研究中的代表性不足.
- 黑人男性在美国的预期寿命最短,心脏代谢疾病是导致死亡的主要原因.
- 以文化为基础的干预措施对于解决黑人男性可改变的痴呆风险因素至关重要.
研究的目的:
- 评估邻居处境不利对黑人男性心脏代谢健康和认知功能的影响.
- 评估"黑色影响"健康计划在促进心脏代谢健康方面的有效性.
- 探索社区劣势,心脏代谢健康指标和认知表现之间的关系.
主要方法:
- 88名黑人男性参加了"黑人影响"计划,这是一项为期24周的健康干预.
- 使用Life's Essential 8分数和动脉硬度 (脉冲波速度) 评估心脏代谢健康状况.
- 使用NIH工具箱测量方法评估认知功能,包括接受性词汇和认知灵活性. 通过面积剥夺指数评估的邻居不利情况.
主要成果:
- 较高的邻居劣势与较低的Life's Essential 8分数和受ceptive词汇减少相关.
- 增加的动脉硬与较差的生命必需品8分和认知灵活性下降有关.
- 邻居缺点独立预测受体词汇,即使考虑到年龄,教育,心脏代谢健康和动脉硬.
结论:
- 邻居的劣势是影响黑人男性心脏代谢和认知健康的重要社会决定因素.
- 研究结果强调,在黑人男性的痴呆症预防策略中需要考虑社会决定因素.
- "黑人影响"计划为针对这一群体健康差异的文化信息干预提供了一个框架.
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