公共卫生 公共卫生
Stefanie D Pina-Escudero1,2, Jorge Archila-Puac1, Oscar Robles Archila1
1Memory and Aging Center, Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.
健康的社会决定因素 (SDOH) 显著影响认知障碍,特别是在西班牙裔/拉丁裔个人中. 较低的多社会风险分数 (PSRS) 与这一人口群体中较高的认知障碍风险相关.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 多社会风险评分 (PSRS) 评估了跨越多个领域的终身健康社会决定因素 (SDOH).
- SDOH问卷以英语,中文和西班牙语提供,为各种参与者群体提供服务.
- 参与者通常认为自己是非西班牙裔白人,中国人或西班牙裔/拉丁裔.
研究的目的:
- 评估多社会风险评分 (PSRS) 与认知障碍之间的关联.
- 调查PSRS测量的SDOH如何与不同种族群体的认知状态有关.
主要方法:
- 计算了一个未加权的累积多社会风险评分 (PSRS),范围从0 (最大逆境) 到764 (最小逆境).
- 使用非参数测试和逻辑回归模型来分析PSRS和认知障碍之间的关系.
- 认知障碍被定义为多学科团队对"控制"以外的任何诊断.
主要成果:
- 分析了506名参与者的队列 (33.5%的认知障碍),在西班牙裔/拉丁裔 (65.7%) 中,认知障碍的患病率最高.
- 平均PSRS为498.37±160.70,在对照组和认知障碍组之间观察到显著差异.
- 多社会风险评分 (PSRS) 预测了特别在西班牙裔/拉丁裔群体内的认知障碍 (p=0.04).
结论:
- 较低的PSRS分数,表明更大的逆境,与西班牙裔/拉丁裔参与者的认知障碍有关.
- 需要进一步研究更大的样本大小和加权评分,才能充分理解SDOH对不同人群认知障碍的贡献.
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