在印度的成年人中认知障碍和高血压报告:基于人口的研究证据
Priyanka Dixit1, Basil Edolikkandy2, Montu Bose1
1School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India.
PLOS mental health
|February 9, 2026
概括
认知障碍增加了印度成年人的高血压风险和报告不足. 解决医疗保健中的报告偏见对于准确诊断和管理这一群体至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 高血压诊断依赖于自我报告和测量,这些测量可能有所不同.
- 认知障碍可能会影响一个人准确报告健康状况的能力.
- 了解这些差异对于老年人群中高血压的有效管理至关重要.
研究的目的:
- 调查自我报告和测量高血压之间的差异.
- 检查认知障碍在这些差异中的作用.
- 评估认知障碍对高血压错误报告的影响.
主要方法:
- 利用印度长度衰老研究 (72,250名参与者) 的数据.
- 使用多变量逻辑回归来分析关联.
- 应用性倾向分数匹配 (PSM) 来估计认知障碍对报告的影响.
主要成果:
- 认知障碍影响了9.8%的印度成年人,女性和75岁以上的人群的认知障碍更高.
- 认知障碍的成年人患高血压的可能性增加了24%.
- 有认知障碍的个体在低估高血压的可能性增加了2.7%.
结论:
- 认知障碍与更高的高血压患病率和更多的不充分报告有关.
- 医疗保健系统必须承认并解决认知障碍个人的报告偏见.
- 定制干预和提供者培训对于准确的诊断和管理至关重要.
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