Associations between education and dementia in the Caribbean and the United States: An international comparison.
Associations between education and dementia in the Caribbean and the United States: An international comparison.
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DOI：
10.1002/trc2.12204
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Dow WH
中科院分区：
文献类型：
--
作者：
Li J;Llibre-Guerra JJ;Harrati A;Weiss J;Jiménez-Velázquez IZ;Acosta D;Llibre-Rodriguez JJ;Liu MM;Dow WH
尽管全球西班牙裔人口，特别是加勒比海西班牙裔人口的痴呆症患病率很高，但没有研究比较研究生活在加勒比群岛的西班牙裔和美国老年人之间的教育和痴呆症之间的关联。我们使用了2003年至2008年期间收集的6107名65岁及以上的受访者的数据，这些受访者来自古巴，多米尼加共和国和波多黎各的基于人口的统一10/66调查的基线波，以及2014年美国健康与退休研究数据中的11，032名65岁及以上的受访者，共计17，139人。我们估计了多变量逻辑回归模型，研究了教育和痴呆症之间的关系，调整了年龄，收入，资产和职业。这些模型分别对加勒比人口进行了估计（汇总和按环境）和按人种/种族划分的美国人口（西班牙裔、黑人和白色），其次是所有人群的汇总模型在加勒比地区人群中，女性受教育程度低与高的成年人患痴呆症的相对风险为1.45（95%置信区间[CI] 1.17，1.74）和1.92（95% CI 1.35，2.49）男性，小于美国，尤其是非西班牙裔白人（女性：2.78，95% CI 1.94，3.61;男性：5.98，95% CI 4.02，7.95）。教育和痴呆症之间的差异协会在整个加勒比地区和美国的设置可以解释为更大的差距，在美国的社会条件相比，加勒比地区，如获得医疗保健，健康的行为和社会压力，这是潜在的重要调解人。
Despite high dementia prevalence in Hispanic populations globally, especially Caribbean Hispanics, no study has comparatively examined the association between education and dementia among Hispanics living in the Caribbean Islands and older adults in the United States. We used data on 6107 respondents aged 65 and older in the baseline wave of the population‐based and harmonized 10/66 survey from Cuba, the Dominican Republic, and Puerto Rico, collected between 2003 and 2008, and 11,032 respondents aged 65 and older from the U.S.‐based Health and Retirement Study data in 2014, a total of 17,139 individuals. We estimated multivariable logistic regression models examining the association between education and dementia, adjusted for age, income, assets, and occupation. The models were estimated separately for the Caribbean population (pooled and by setting) and the U.S. population by race/ethnicity (Hispanic, Black, and White), followed by pooled models across all populations In the Caribbean population, the relative risk of dementia among low versus high educated adults was 1.45 for women (95% confidence interval [CI] 1.17, 1.74) and 1.92 (95% CI 1.35, 2.49) for men, smaller compared to those in the United States, especially among non‐Hispanic Whites (women: 2.78, 95% CI 1.94, 3.61; men: 5.98, 95% CI 4.02, 7.95). The differential associations between education and dementia across the Caribbean and US settings may be explained by greater disparities in social conditions in the United States compared to the Caribbean, such as access to health care, healthy behaviors, and social stressors, which serve as potentially important mediators.
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拉丁美洲的痴呆症：铺平了迈向区域行动计划的道路。
DOI：
10.1002/alz.12202
发表时间：
2021-03
期刊：
Alzheimer's & dementia : the journal of the Alzheimer's Association
影响因子：
--
作者：
Parra MA;Baez S;Sedeño L;Gonzalez Campo C;Santamaría-García H;Aprahamian I;Bertolucci PH;Bustin J;Camargos Bicalho MA;Cano-Gutierrez C;Caramelli P;Chaves MLF;Cogram P;Beber BC;Court FA;de Souza LC;Custodio N;Damian A;de la Cruz M;Diehl Rodriguez R;Brucki SMD;Fajersztajn L;Farías GA;De Felice FG;Ferrari R;de Oliveira FF;Ferreira ST;Ferretti C;Figueredo Balthazar ML;Ferreira Frota NA;Fuentes P;García AM;Garcia PJ;de Gobbi Porto FH;Duque Peñailillo L;Engler HW;Maier I;Mata IF;Gonzalez-Billault C;Lopez OL;Morelli L;Nitrini R;Quiroz YT;Guerrero Barragan A;Huepe D;Pio FJ;Suemoto CK;Kochhann R;Kochen S;Kumfor F;Lanata S;Miller B;Mansur LL;Hosogi ML;Lillo P;Llibre Guerra J;Lira D;Lopera F;Comas A;Avila-Funes JA;Sosa AL;Ramos C;Resende EPF;Snyder HM;Tarnanas I;Yokoyama J;Llibre J;Cardona JF;Possin K;Kosik KS;Montesinos R;Moguilner S;Solis PCL;Ferretti-Rebustini REL;Ramirez JM;Matallana D;Mbakile-Mahlanza L;Marques Ton AM;Tavares RM;Miotto EC;Muniz-Terrera G;Muñoz-Nevárez LA;Orozco D;Okada de Oliveira M;Piguet O;Pintado Caipa M;Piña Escudero SD;Schilling LP;Rodrigues Palmeira AL;Yassuda MS;Santacruz-Escudero JM;Serafim RB;Smid J;Slachevsky A;Serrano C;Soto-Añari M;Takada LT;Grinberg LT;Teixeira AL;Barbosa MT;Trépel D;Ibanez A
通讯作者：
Ibanez A
影响因子：
5.4
作者：
Gianattasio, Kan Z.;Wu, Qiong;Power, Melinda C.
通讯作者：
Power, Melinda C.
影响因子：
12.7
作者：
Braveman, Paula A.;Cubbin, Catherine;Pamuk, Elsie
通讯作者：
Pamuk, Elsie
影响因子：
6.9
作者：
JORM, AF
通讯作者：
JORM, AF
影响因子：
3.7
作者：
Bellou V;Belbasis L;Tzoulaki I;Evangelou E
通讯作者：
Evangelou E