The Public Health Road Map to Respond to the Growing Dementia Crisis
The Public Health Road Map to Respond to the Growing Dementia Crisis
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DOI：
10.1093/geroni/igz043
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发表时间：
2020-01-01
影响因子：
7
通讯作者：
McGuire, Lisa C.
中科院分区：
文献类型：
--
作者：
Olivari, Benjamin S.;French, Molly E.;McGuire, Lisa C.
由于美国老年人的比例预计在未来几十年将大幅增加，公共卫生必须解决并维护这一不断增长的人口的认知健康。今天有500多万美国人患有阿尔茨海默病和相关痴呆症(ADRD)，预计到2050年这一数字将增加一倍以上。公共卫生界必须积极主动地概述对这场日益严重的危机的反应。促进减少认知衰退风险、早期发现和诊断以及增加及时数据的使用和可用性是这一应对措施的关键组成部分。为了准备好州、地方和部落组织，疾控中心和阿尔茨海默氏症协会开发了一系列路线图，绘制了公共卫生对痴呆症的反应。自2007年发布最初的健康大脑倡议(HBI)路线图以来，路线图经历了两次新的迭代，最新版本是HBI的州和地方公共卫生伙伴关系以应对痴呆症：2018年底发布的2018-2023年路线图。在过去的几年里，在减少风险和早期发现ADRD的科学方面取得了重大进展。因此，公共卫生应对需要一种生命过程方法，重点是降低风险和及早发现记忆问题，以改善健康结果。对最新的路线图进行了修订，以适应科学方面的这些进步，并在政策、制度和环境层面产生变化。20182023路线图确定了州和地方公共卫生机构及其合作伙伴可以实施的25项行动，以促进认知健康，解决认知障碍和照顾者的需求。这些行动被归类为公共卫生的四个传统领域，路线图可以帮助公共卫生及其合作伙伴为痴呆症做好准备的未来规划道路。
As the proportion of older adults in the United States is projected to increase dramatically in the coming decades, it is imperative that public health address and maintain the cognitive health of this growing population. More than 5 million Americans live with Alzheimer's disease and related dementias (ADRD) today, and this number is projected to more than double by 2050. The public health community must be proactive in outlining the response to this growing crisis. Promoting cognitive decline risk reduction, early detection and diagnosis, and increasing the use and availability of timely data are critical components of this response. To prepare state, local, and tribal organizations, CDC and the Alzheimer's Association have developed a series of Road Maps that chart the public health response to dementia. Since the initial Healthy Brain Initiative (HBI) Road Map release in 2007, the Road Map has undergone two new iterations, with the most recent version, The HBI's State and Local Public Health Partnerships to Address Dementia: The 2018-2023 Road Map, released in late 2018. Over the past several years, significant advances were made in the science of risk reduction and early detection of ADRD. As a result, the public health response requires a life-course approach that focuses on reducing risk and identifying memory issues earlier to improve health outcomes. The most recent Road Map was revised to accommodate these strides in the science and to effect change at the policy, systems, and environment levels. The 20182023 Road Map identifies 25 actions that state and local public health agencies and their partners can implement to promote cognitive health and address cognitive impairment and the needs of caregivers. The actions are categorized into four traditional domains of public health, and the Road Map can help public health and its partners chart a course for a dementia-prepared future.