Multidimensional poverty is associated with dementia among adults in Afghanistan.
Multidimensional poverty is associated with dementia among adults in Afghanistan.
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DOI：
10.1016/j.eclinm.2023.101906
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发表时间：
2023-04
影响因子：
15.1
通讯作者：
Babulal, Ganesh M.
中科院分区：
文献类型：
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作者：
Trani, Jean-Francois;Zhu, Yiqi;Park, Soobin;Khuram, Dauod;Azami, Rahim;Fazal, Monib Rahim;Babulal, Ganesh M.
关键词：
多层面贫困与痴呆症有关，但没有证据表明冲突中的国家。一项横断面研究于2022年2月15日至2022年4月20日在阿富汗两个省进行，对象为50岁及以上的成年人。多层面贫穷包括福祉的六个层面和16个贫困指标。罗兰通用痴呆评估量表测量痴呆。对患有和没有痴呆症的成年人之间的贫困进行了检查，并根据性别进行了调整。采用多元回归模型研究痴呆与贫困的关系。在纳入的478名成年人中，89名（52.7%）患有轻度痴呆症，25名（14.8%）患有中度至重度痴呆症。女性比男性有更多的轻度（52.7%对33.3%）和中度至重度痴呆症（14.8%对5.8%）。大约33.9%的轻度痴呆成年人和51.2%的中度至重度痴呆成年人被发现在四个或更多个维度上被剥夺，而没有痴呆的成年人则为21.8%。轻度和中重度痴呆患者与非痴呆患者在多维贫困四个维度上的差异分别为59.5%和152.88%。教育、就业、卫生和生活条件是调整后的贫困人口比率的主要因素。四个或五个维度的多维贫困与老年人痴呆症密切相关，特别是70岁以上的老年人（比值比[OR]，17.38; 95%CI，2.22-135.63），总体上老年妇女的比值更大（OR，2.69; 95%CI，1.76-4.11）。我们的研究结果表明，通过有针对性的结构性政策，早期改善健康的社会决定因素可能会降低老年痴呆症的风险。具体而言，更好地获得免费，优质的教育，医疗保健和基本生活水平以及就业机会可以降低痴呆症的风险。本研究由（AARG-NTF-21-851241）资助。
Multidimensional poverty is associated with dementia, but no evidence is available for countries in conflict. A cross-sectional study was conducted in two provinces of Afghanistan between February 15th 2022 and April 20th 2022 among adults age 50 and older. Multidimensional poverty included six dimensions of well-being and 16 indicators of deprivation. The Rowland Universal Dementia Assessment Scale measured dementia. Poverty between adults with and without dementia was examined, adjusting for sex. Associations between dementia and poverty were investigated using multivariate regression model. Of the 478 adults included, 89 (52.7%) had mild, and 25 (14.8%) had moderate to severe dementia. More women than men had mild (52.7% vs 33.3%) and moderate-to-severe dementia (14.8% vs 5.8%). Approximately 33.9% adults with mild and 51.2% adults with moderate-to-severe dementia were found to be deprived in four or more dimensions compared to 21.8% without dementia. The difference in four dimensions of multidimensional poverty between adults with mild and moderate-to-severe dementia and adults without dementia was respectively 59.5% and 152.88%. Education, employment, health, and living conditions were the main contributors to the adjusted poverty head count ratio. Multidimensional poverty in four or five dimensions was strongly associated with dementia among older adults particularly over 70 years old (odds ratio [OR], 17.38; 95% CI, 2.22–135.63), with greater odds for older women overall (OR, 2.69; 95% CI, 1.76–4.11). Our findings suggest that early improvement in social determinants of health through targeted structural policies may lower dementia risk later in life. Specifically, better access to free, quality education, healthcare, and basic living standard together with employment opportunities could reduce risk of dementia. The present study was funded by a grant from the (AARG-NTF-21-851241).
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影响因子：
2.9
作者：
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通讯作者：
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DOI：
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发表时间：
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