Comorbid Chronic Conditions Among Older Adults with Subjective Cognitive Decline, United States, 2015-2017
Comorbid Chronic Conditions Among Older Adults with Subjective Cognitive Decline, United States, 2015-2017
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DOI：
10.1093/geroni/igz045
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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：
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作者：
Taylor, Christopher A.;Bouldin, Erin D.;McGuire, Lisa C.
背景和目标：主观认知衰退（SCD），即自我报告的恶化或更频繁的混乱或记忆丧失的经历，可能与慢性病的发展或恶化或使自我管理复杂化有关。本研究的目的是 (i) 确定患有 SCD 的成人中慢性病和多种慢性病的患病率，以及 (ii) 比较患有和不患有 SCD 以及与 SCD 相关的功能限制的人群中慢性病的患病率。 研究设计和方法：对 2015 年至 2017 年期间在 49 个州、华盛顿特区和波多黎各管理的行为风险因素监测系统的认知下降模块进行数据分析。分析包括 220,221 名 45 岁或以上的受访者，他们回答了 SCD 筛查问题并报告了自己的慢性病。计算加权估计值并使用卡方检验进行比较。结果：有中风、心脏病和慢性阻塞性肺疾病病史的人，与没有病史的人相比，SCD 的患病率显着更高。在每个年龄组中，与未患 SCD 的成人相比，患有 SCD 的成人中至少患有一种慢性病的患病率较高（45-64 岁：77.4% vs 47.1%，p= 65 岁：86.3% vs 73.5%，p
Background and Objectives: Subjective cognitive decline (SCD), the self-reported experience of worsening or more frequent confusion or memory loss, may be associated with the development or worsening of chronic conditions or complicating their self-management. The objectives of this study were to (i) establish the prevalence of chronic conditions and multiple chronic conditions among adults with SCD, and (ii) compare the prevalence of chronic conditions among people with and without SCD and SCD-related functional limitations.Research Design and Methods: Data were analyzed from the Cognitive Decline module of the Behavioral Risk Factor Surveillance System administered in 49 states, DC, and Puerto Rico during 2015-2017. Analyses included 220,221 respondents aged 45 years or older who answered the SCD screening question and reported their chronic conditions. Weighted estimates were calculated and chi-square tests were used for comparisons.Results: Persons with a history of stroke, heart disease, and chronic obstructive pulmonary disorder had significantly higher prevalence of SCD compared to those without. The prevalence of having at least one chronic condition was higher among adults with SCD compared to adults without SCD in each age group (45-64 years: 77.4% vs 47.1%, p= 65 years: 86.3% vs 73.5%, p