Re-examining ethnic differences in concerns, knowledge, and beliefs about Alzheimer's disease: results from a national sample

Re-examining ethnic differences in concerns, knowledge, and beliefs about Alzheimer's disease: results from a national sample
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DOI:
10.1002/gps.3959
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发表时间:
2013-12-01
影响因子:
4
通讯作者:
Ayalon, Liat
Ayalon, Liat
中科院分区:
医学2区
文献类型:
--
作者:
Ayalon, Liat

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本研究的目的是评估种族差异的关注,知识,和信仰有关阿尔茨海默氏病(AD)在三个种族群体的老年人(白色,拉丁美洲人,和黑色)。MethodsThe健康和退休研究是一个美国国家的代表性研究的老年人超过50岁,他们的配偶的任何年龄。该研究是基于2010 wave.ResultsAnalysis是基于数据从939白色,120拉丁美洲人,和171黑人受访者完成了一个特殊的模块有关AD的关注,知识和信念。13个项目中有7个项目存在明显的种族差异。然而,在调整教育,性别,年龄,有一个家庭成员与AD,抑郁症状和医疗合并症,只有四个项目显示出显着的种族群体差异;相对于白色受访者,黑人受访者不太可能报告说,有一个父母或兄弟姐妹与AD增加发展AD的机会,遗传是一个重要的风险AD。此外,相对于白色受访者,黑人和拉丁裔受访者更有可能将压力视为AD的潜在风险。拉丁裔受访者不太可能感知心理活动作为一个保护factor.ConclusionsThe研究发现有限的种族群体差异,大多数项目显示出类似的模式跨组。然而,种族群体差异的性质可能与卫生服务使用的差异模式有关。版权所有(c)2013约翰威利父子有限公司
ObjectiveThis study aims to evaluate ethnic group differences in concerns, knowledge, and beliefs about Alzheimer's disease (AD) in three ethnic groups of older adults (White, Latino, and Black).MethodsThe Health and Retirement Study is a US national representative study of older adults over the age of 50years and their spouse of any age. The study is based on the 2010 wave.ResultsAnalysis is based on data from 939 White, 120 Latino, and 171 Black respondents who completed a special module about AD concerns, knowledge, and beliefs. There were significant ethnic differences on 7 of 13 items. However, after the adjustment for education, gender, age, having a family member with AD, depressive symptoms, and medical comorbidity, only four items showed significant ethnic group differences; relative to White respondents, Black respondents were less likely to report that having a parent or a sibling with AD increases the chance of developing AD and that genetics was an important risk for AD. In addition, relative to White respondents, both Black and Latino respondents were more likely to perceive stress as a potential risk for AD. Latino respondents were less likely to perceive mental activity as a protective factor.ConclusionsThe study found limited ethnic group differences, with most items showing a similar pattern across groups. Nevertheless, the nature of the ethnic group differences found might be associated with a differential pattern of health service use. Copyright (c) 2013 John Wiley & Sons, Ltd.