Racial and ethnic disparities in subjective cognitive decline: a closer look, United States, 2015-2018.
Racial and ethnic disparities in subjective cognitive decline: a closer look, United States, 2015-2018.
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DOI：
10.1186/s12889-021-11068-1
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发表时间：
2021-06-24
影响因子：
4.5
通讯作者：
Gupta S
中科院分区：
文献类型：
--
作者：
Gupta S
以认知能力下降的自我体验为特征的主观认知下降（SCD）可能是阿尔茨海默病（AD）的前兆。鉴于AD与长期依赖和残疾的相关性，越早发现，人们及其家人就能越早获得有关更好管理的信息。关键是要探索SCD的种族和民族人群之间的差异，以促进有针对性的干预措施。主要目的是通过选择美国45岁及以上非机构化成年人的人口样本中的社会人口学特征和功能限制，确定白人、黑人和西班牙裔之间SCD患病率的差异。次要目的是按人种/种族评估SCD与选定慢性疾病（心绞痛、心脏病发作、卒中、糖尿病、高血压和高胆固醇）之间的相关性。从行为风险因素监测系统（BRFSS）获得合并数据（2015-2018），以进行基于人群的研究。分析包括179，852名年龄在45岁或以上的受访者，他们回答SCD筛查问题为“是”（n = 19，276）或“否”（n = 160，576）。描述性统计检查了SCD种族/民族群体的社会人口学特征，包括功能限制。还按人种/种族计算了SCD与慢性疾病的相关性。总体而言，10.8%（CI：10.6-11.1）的45岁或以上成人报告了SCD。10.7%的白人、12.3%的黑人和9.9%的西班牙裔发生了SCD。患有SCD的黑人和西班牙裔更有可能处于较年轻的年龄组（45-54岁），受教育程度较低，收入较低，无法获得医疗保健，独自生活和功能受限。只有一半的人与医疗保健专业人士讨论过认知能力下降。选定的慢性疾病的患病率显着较高的所有种族/民族群体与SCD。人口统计学趋势预测，在未来几年，西班牙裔和黑人患SCD的比例会更大。这一信息可导致确定机会，以解决受不平等条件影响的少数群体的SCD负面结果。
Subjective cognitive decline (SCD), characterized by self-experience of deterioration in cognitive performance may be a precursor to Alzheimer’s disease (AD). Given the association of AD with dependence and disability for a long duration, earlier the detection, the sooner people and their families can receive information regarding better management. It is critical to explore disparities amongst racial and ethnic populations with SCD in order to facilitate targeted interventions. The primary objective was to identify disparities in prevalence of SCD amongst Whites, Blacks and Hispanics by select sociodemographic characteristics and functional limitations in a U.S. population-based sample of non-institutionalized adults aged 45 and older. The secondary objective was to assess the association between SCD and select chronic conditions (angina, heart attack, stroke, diabetes, high blood pressure and high cholesterol) by race/ethnicity. Combined data (2015–2018) were obtained from the Behavioral Risk Factor Surveillance System (BRFSS) to conduct a population -based study. Analyses included 179,852 respondents aged 45 years or older who answered the SCD screening question as “yes” (n = 19,276) or “no” (n = 160,576). Descriptive statistics examined sociodemographic characteristics including functional limitations amongst racial/ethnic groups with SCD. Association of SCD with chronic conditions by race/ethnicity was also calculated. Overall, 10.8% (CI: 10.6–11.1) of adults aged 45 years or older reported SCD.10.7% Whites, 12.3% Blacks and 9.9% Hispanics experienced SCD. Blacks and Hispanics with SCD were more likely to be in the younger age group (45–54 years), less educated, low income, without access to health care, living alone and with functional limitations. Only half had discussed cognitive decline with a health care professional. Prevalence of selected chronic conditions was significantly higher in all racial/ethnic groups with SCD. Demographic trends predict a larger proportion of Hispanics and Blacks with SCD in the coming years. This information can lead to identification of opportunities for addressing negative SCD outcomes in minorities affected by inequitable conditions.
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影响因子：
1.8
作者：
Sims, Regina C.;Whitfield, Keith E.;Allaire, Jason C.
通讯作者：
Allaire, Jason C.
DOI：
10.3233/jad-150154
发表时间：
2015-09-24
期刊：
Journal of Alzheimer's disease : JAD
影响因子：
--
作者：
Rabin LA;Smart CM;Crane PK;Amariglio RE;Berman LM;Boada M;Buckley RF;Chételat G;Dubois B;Ellis KA;Gifford KA;Jefferson AL;Jessen F;Katz MJ;Lipton RB;Luck T;Maruff P;Mielke MM;Molinuevo JL;Naeem F;Perrotin A;Petersen RC;Rami L;Reisberg B;Rentz DM;Riedel-Heller SG;Risacher SL;Rodriguez O;Sachdev PS;Saykin AJ;Slavin MJ;Snitz BE;Sperling RA;Tandetnik C;van der Flier WM;Wagner M;Wolfsgruber S;Sikkes SA
通讯作者：
Sikkes SA
DOI：
10.1056/nejmoa1504327
发表时间：
2016-02-11
期刊：
The New England journal of medicine
影响因子：
--
作者：
Satizabal CL;Beiser AS;Chouraki V;Chêne G;Dufouil C;Seshadri S
通讯作者：
Seshadri S
影响因子：
7
作者：
Taylor, Christopher A.;Bouldin, Erin D.;McGuire, Lisa C.
通讯作者：
McGuire, Lisa C.
影响因子：
9.9
作者：
Lehman, Everett J.;Hein, Misty J.;Gersic, Christine M.
通讯作者：
Gersic, Christine M.