Life expectancy with and without cognitive impairment in seven Latin American and Caribbean countries.
Life expectancy with and without cognitive impairment in seven Latin American and Caribbean countries.
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DOI：
10.1371/journal.pone.0121867
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Anstey KJ
中科院分区：
文献类型：
--
作者：
Ashby-Mitchell K;Jagger C;Fouweather T;Anstey KJ
随着人口老龄化，认知障碍的患病率不断上升，这是一个日益严峻的挑战，但人们对中低收入拉丁美洲和加勒比国家的负担知之甚少，这些国家的老龄化速度比发达国家快。我们研究了7个发展中拉丁美洲和加勒比国家中有认知障碍（CILE）和无认知障碍（CIFLE）的预期寿命。使用来自LAC（N = 10，597）的健康，福祉和老龄化调查的数据，并通过简易精神状态检查（MMSE）评估认知状态。应用Sullivan方法估计CILE和CIFLE。Logistic回归分析年龄、性别和教育程度对认知结果的影响。荟萃回归模型拟合所有7个国家一起调查CIFLE和60岁的男性和女性的教育之间的关系。除乌拉圭外，所有国家的CI患病率均随年龄增长而增加，仅在墨西哥观察到显著的性别效应，男性CI的几率低于女性[OR = 0.464 95%CInt（0.268 - 0.806）]。在巴西[OR = 4.848（1.173-20.044）]、智利[OR = 3.107（1.098-8.793）]、古巴[OR = 2.295（1.247-4.225）]和墨西哥[OR = 3.838（1.368-10.765）]，低教育与CI患病率增加相关。60岁男性的总预期寿命最高的是古巴（19.7岁），最低的是巴西和乌拉圭（17.6岁）。60岁女性的TLE在智利人中最高（22.8岁），在巴西人中最低（20.2岁）。古巴男子的CIFLE最高（19.0岁），巴西最低（16.7岁）。这些差异似乎不能用教育水平来解释（男性：p = 0.408，女性：p = 0.695）。在拉丁美洲和加勒比，年龄增加、女性和教育程度低与CI较高有关，反映了其他国家的模式。
The rising prevalence of cognitive impairment is an increasing challenge with the ageing of our populations but little is known about the burden in low- and middle- income Latin American and Caribbean countries (LAC) that are aging more rapidly than their developed counterparts. We examined life expectancies with cognitive impairment (CILE) and free of cognitive impairment (CIFLE) in seven developing LAC countries. Data from The Survey on Health, Well-being and Ageing in LAC (N = 10,597) was utilised and cognitive status was assessed by the Mini-Mental State Examination (MMSE). The Sullivan Method was applied to estimate CILE and CIFLE. Logistic regression was used to determine the effect of age, gender and education on cognitive outcome. Meta-regression models were fitted for all 7 countries together to investigate the relationship between CIFLE and education in men and women at age 60. The prevalence of CI increased with age in all countries except Uruguay and with a significant gender effect observed only in Mexico where men had lower odds of CI compared to women [OR = 0.464 95% CInt (0.268 – 0.806)]. Low education was associated with increased prevalence of CI in Brazil [OR = 4.848 (1.173–20.044)], Chile [OR = 3.107 (1.098–8.793), Cuba [OR = 2.295 (1.247–4.225)] and Mexico [OR = 3.838 (1.368–10.765). For males, total life expectancy (TLE) at age 60 was highest in Cuba (19.7 years) and lowest in Brazil and Uruguay (17.6 years). TLE for females at age 60 was highest for Chileans (22.8 years) and lowest for Brazilians (20.2 years). CIFLE for men was greatest in Cuba (19.0 years) and least in Brazil (16.7 years). These differences did not appear to be explained by educational level (Men: p = 0.408, women: p = 0.695). Increasing age, female sex and low education were associated with higher CI in LAC reflecting patterns found in other countries.
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影响因子：
168.9
作者：
Matthews, Fiona E.;Arthur, Antony;Barnes, Linda E.;Bond, John;Jagger, Carol;Robinson, Louise;Brayne, Carol
通讯作者：
Brayne, Carol
影响因子：
3.5
作者：
Anstey, K;Christensen, H
通讯作者：
Christensen, H
影响因子：
2.8
作者：
Barceló, A;Peláez, M;Pastor-Valero, M
通讯作者：
Pastor-Valero, M
影响因子：
6.7
作者：
Brayne, C;Matthews, FE;Jagger, C
通讯作者：
Jagger, C
影响因子：
9.9
作者：
Mungas, D;Marshall, SC;Reed, BR
通讯作者：
Reed, BR