Self-Reported Cognitive Impairment Across Racial/Ethnic Groups in the United States, National Health Interview Survey, 1997-2015.
Self-Reported Cognitive Impairment Across Racial/Ethnic Groups in the United States, National Health Interview Survey, 1997-2015.
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美国国家健康访谈调查，1997- 2015年，种族/族裔群体之间自我报告的认知障碍。
DOI：
10.5888/pcd15.170338
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发表时间：
2018-01-11
影响因子：
5.5
通讯作者：
Wu B
中科院分区：
文献类型：
--
作者：
Luo H;Yu G;Wu B
本研究的主要目的是：1）检查1997-2015年美国5个主要种族/族裔群体中自我报告的认知障碍趋势; 2）检查这些群体之间趋势的差异。数据来自国家健康访谈调查（NHIS）。样本包括155，682名60岁或以上的人。受访者被要求报告是否有任何家庭成员“因记忆困难或因经历混乱时期而受到任何限制”。人种/种族分类为非西班牙裔白色、非西班牙裔黑人、美洲原住民、西班牙裔和亚裔。我们采用分层年龄-时期-队列交叉分类随机效应模型进行趋势分析。所有分析都说明了NHIS的复杂调查设计。自我报告的认知障碍的总体发生率从1997年的5.7%增加到2015年的6.7%（P <0.001）。在非西班牙裔白色受访者中，这一比例从1997年的5.2%上升到2015年的6.1%（斜率= 0.14，趋势P <.001）。我们没有观察到其他组的认知障碍率有显著趋势。在我们控制了协变量后，我们发现亚裔（B = 0.31）、非西班牙裔黑人（B = 0.37）、西班牙裔（B = 0.25）和美洲原住民（B = 0.87）受访者比非西班牙裔白色受访者更有可能报告认知障碍（所有人P <0.001）。我们发现，从1997年到2015年，美国5个主要种族/族裔群体的老年人自我报告的认知障碍率增加。然而，自我报告的认知障碍率较低，这可能表明报告不足。需要进一步提高个人、家庭成员和医疗保健提供者对这种疾病的认识。
The primary objectives of this study were 1) to examine trends of self-reported cognitive impairment among 5 major racial/ethnic groups during 1997–2015 in the United States and 2) to examine differences in the trends across these groups. Data were from the National Health Interview Survey (NHIS). The sample consisted of 155,682 people aged 60 or older. Respondents were asked to report whether any family member was “limited in any way because of difficulty remembering or because of experiencing periods of confusion.” Race/ethnicity categories were non-Hispanic white, non-Hispanic black, Native American, Hispanic, and Asian. We applied hierarchical age–period–cohort cross-classified random-effects models for the trend analysis. All analyses accounted for the complex survey design of NHIS. The overall rate of self-reported cognitive impairment increased from 5.7% in 1997 to 6.7% in 2015 (P for trend <.001). Among non-Hispanic white respondents, the rate increased from 5.2% in 1997 to 6.1% in 2015 (slope = 0.14, P for trend <.001). We observed no significant trend in rate of cognitive impairment in other groups. After we controlled for covariates, we found that Asian (B = 0.31), non-Hispanic black (B = 0.37), Hispanic (B = 0.25), and Native American (B = 0.87) respondents were more likely than non-Hispanic white respondents to report cognitive impairment (P <.001 for all). We found an increased rate of self-reported cognitive impairment in older adults of 5 major racial/ethnic groups from 1997 through 2015 in the United States. However, the rate of self-reported cognitive impairment was low, which may suggest underreporting. There is a need to further promote awareness of the disease among individuals, family members, and health care providers.
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影响因子：
14
作者：
Langa, Kenneth M.;Larson, Eric B.;Rosen, Allison B.
通讯作者：
Rosen, Allison B.
影响因子：
14
作者：
通讯作者：
--
影响因子：
5.7
作者：
Bernstein, Amy B.;Remsburg, Robin E.
通讯作者：
Remsburg, Robin E.
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：
5.5
作者：
Edwards VJ;Anderson LA;Deokar AJ
通讯作者：
Deokar AJ