Marital Status and Dementia: Evidence from the Health and Retirement Study
Marital Status and Dementia: Evidence from the Health and Retirement Study
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DOI：
10.1093/geronb/gbz087
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发表时间：
2020-10-01
影响因子：
6.2
通讯作者：
Langa, Kenneth M.
中科院分区：
文献类型：
--
作者：
Liu, Hui;Zhang, Zhenmei;Langa, Kenneth M.
目的：我们提供了美国首批以人群为基础的、按婚姻状况变化的痴呆症研究之一。方法：我们分析了2000-2014年间健康与退休研究的数据。2000年的样本包括15,379名年龄在52岁及以上的受访者(6,650名男性和8,729名女性)，他们在基线调查中没有显示出痴呆症的证据。痴呆症的评估使用认知状态电话访谈(TICS)的修改版本或代理人的评估。结果：所有未婚人群，包括同居、离婚/分居、丧偶和未婚，在研究期间患痴呆症的几率显著高于已婚同龄人；经济资源和健康相关因素在较小程度上只是痴呆婚姻状况变化的一部分。对于离婚/分居和丧偶的受访者，男性比女性患痴呆症的几率差异更大。讨论：这些发现将有助于卫生政策制定者和实践者更好地识别易感人群，并设计有效的干预策略来降低痴呆症风险。
Objectives: We provide one of the first population-based studies of variation in dementia by marital status in the United States.Method: We analyzed data from the Health and Retirement Study (2000-2014). The sample included 15,379 respondents (6,650 men and 8,729 women) aged 52 years and older in 2000 who showed no evidence of dementia at the baseline survey. Dementia was assessed using either the modified version of the Telephone Interview for Cognitive Status (TICS) or the proxy's assessment. Discrete-time hazard regression models were estimated to predict odds of dementia.Results: All unmarried groups, including the cohabiting, divorced/separated, widowed, and never married, had significantly higher odds of developing dementia over the study period than their married counterparts; economic resources and, to a lesser degree, health-related factors accounted for only part of the marital status variation in dementia. For divorced/separated and widowed respondents, the differences in the odds of dementia relative to married respondents were greater among men than among women.Discussion: These findings will be helpful for health policy makers and practitioners who seek to better identify vulnerable subpopulations and to design effective intervention strategies to reduce dementia risk.