Disparities in Subjective Cognitive Impairment by Sexual Orientation and Gender in a National Population Based Study of U.S. Adults, 2013-2018.
Disparities in Subjective Cognitive Impairment by Sexual Orientation and Gender in a National Population Based Study of U.S. Adults, 2013-2018.
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DOI：
10.1177/08982643211046466
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发表时间：
2022-08
影响因子：
2.8
通讯作者：
Emlet, Charles
中科院分区：
文献类型：
--
作者：
Fredriksen-Goldsen, Karen I.;Jung, Hailey;Kim, Hyun-Jun;Petros, Ryan;Emlet, Charles
这是第一项以全国人口为基础的研究，旨在研究性少数中年人和老年人之间的认知障碍差异。使用全国健康访谈调查（2013-2018），我们比较了45岁以上人群中性取向和性别的主观认知障碍的加权患病率，应用logistic回归调整年龄，收入，教育，种族/民族和调查年份。性少数群体（24.5%）比异性恋者（19.1%）更容易有主观认知障碍。性少数女性主观认知障碍的严重程度、频率和程度更高。性少数群体也更有可能报告认知障碍导致的活动限制，并且不太可能将限制归因于痴呆或衰老。认知健康差异在这一历史和社会边缘化人群中特别令人关切。需要对解释因素进行调查，并采取有针对性的干预措施和政策，以解决性少数群体面临的认知挑战。
This is the first national population-based study to examine cognitive impairment disparities among sexual minority mid-life and older adults. Using the National Health Interview Survey (2013–2018), we compared weighted prevalence of subjective cognitive impairment by sexual orientation and gender, among those aged 45 plus, applying logistic regressions adjusting for age, income, education, race/ethnicity, and survey years. Sexual minorities (24.5%) were more likely to have subjective cognitive impairment than heterosexuals (19.1%). Sexual minority women had higher odds of greater severity, frequency, and extent of subjective cognitive impairment. Sexual minorities were also more likely to report activity limitations resulting from cognitive impairment and were no more likely to attribute limitations to dementia or senility. Cognitive health disparities are of particular concern in this historically and socially marginalized population. The investigation of explanatory factors is needed, and targeted interventions and policies are warranted to address cognitive challenges faced by sexual minorities.
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