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基于社区居住的拉丁裔老年人概率样本的认知障碍患病率估计及其与健康相关的关联因素

Prevalence estimates and health-related correlates of cognitive impairment from a probability sample of community-residing Latino elders.

作者信息

Ramírez Mildred, Teresi Jeanne A, Holmes Douglas, Martínez Virginia, Lantigua Rafael

机构信息

Hebrew Home for the Aged at Riverdale, Research Division, 5901 Palisade Avenue, Riverdale, New York 10463, USA.

出版信息

J Aging Health. 2007 Aug;19(4):559-74. doi: 10.1177/0898264307304321.

Abstract

OBJECTIVE

Prevalence estimates of cognitive impairment are provided from a probability sample of Latino elders, mostly Puerto Ricans. A profile of those with cognitive impairment is provided. Predictors of cognitive impairment and the association between depressive symptomatology and cognitive impairment are examined.

METHOD

A prevalence survey was conducted among a community sample of 205 Latino elders in New York City, drawn from the Centers for Medicare and Medicaid Services Medicare beneficiary tape files.

RESULTS

The prevalence ratio for cognitive impairment using scale-cut scores was 12%; the latent class estimate was .15 (SE = .025; 95% CI = .10 - .21). Individuals with cognitive impairment were older; had lower levels of education, income, and acculturation; and reported higher levels of diabetes, cardiovascular disease, and depressive symptomatology.

DISCUSSION

This study resulted in the identification of a cluster of socioeconomic, health, and mental health factors that may influence the functional ability of older Puerto Ricans.

摘要

目的

对主要为波多黎各人的拉丁裔老年人概率样本进行认知障碍患病率估计。提供认知障碍者的概况。研究认知障碍的预测因素以及抑郁症状与认知障碍之间的关联。

方法

对从医疗保险和医疗补助服务中心医疗保险受益人磁带文件中抽取的纽约市205名拉丁裔老年人社区样本进行患病率调查。

结果

使用量表划界分数得出的认知障碍患病率为12%;潜在类别估计值为0.15(标准误=0.025;95%置信区间=0.10 - 0.21)。认知障碍者年龄更大;教育程度、收入和文化适应水平较低;且报告的糖尿病、心血管疾病和抑郁症状水平较高。

讨论

本研究确定了一系列可能影响老年波多黎各人功能能力的社会经济、健康和心理健康因素。

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