Ficker Lisa J, Lysack Cathy L, Hanna Mena, Lichtenberg Peter A
a Institute of Gerontology, Merrill Palmer Skillman Institute , 87 E. Ferry St. Detroit, MI , USA.
Aging Ment Health. 2014 May;18(4):471-80. doi: 10.1080/13607863.2013.856859. Epub 2013 Dec 12.
The Center for Disease Control began to assess Perceived Cognitive Impairment in 2009, yet there has been no in-depth study of how perceived decline in thinking or memory skills may be associated to the health and lifestyle of an independent community-dwelling older person. Among urban-dwelling older African Americans who are at elevated risk for cognitive impairment and dementia, we know even less regarding the interaction of these risk factors.
Five hundred and one African American elders (n=501) between the ages of 55 and 95 with an average age of 70.73 years (SD=8.6 years) participated in telephone interviews.
Approximately one-third of the elders reported that their memory, thinking skills, or ability to reason was worse than a year ago (n=150; 29.9%) and 25% of this group (n=38) reported that this Perceived Cognitive Impairment impacted their daily activities and/or warranted a consultation with their doctor. Bivariate analyses indicated that Perceived Cognitive Impairment was associated with increased health problems, mobility limitations, depressed mood, and lower social functioning.
Elders who reported that cognitive problems impacted their daily functioning reported the greatest health and mental health problems. Perceived Cognitive Impairment is an important health variable with implications for an older adult's overall health, mobility, and mental health.
疾病控制中心于2009年开始评估认知功能减退感知情况，但对于思维或记忆能力的感知下降如何与独立居住在社区的老年人的健康和生活方式相关联，尚无深入研究。在认知功能障碍和痴呆风险较高的城市老年非裔美国人中，我们对这些风险因素之间的相互作用了解更少。
501名年龄在55岁至95岁之间、平均年龄为70.73岁（标准差=8.6岁）的非裔美国老年人参与了电话访谈。
约三分之一的老年人报告称，他们的记忆力、思维能力或推理能力比一年前更差（n=150；29.9%），且该群体中有25%（n=38）报告称这种认知功能减退感知情况影响了他们的日常活动和/或需要咨询医生。双变量分析表明，认知功能减退感知情况与更多的健康问题、行动不便、情绪低落以及较低的社会功能相关。
报告认知问题影响其日常功能的老年人存在最严重的健康和心理健康问题。认知功能减退感知情况是一个重要的健康变量，对老年人的整体健康、行动能力和心理健康有影响。
