美国人 55-69 岁认知功能障碍的流行趋势及差异。
Trends in the Prevalence and Disparity in Cognitive Limitations of Americans 55-69 Years Old.
机构信息
Department of Internal Medicine, School of Medicine, University of Michigan.
Department of Economics, Institute for Social Research, Gerald R. Ford School of Public Policy, University of Michigan.
出版信息
J Gerontol B Psychol Sci Soc Sci. 2018 Apr 16;73(suppl_1):S29-S37. doi: 10.1093/geronb/gbx155.
Abstract
OBJECTIVES
To determine whether the prevalence of cognitive limitation (CL) among Americans ages 55 to 69 years changed between 1998 and 2014, and to assess the trends in socioeconomic disparities in CL among groups defined by race/ethnicity, education, income, and wealth.
METHOD
Logistic regression using 1998-2014 data from the biennial Health and Retirement Study, a nationally representative data set. CL is defined as a score of 0-11 on a 27-point cognitive battery of items focused on memory. Socioeconomic status (SES) measures are classified as quartiles.
RESULTS
In models controlling for age, gender, and previous cognitive testing, we find no significant change over time in the overall prevalence of CL, widening disparities in limitation by income and, in some cases, wealth, and improvements among non-Hispanic whites but not other racial/ethnic groups.
DISCUSSION
Among people 55-69, rates of CL are many times higher for groups with lower SES than those with higher SES, and recent trends show little indication that the gaps are narrowing.
摘要
目的
确定 55 至 69 岁美国人的认知障碍（CL）患病率在 1998 年至 2014 年间是否发生了变化，并评估按种族/民族、教育、收入和财富划分的群体中 CL 在社会经济差异方面的趋势。
方法
使用来自两年一次的健康与退休研究的 1998 年至 2014 年的数据进行逻辑回归，这是一个具有全国代表性的数据组。CL 定义为 27 项专注于记忆的认知测试项目中得分为 0-11。社会经济地位（SES）衡量标准分为四分位数。
结果
在控制年龄、性别和先前认知测试的模型中，我们没有发现总体 CL 患病率随时间的显著变化，收入和在某些情况下财富方面的限制差距扩大，以及非西班牙裔白人的改善，但其他种族/族裔群体则没有。
讨论
在 55-69 岁的人群中，社会经济地位较低的群体的 CL 发生率要比社会经济地位较高的群体高得多，最近的趋势表明差距没有缩小的迹象。
相似文献
1
Trends in the Prevalence and Disparity in Cognitive Limitations of Americans 55-69 Years Old.美国人 55-69 岁认知功能障碍的流行趋势及差异。
J Gerontol B Psychol Sci Soc Sci. 2018 Apr 16;73(suppl_1):S29-S37. doi: 10.1093/geronb/gbx155.
2
Associations between socioeconomic status markers and depressive symptoms by race and gender: results from the Multi-Ethnic Study of Atherosclerosis (MESA).种族和性别视角下社会经济地位指标与抑郁症状的相关性：来自动脉粥样硬化多民族研究（MESA）的结果。
Ann Epidemiol. 2018 Aug;28(8):535-542.e1. doi: 10.1016/j.annepidem.2018.05.005. Epub 2018 May 22.
3
Race and health profiles in the United States: an examination of the social gradient through the 2009 CHIS adult survey.美国的种族与健康概况：通过2009年加州健康访谈调查成人版审视社会梯度
Public Health. 2014 Dec;128(12):1076-86. doi: 10.1016/j.puhe.2014.10.003. Epub 2014 Nov 25.
4
Examining the Association Between Different Aspects of Socioeconomic Status, Race, and Disability in Hawaii.考察夏威夷社会经济地位的不同方面、种族和残疾之间的关联。
J Racial Ethn Health Disparities. 2018 Dec;5(6):1247-1253. doi: 10.1007/s40615-018-0471-4. Epub 2018 Feb 20.
5
Socioeconomic Status Disparities in Cognitive and Physical Functional Impairment among Older Adults: Comparison of Asians with other Major Racial/Ethnic Groups.老年人认知和身体功能障碍的社会经济地位差异：亚洲人与其他主要种族/族裔群体的比较。
J Urban Health. 2023 Aug;100(4):839-851. doi: 10.1007/s11524-023-00768-1. Epub 2023 Aug 8.
6
Income and wealth as correlates of socioeconomic disparity in dentist visits among adults aged 20 years and over in the United States, 2011-2014.2011 - 2014年美国20岁及以上成年人看牙医情况中收入和财富与社会经济差异的相关性
BMC Oral Health. 2018 Aug 23;18(1):147. doi: 10.1186/s12903-018-0613-4.
7
The Hispanic Paradox: Race/Ethnicity and Nativity, Immigrant Enclave Residence and Cognitive Impairment Among Older US Adults.西班牙裔悖论：美国老年成年人中的种族/民族、出生地、移民聚居区居住情况与认知障碍
J Am Geriatr Soc. 2017 May;65(5):1085-1091. doi: 10.1111/jgs.14806. Epub 2017 Mar 28.
8
Monthly trends in self-reported health status and depression by race/ethnicity and socioeconomic status during the COVID-19 Pandemic, United States, April 2020 - May 2021.在 COVID-19 大流行期间，按种族/民族和社会经济地位划分的自我报告健康状况和抑郁的月度趋势，美国，2020 年 4 月至 2021 年 5 月。
Ann Epidemiol. 2021 Nov;63:52-62. doi: 10.1016/j.annepidem.2021.07.014. Epub 2021 Aug 4.
9
Race, socioeconomic status, and health: accounting for race differences in health.种族、社会经济地位与健康：解释健康方面的种族差异
J Gerontol B Psychol Sci Soc Sci. 1997 May;52 Spec No:61-73. doi: 10.1093/geronb/52b.special_issue.61.
10
Feeling better? Trends in general health status.感觉好些了吗？总体健康状况的趋势。
J Gerontol B Psychol Sci Soc Sci. 2007 Jan;62(1):S11-21. doi: 10.1093/geronb/62.1.s11.
引用本文的文献
1
Changes in childhood caregiving impressions among middle-aged and older adults.中年及老年成年人童年照料印象的变化。
Pers Relatsh. 2023 Sep;30(3):913-938. doi: 10.1111/pere.12499. Epub 2023 Jun 16.
2
Associations between discriminatory experiences and dementia in the Health and Retirement Study.健康与退休研究中歧视经历与痴呆症之间的关联。
Soc Psychiatry Psychiatr Epidemiol. 2025 Feb 7. doi: 10.1007/s00127-025-02822-6.
3
Cognitive performance trends among European older adults: exploring variations across cohorts, gender, and educational levels (2007-2017).欧洲老年人认知表现趋势：探索队列、性别和教育水平的差异（2007-2017 年）。
BMC Public Health. 2024 Jun 20;24(1):1646. doi: 10.1186/s12889-024-19123-3.
4
2024 Alzheimer's disease facts and figures.2024 年阿尔茨海默病事实和数据。
Alzheimers Dement. 2024 May;20(5):3708-3821. doi: 10.1002/alz.13809. Epub 2024 Apr 30.
5
A national longitudinal dyadic analysis of spousal education and cognitive decline in the United States.美国配偶教育与认知衰退的全国纵向二元分析。
Soc Sci Med. 2024 Feb;343:116603. doi: 10.1016/j.socscimed.2024.116603. Epub 2024 Jan 24.
6
Measuring spatial availability of children for older adults with disability.测量残疾老年人的儿童空间可用性。
Soc Sci Med. 2023 Oct;335:116201. doi: 10.1016/j.socscimed.2023.116201. Epub 2023 Sep 3.
7
A polygenic risk score for Alzheimer's disease constructed using APOE-region variants has stronger association than APOE alleles with mild cognitive impairment in Hispanic/Latino adults in the U.S.使用 APOE 区域变异构建的阿尔茨海默病多基因风险评分与 APOE 等位基因相比，与美国西班牙裔/拉丁裔成年人的轻度认知障碍的相关性更强。
Alzheimers Res Ther. 2023 Aug 30;15(1):146. doi: 10.1186/s13195-023-01298-3.
8
Cancer-related cognitive impairment in racial and ethnic minority groups: a scoping review.癌症相关认知障碍在少数族裔群体中的研究：范围综述。
J Cancer Res Clin Oncol. 2023 Oct;149(13):12561-12587. doi: 10.1007/s00432-023-05088-0. Epub 2023 Jul 11.
9
Food Insufficiency, Supplemental Nutrition Assistance Program (SNAP) Status, and 9-Year Trajectory of Cognitive Function in Older Adults: The Longitudinal National Health and Aging Trends Study, 2012-2020.食物不足、补充营养援助计划 (SNAP) 状况与老年人认知功能的 9 年轨迹：2012-2020 年纵向国家健康与老龄化趋势研究。
J Nutr. 2023 Jan;153(1):312-321. doi: 10.1016/j.tjnut.2022.12.012. Epub 2022 Dec 27.
10
Predictors of cognitive functioning trajectories among older Americans: A new investigation covering 20 years of age- and non-age-related cognitive change.预测美国老年人认知功能轨迹的因素：一项涵盖 20 年与年龄和非年龄相关认知变化的新研究。
PLoS One. 2023 Feb 8;18(2):e0281139. doi: 10.1371/journal.pone.0281139. eCollection 2023.
本文引用的文献
1
How Wealth Inequality Shapes Our Future.财富不平等如何塑造我们的未来。
RSF. 2016 Oct;2(6):2-22. doi: 10.7758/rsf.2016.2.6.01. Epub 2016 Nov 16.
2
The changing prevalence and incidence of dementia over time - current evidence.随时间变化的痴呆症患病率和发病率-现有证据。
Nat Rev Neurol. 2017 Jun;13(6):327-339. doi: 10.1038/nrneurol.2017.63. Epub 2017 May 12.
3
Are Functional and Activity Limitations Becoming More Prevalent among 55 to 69-Year-Olds in the United States?55 至 69 岁美国人的功能和活动受限是否更为普遍？
PLoS One. 2016 Oct 26;11(10):e0164565. doi: 10.1371/journal.pone.0164565. eCollection 2016.
4
Measuring Recent Apparent Declines In Longevity: The Role Of Increasing Educational Attainment.衡量近期预期寿命的明显下降：教育程度提高所起的作用。
Health Aff (Millwood). 2015 Dec;34(12):2167-73. doi: 10.1377/hlthaff.2015.0481.
5
Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century.21世纪美国非西班牙裔白人中年人群中发病率和死亡率的上升。
Proc Natl Acad Sci U S A. 2015 Dec 8;112(49):15078-83. doi: 10.1073/pnas.1518393112. Epub 2015 Nov 2.
6
Is the risk of Alzheimer's disease and dementia declining?阿尔茨海默病和痴呆症的风险在降低吗？
Alzheimers Res Ther. 2015 Mar 26;7(1):34. doi: 10.1186/s13195-015-0118-1. eCollection 2015.
7
Target risk factors for dementia prevention: a systematic review and Delphi consensus study on the evidence from observational studies.预防痴呆症的目标风险因素：基于观察性研究证据的系统评价与德尔菲共识研究
Int J Geriatr Psychiatry. 2015 Mar;30(3):234-46. doi: 10.1002/gps.4245. Epub 2014 Dec 12.
8
Is life expectancy really falling for groups of low socio-economic status? Lagged selection bias and artefactual trends in mortality.社会经济地位较低群体的预期寿命真的在下降吗？滞后选择偏差与死亡率的人为趋势。
Int J Epidemiol. 2014 Aug;43(4):983-8. doi: 10.1093/ije/dyu120.
9
Epidemiologic studies of modifiable factors associated with cognition and dementia: systematic review and meta-analysis.与认知和痴呆相关的可改变因素的流行病学研究：系统评价和荟萃分析。
BMC Public Health. 2014 Jun 24;14:643. doi: 10.1186/1471-2458-14-643.
10
Trends in disability and related chronic conditions among the forty-and-over population: 1997-2010.40 岁及以上人群的残疾和相关慢性病趋势：1997-2010 年。
Disabil Health J. 2014 Jan;7(1 Suppl):S4-14. doi: 10.1016/j.dhjo.2013.06.007. Epub 2013 Aug 13.
Zotero 插件