WISSDOM Center, Medical University of South Carolina, Charleston, USA; School of Occupational Therapy, Texas Woman's University, Denton, USA.
WISSDOM Center, Medical University of South Carolina, Charleston, USA; College of Nursing, Medical University of South Carolina, Charleston, USA.
Disabil Health J. 2019 Jan;12(1):87-92. doi: 10.1016/j.dhjo.2018.08.005. Epub 2018 Aug 9.
Racial and ethnic minorities consistently demonstrate disparate post-stroke outcomes. However, there is a paucity of literature related to whether this disparity exists specifically in post-stroke cognitive decline.
To determine if racial and ethnic disparities exist in post-stroke subjective cognitive decline (SCD) among non-Hispanic Blacks (Blacks), American Indians or Alaska Natives (AI/ANs), Hispanics, and non-Hispanic Whites (Whites) in the United States using data from the Behavioral Risk Factor Surveillance System (BRFSS).
A retrospective analysis was completed using the 2016 BRFSS data in adults who self-reported stroke and SCD. Descriptive statistics were completed for baseline comparisons using chi squared tests for categorical variables. A binary logistic regression controlling for baseline differences was completed to examine racial and ethnic differences in SCD.
Significant differences in SCD were identified across all racial and ethnic groups. When compared to Whites, Blacks, AI/ANs, and Hispanics more frequently reported worsening confusion or memory loss that interfered with day-to-day activities and the ability to work, volunteer, and engage in social activities outside of the home. AI/ANs who reported SCD were more likely than Whites to have help available. Hispanic persons with SCD or their family members were most likely to discuss SCD with a healthcare provider.
Although persons from all racial and ethnic groups in this study experienced some degree of SCD, Blacks, AI/ANs, and Hispanics most frequently reported worsening confusion or memory loss impacting engagement in day-to-day activities and the ability to work, volunteer, and engage in social activities outside of the home.
少数族裔在中风后表现出明显的结果差异。然而，关于这种差异是否仅存在于中风后认知能力下降中，相关文献很少。
使用来自行为风险因素监测系统（BRFSS）的数据，确定在美国，非西班牙裔黑人（黑人）、美洲印第安人或阿拉斯加原住民（AI/AN）、西班牙裔和非西班牙裔白人（白人）中风后主观认知下降（SCD）是否存在种族和民族差异。
使用 2016 年 BRFSS 数据对报告中风和 SCD 的成年人进行回顾性分析。使用卡方检验进行分类变量的基线比较，完成描述性统计。完成控制基线差异的二元逻辑回归，以检查 SCD 中的种族和民族差异。
在所有种族和民族群体中，SCD 存在显著差异。与白人相比，黑人、AI/AN 和西班牙裔更频繁地报告恶化的意识混乱或记忆丧失，这会干扰日常活动和工作、志愿活动以及在家外参与社交活动的能力。报告 SCD 的 AI/AN 更有可能获得帮助。有 SCD 的西班牙裔患者或其家庭成员最有可能与医疗保健提供者讨论 SCD。
尽管本研究中所有种族和民族群体的人都经历了某种程度的 SCD，但黑人、AI/AN 和西班牙裔最频繁地报告恶化的意识混乱或记忆丧失，这会影响他们参与日常活动和工作、志愿活动以及在家外参与社交活动的能力。
