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美国(2015-2060 年)≥65 岁成年人中阿尔茨海默病和相关痴呆症的种族和民族估计。

Racial and ethnic estimates of Alzheimer's disease and related dementias in the United States (2015-2060) in adults aged ≥65 years.

机构信息

Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA, USA.

Department of Geography, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.

出版信息

Alzheimers Dement. 2019 Jan;15(1):17-24. doi: 10.1016/j.jalz.2018.06.3063. Epub 2018 Sep 19.


DOI:10.1016/j.jalz.2018.06.3063
PMID:30243772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6333531/
Abstract

INTRODUCTION: Alzheimer's disease and related dementias (ADRD) cause a high burden of morbidity and mortality in the United States. Age, race, and ethnicity are important risk factors for ADRD. METHODS: We estimated the future US burden of ADRD by age, sex, and race and ethnicity by applying subgroup-specific prevalence among Medicare Fee-for-Service beneficiaries aged ≥65 years in 2014 to subgroup-specific population estimates for 2014 and population projection data from the United States Census Bureau for 2015 to 2060. RESULTS: The burden of ADRD in 2014 was an estimated 5.0 million adults aged ≥65 years or 1.6% of the population, and there are significant disparities in ADRD prevalence among population subgroups defined by race and ethnicity. ADRD burden will double to 3.3% by 2060 when 13.9 million Americans are projected to have the disease. DISCUSSION: These estimates can be used to guide planning and interventions related to caring for the ADRD population and supporting caregivers.

摘要

简介:阿尔茨海默病和相关痴呆症(ADRD)在美国造成了很高的发病率和死亡率负担。年龄、种族和民族是 ADRD 的重要危险因素。

方法:我们通过将 2014 年医疗保险费服务受益人的≥65 岁年龄组的特定亚组患病率应用于 2014 年的特定亚组人口估计数以及美国人口普查局的人口预测数据,估计了未来美国 ADRD 的负担。2015 年至 2060 年。

结果:2014 年,ADRD 的负担估计为 500 万≥65 岁的成年人,占总人口的 1.6%,并且在按种族和民族定义的人口亚组中,ADRD 的患病率存在显著差异。到 2060 年,ADRD 的负担将翻一番,届时预计将有 1390 万美国人患有该病。

讨论:这些估计数可用于指导与照顾 ADRD 人群和支持护理人员相关的规划和干预措施。

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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Forecasting the prevalence of preclinical and clinical Alzheimer's disease in the United States.

Alzheimers Dement. 2017-12-7

[2]
The changing prevalence and incidence of dementia over time - current evidence.

Nat Rev Neurol. 2017-5-12

[3]
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Bid Pricing Data Release; Medicare Advantage and Part D Medical Loss Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Medicare Shared Savings Program Requirements. Final rule.

Fed Regist. 2016-11-15

[4]
2016 Alzheimer's disease facts and figures.

Alzheimers Dement. 2016-4

[5]
Recent global trends in the prevalence and incidence of dementia, and survival with dementia.

Alzheimers Res Ther. 2016-7-30

[6]
Characteristics of Decedents in Medicare Advantage and Traditional Medicare.

JAMA Intern Med. 2016-7-1

[7]
Characteristics of Medicare Advantage and Fee-for-Service Beneficiaries Upon Enrollment in Medicare at Age 65.

J Ambul Care Manage. 2016

[8]
Prevalence of dementia subtypes in United States Medicare fee-for-service beneficiaries, 2011-2013.

Alzheimers Dement. 2017-1

[9]
Inequalities in dementia incidence between six racial and ethnic groups over 14 years.

Alzheimers Dement. 2016-3

[10]
A Meta-Analysis of Alzheimer's Disease Incidence and Prevalence Comparing African-Americans and Caucasians.

J Alzheimers Dis. 2016

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