College of Nursing, 311285The Pennsylvania State University, University Park, PA, USA.
7547St Louis University, St Louis, MO, USA.
J Aging Health. 2021 Jun-Jul;33(5-6):340-349. doi: 10.1177/0898264320983210. Epub 2020 Dec 29.
This study examined differences in physical function, delirium, depressive symptoms, and behavioral and psychological symptoms of dementia (BPSD) in hospitalized African American and white older adults with dementia. This secondary data analysis using baseline data from an ongoing trial testing family-centered function-focused care included African American ( = 159) and white persons ( =135) with dementia. A multivariate analysis of covariance showed that controlling for relevant demographic and health characteristics, African Americans with dementia had lower physical function, more delirium, and more depressive symptoms upon admission than white participants. There were no significant differences in BPSD between African American and white persons. To our knowledge, this is the first study to examine racial differences in admission symptoms of hospitalized persons with dementia. While the findings are preliminary, they can be used to inform the design of future research, including identifying the causes of disparities.
本研究考察了住院的非裔美国人和白人老年痴呆症患者在身体功能、谵妄、抑郁症状以及行为和心理症状痴呆症（BPSD）方面的差异。本研究是对正在进行的以家庭为中心、以功能为重点的护理为试验的基线数据进行的二次数据分析，共纳入了 159 名非裔美国人和 135 名白人痴呆症患者。多变量协方差分析显示，在控制相关人口统计学和健康特征后，与白人参与者相比，患有痴呆症的非裔美国人在入院时身体功能更差、更易发生谵妄且抑郁症状更多。但在 BPSD 方面，非裔美国人和白人之间没有显著差异。据我们所知，这是第一项研究痴呆症住院患者入院时症状的种族差异的研究。虽然研究结果尚属初步，但可以为未来的研究设计提供信息，包括确定差异的原因。
