2015 - 2018年美国性少数群体和性别少数群体中主观认知能力下降情况更为严重。
Subjective cognitive decline higher among sexual and gender minorities in the United States, 2015-2018.
作者信息
Flatt Jason D, Cicero Ethan C, Lambrou Nickolas H, Wharton Whitney, Anderson Joel G, Bouldin Erin D, McGuire Lisa C, Taylor Christopher A
机构信息
School of Public Health University of Nevada Las Vegas Las Vegas Nevada USA.
Nell Hodgson Woodruff School of Nursing Emory University Atlanta Georgia USA.
出版信息
Alzheimers Dement (N Y). 2021 Jul 28;7(1):e12197. doi: 10.1002/trc2.12197. eCollection 2021.
INTRODUCTION
Subjective cognitive decline (SCD) represents self-reported problems with memory, a possible early sign of dementia. Little is known about SCD among sexual and gender minority (SGM) adults who identify as lesbian, gay, bisexual, and/or transgender or gender non-binary.
METHODS
Data were weighted to represent population estimates from 25 states' 2015-2018 Behavioral Risk Factor Surveillance System to describe SCD in adults ≥45 years by SGM status. Logistic regression tested associations between demographic and health conditions.
RESULTS
SCD prevalence was higher in SGM (15.7%; 95% confidence interval [CI]:13.1-18.2) than in non-SGM adults (10.5%; 95% CI:10.1-10.9; < .0001). SGM adults with SCD were also more likely to report functional limitations due to SCD than non-SGM adults with SCD, 60.8% versus 47.8%, = .0048. Differences in SCD by SGM status were attenuated after accounting for depression.
DISCUSSION
Higher prevalence of SCD in SGM adults highlights the importance of ensuring inclusive screenings, interventions, care services, and resources for SGM adults.
引言
主观认知下降（SCD）表现为自我报告的记忆问题，是痴呆症可能的早期迹象。对于认同女同性恋、男同性恋、双性恋和/或跨性别或性别非二元身份的性少数和性别少数（SGM）成年人中的SCD情况，人们了解甚少。
方法
对数据进行加权处理，以代表25个州2015 - 2018年行为危险因素监测系统的人口估计数，按SGM状态描述45岁及以上成年人的SCD情况。逻辑回归检验人口统计学和健康状况之间的关联。
结果
SGM人群中SCD的患病率（15.7%；95%置信区间[CI]：13.1 - 18.2）高于非SGM成年人（10.5%；95% CI：10.1 - 10.9；P <.0001）。与患有SCD的非SGM成年人相比，患有SCD的SGM成年人也更有可能报告因SCD导致的功能受限，分别为60.8%和47.8%，P = 0.0048。在考虑抑郁症因素后，SGM状态导致的SCD差异有所减弱。
讨论
SGM成年人中SCD的患病率较高，这凸显了确保为SGM成年人提供包容性筛查、干预、护理服务和资源的重要性。
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