School of Social Work, 7284University of Washington, Seattle, WA, USA.
University of Washington, 7284Tacoma, WA, USA.
J Aging Health. 2022 Aug-Sep;34(4-5):519-528. doi: 10.1177/08982643211046466. Epub 2021 Oct 14.
: This is the first national population-based study to examine cognitive impairment disparities among sexual minority mid-life and older adults. : Using the National Health Interview Survey (2013-2018), we compared weighted prevalence of subjective cognitive impairment by sexual orientation and gender, among those aged 45 plus, applying logistic regressions adjusting for age, income, education, race/ethnicity, and survey years. : Sexual minorities (24.5%) were more likely to have subjective cognitive impairment than heterosexuals (19.1%). Sexual minority women had higher odds of greater severity, frequency, and extent of subjective cognitive impairment. Sexual minorities were also more likely to report activity limitations resulting from cognitive impairment and were no more likely to attribute limitations to dementia or senility. : Cognitive health disparities are of particular concern in this historically and socially marginalized population. The investigation of explanatory factors is needed, and targeted interventions and policies are warranted to address cognitive challenges faced by sexual minorities.
这是第一项全国性的基于人群的研究，旨在研究性少数群体中年和老年人认知障碍的差异。使用国家健康访谈调查（2013-2018 年），我们比较了 45 岁及以上人群中按性取向和性别划分的主观认知障碍的加权患病率，应用逻辑回归调整了年龄、收入、教育、种族/民族和调查年份。性少数群体（24.5%）比异性恋者（19.1%）更有可能出现主观认知障碍。性少数群体女性出现更严重、更频繁和更广泛的主观认知障碍的可能性更高。性少数群体也更有可能报告认知障碍导致的活动受限，而不太可能将这些限制归因于痴呆或衰老。在这个历史上和社会上处于边缘地位的群体中，认知健康差异尤其令人关注。需要研究解释因素，并制定有针对性的干预措施和政策，以解决性少数群体面临的认知挑战。
