Yan Binjian, Gao Shuaifeng, Dai Minlei, Gill Thomas M, Chen Xi
College of Economics and Management, Nanjing Agricultural University, Nanjing City, Jiangsu Province, China.
Department of Internal Medicine, Yale School of Medicine, New Haven, CT, US.
China CDC Wkly. 2022 Nov 11;4(45):1013-1018. doi: 10.46234/ccdcw2022.205.
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Many health challenges have emerged due to rapid population aging, including declined cognitive ability among older adults.
WHAT IS ADDED BY THIS REPORT?: Childhood circumstances have significant and lasting impacts on cognition in old age. This study compared cognition data from China with both the United States (U.S.) and the European Union (EU) during 2008-2018, finding that childhood circumstances could respectively explain 65.4% [95% confidence interval (CI): 59.4%, 71.4%] (China . the U.S.) and 38.2% (95% CI: 35.1%, 41.2%) (China . the EU) of the overall differences in cognition among older adults. Family socioeconomic status explained the largest share of differences among all considered childhood circumstances.
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Large disparities in cognition should be addressed by mitigating childhood disadvantages.
关于该主题已知的信息有哪些？：由于人口迅速老龄化，出现了许多健康挑战，包括老年人认知能力下降。
本报告新增了哪些内容？：童年经历对老年时的认知有重大且持久的影响。本研究比较了2008年至2018年期间中国与美国和欧盟的认知数据，发现童年经历分别可以解释老年人认知总体差异的65.4%[95%置信区间（CI）：59.4%，71.4%]（中国.美国）和38.2%（95%CI：35.1%，41.2%）（中国.欧盟）。在所有考虑的童年经历中，家庭社会经济地位解释了差异的最大部分。
对公共卫生实践有何启示？：应通过减轻童年时期的不利因素来解决认知方面的巨大差异。
