School of Nursing, Columbia University, New York, NY, USA.
Bothell School of Nursing & Health Studies, University of Washington, Bothell, WA, USA.
J Aging Health. 2024 Dec;36(10):654-666. doi: 10.1177/08982643231212547. Epub 2023 Oct 31.
Little is known on the potential racial differences in latent subgroup membership based on mental health and cognitive symptomatology among older adults.
This is a secondary data analysis of Wave 2 data from the National Social Life, Health, and Aging Project ( = 1819). Symptoms were depression, anxiety, loneliness, happiness, and cognition. Multiple-group latent class analysis was conducted to identify latent subgroups based on mental health and cognitive symptoms and to compare these differences between race.
Class 1: "Severe Cognition & Mild-Moderate Mood Impaired," Class 2: "Moderate Cognition & Mood Impaired," and Class 3: "Mild Cognition Impaired & Healthy Mood" were identified. Black older adults were more likely to be in Class 1 while White older adults were more likely to be in Class 2 and Class 3.
Clinicians need to provide culturally-sensitive care when assessing and treating symptoms across different racial groups.
关于心理健康和认知症状方面,老年人潜在亚组成员的种族差异知之甚少。
这是对国家社会生活、健康和老龄化项目(n = 1819)第二波数据的二次数据分析。症状包括抑郁、焦虑、孤独、幸福和认知。采用多组潜在类别分析,根据心理健康和认知症状确定潜在亚组,并比较种族之间的这些差异。
确定了三个类别:“严重认知和轻度中度情绪受损”、“中度认知和情绪受损”和“轻度认知受损和情绪健康”。黑人老年人更有可能属于第一类,而白人老年人更有可能属于第二类和第三类。
临床医生在评估和治疗不同种族群体的症状时,需要提供文化敏感的护理。