Harrington Erin E, Bock Jarrod E
Department of Psychology, University of Wyoming, Laramie, WY, USA.
SSM Popul Health. 2024 Nov 22;28:101732. doi: 10.1016/j.ssmph.2024.101732. eCollection 2024 Dec.
In recent years, more attention has been given to cultural predictors of Alzheimer's disease and related dementias (ADRD) risk. Yet, research has overlooked the potential risk conferred by U.S. cultures of honor. There is ample reason to suspect that honor-oriented states are at greater risk for ADRD, as many of the characteristics of honor-oriented states are also risk factors for ADRD (e.g., rurality, economic precariousness) and norms within honor cultures (e.g., risk taking, military enlistment, intimate partner violence) may elevate the chance of experiencing neurocognitive ADRD risk factors, like traumatic brain injury (TBI) and subjective cognitive decline (SCD). The present work examined the extent to which statewide honor-orientation predicted estimates of unintentional TBI deaths (2001-2019), SCD (2015-2019), and ADRD deaths (1999-2019) among non-Hispanic Whites. We controlled for period-matched variables known to be associated with honor cultures and ADRD (e.g., rurality, economic precariousness). After controlling for covariates, we observed that more honor-oriented states had higher unintentional TBI death rates ( = 0.39, = .016), SCD ( = 0.58, = .001), and ADRD death rates ( = 0.49, = .030). Findings suggest that the norms and values of honor cultures may confer higher risk for TBI, SCD, and ADRD. Implications for educational, identification, and intervention efforts are discussed.
近年来，人们越来越关注阿尔茨海默病及相关痴呆症（ADRD）风险的文化预测因素。然而，研究忽略了美国荣誉文化所带来的潜在风险。有充分理由怀疑，崇尚荣誉的州患ADRD的风险更高，因为崇尚荣誉的州的许多特征也是ADRD的风险因素（例如，农村地区、经济不稳定），而荣誉文化中的规范（例如，冒险、参军、亲密伴侣暴力）可能会增加经历神经认知ADRD风险因素的几率，如创伤性脑损伤（TBI）和主观认知衰退（SCD）。本研究调查了全州范围内的荣誉取向在多大程度上预测了非西班牙裔白人中意外TBI死亡（2001 - 2019年）、SCD（2015 - 2019年）和ADRD死亡（1999 - 2019年）的估计值。我们控制了已知与荣誉文化和ADRD相关的时期匹配变量（例如，农村地区、经济不稳定）。在控制协变量后，我们观察到，荣誉取向更强的州意外TBI死亡率更高（β = 0.39，p = 0.016）、SCD（β = 0.58，p = 0.001）和ADRD死亡率更高（β = 0.49，p = 0.030）。研究结果表明，荣誉文化的规范和价值观可能会增加TBI、SCD和ADRD的风险。本文还讨论了对教育、识别和干预措施的启示。
