哥伦比亚认知障碍的社会模式：来自2015年成人健康与老龄化调查（SABE）研究的证据

Social patterning of cognitive impairment in Colombia: evidence from the SABE 2015 study.

作者信息

Barragán Alejandra Guerrero, Gómez Inés Elvira, Cuesta Diego Iván Lucumí

机构信息

Global Brain Health Institute, Trinity College Institute of Neuroscience, Trinity College Dublin, Room 0.60 Lloyd Building, Dublin, 2, Ireland.

Global Brain Health Institute, University of California, San Francisco (UCSF), 1651 4Th St, 3Rd Floor, San Francisco, CA, 94158, USA.

出版信息

BMC Geriatr. 2024 Dec 19;24(1):1002. doi: 10.1186/s12877-024-05432-0.

DOI:10.1186/s12877-024-05432-0

PMID:39702136

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11658237/

Abstract

INTRODUCTION

Dementia, an increasingly critical public health concern in low and middle-income countries, is associated with lower socioeconomic status, early cognitive impairment, and elevated dementia-related mortality risk. This study seeks to estimate the prevalence of cognitive impairment, investigate its links with social indicators, and visualize social gradients across different regions in Colombia.

METHODS

Secondary data analysis from the SABE 2015 survey, multinomial regression analyses, and equiplot graphs.

RESULTS

A sample of 23,694 individuals 60 years or older from Colombia. Higher risks were observed among individuals with dark skin color (OR 1.27; 95%CI: 1.10 - 1.47), lower educational levels (OR 3.01; 95%CI:2.04 - 4.42) and reading illiteracy (OR 2.14; 95%CI: 1.87 - 2.46). Inequity patterns were identified by region of residence and income.

DISCUSSION

This study underscores the need for targeted interventions aimed at reducing health inequities. The results highlight the higher prevalence rates of cognitive impairment among socially disadvantaged individuals.

摘要

引言

痴呆症在低收入和中等收入国家已成为日益严重的公共卫生问题，它与较低的社会经济地位、早期认知障碍以及痴呆症相关的较高死亡风险有关。本研究旨在估计认知障碍的患病率，调查其与社会指标的关联，并直观呈现哥伦比亚不同地区的社会梯度。

方法

对2015年SABE调查的二手数据分析、多项回归分析以及等值线图。

结果

来自哥伦比亚的23694名60岁及以上个体的样本。肤色较深者（比值比1.27；95%置信区间：1.10 - 1.47）、教育水平较低者（比值比3.01；95%置信区间：2.04 - 4.42）以及文盲（比值比2.14；95%置信区间：1.87 - 2.46）的风险更高。根据居住地区和收入确定了不平等模式。