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宁夏老年人轻度认知障碍现状及影响因素分析

Analysis of the current status and influencing factors of mild cognitive impairment in elderly people in Ningxia

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目的 探讨宁夏老年人轻度认知障碍(MCI)患病情况及其影响因素.方法 采用分层整群随机抽样选取宁夏地区6个县(区)的8个社区、3个村中5 110名65岁以上老年人开展认知障碍筛查.调查内容包括基本信息、痴呆筛查量表(AD8)和简明社区痴呆筛查量表(CSI-D).应用二分类logistic回归法分析MCI的影响因素.结果 宁夏地区老年人MCI患病率为12.97%.单因素分析结果显示,性别、年龄、居住地区、锻炼、婚姻状况、家庭人均月收入、饮酒、患慢性病、自评健康状况对老年人MCI的影响差异具有统计学意义.logistic回归结果显示,农村居住(OR=0.355,95%CI:0.258~0.488)、自评健康(OR=0.301,95%CI:0.206~0.441)是 MCI 患病的保护因素.女性(OR=1.236,95%CI:1.0.23~1.496)、高龄≥75岁(OR=1.711,95%CI:1.384~2.115)、未婚/离异/丧偶(OR=1.383,95%CI:1.091~1.754)、家庭平均收入>4000(OR=1.63,95%CI:1.197~2.220)是MCI患病率的危险因素.结论 在农村居住和自评健康是MCI患病率的保护因素,女性、高龄、无配偶、家庭平均收入≥4 000元是MCI患病率的危险因素.需多维制定个性化干预模式,为老年人提供早期的认知训练和健康促进活动,减缓老年人认知衰退进程.
Objective To explore the epidemic and influencing factors of mild cognitive impairment(MCI)among the elderly people in Ningxia.Methods A stratified cluster random sampling was used to select 5 110 elderly individuals aged over 65 from 3 villa-ges and 8 communities in Ningxia 6 counties(districts)for cognitive impairment screening.The survey included demographic informa-tion,the dementia screening scale(AD8),and the concise community dementia screening scale(CSI-D).The binary logistic regression analysis was used to identify the influencing factors of MCI.Results The prevalence rate of MCI among elderly people in Ningxia region was 12.97%.The results of univariate analysis indicated that gender,age,ethnicity,marital status,monthly family income,residence,alcohol consumption,physical exercise habits,presence of chronic diseases and self-rated health status significantly affected the detec-tion rate of MCI among the elderly people.The results of logistic regression showed that the rural residence(OR=0.355;95%CI:0.258~0.488)and self-rated health(OR=0.301,95%CI:0.206~0.441)were protective factors against MCI onset while being fe-male(OR=1.236,95%CI:1.023~1.496),age over or equal to 75 years old(OR=1.711,95%CI:1.384~2.115),No spouse(OR=1.383;95%CI:1.091~1.754),average family income ≥4 000 yuan(OR=1.63,95%Cl:1.197~2.220)were identified as the risk factors for the incidence of MCI.Conclusion Living in rural areas and self-rated health are protective factors for the incidence of MCl,while female,elderly,unmarried,and average household income>4000 yuan are the risk factors for developing MCI.Therefore,Multifaceted intervention measures are necessary to mitigate cognitive decline among the elderly people.

Mild cognitive impairmentInfluencing factorsElderly people

吕彩霞、赵琬清、党媛媛、江洪、刘媛

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宁夏回族自治区宁安医院公共卫生部,宁夏银川 750011

中国医学科学院信息研究所,北京 100021

轻度认知障碍 影响因素 老年人

2024

宁夏医学杂志
中华医学会宁夏分会

宁夏医学杂志

影响因子:0.706
ISSN:1001-5949
年,卷(期):2024.46(12)