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宁夏老年人轻度认知障碍现状及影响因素分析

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