■阿尔茨海默病(AD)与一种或多种慢性疾病有关,这可能会导致认知能力下降和痴呆。认知障碍正在增加,公共卫生官员必须解决AD的危险因素,以改善西德克萨斯州农村社区的健康状况。
■这项研究的目的是探讨与居住在科克伦的老年人认知障碍相关的社会人口统计学和慢性病危险因素,Parmer,和西德克萨斯州农村的贝利县。
■皮尔逊卡方等统计方法,比例测试,单变量二元逻辑回归,并利用多变量逻辑回归分析数据。采用SPSS软件检测认知障碍与危险因素之间的显著关系。
■通过使用交叉制表分析并通过比例测试比较县受访者,获得了社会人口统计学和慢性病的汇总统计数据。采用单变量二元逻辑回归方法,发现60-69岁年龄组,焦虑,抑郁症,糖尿病,高血压,和心血管疾病与认知障碍显著相关。使用多变量逻辑回归方法,研究发现,Bailey县(60~69岁年龄组)发生认知障碍的可能性(p=0.002)高于Parmer县(p=0.067)和Cochran县(p=0.064).与发展为AD的男性相比,Parmer县的女性(p=0.033)的风险降低了78.3%。
■确定认知障碍的重要风险因素对于解决地理差异问题很重要,整合这些因素可以指导相关的政策干预措施,以减少西德克萨斯州农村社区的认知障碍发生率。
UNASSIGNED: Alzheimer\'s disease (AD) is related to one or more chronic illnesses, which may develop cognitive decline and dementia. Cognitive impairment is increasing, and public health officials must address risk factors for AD to improve the health of rural West Texas communities.
UNASSIGNED: The purpose of this study was to explore the sociodemographic and chronic disease risk factors related to cognitive impairment among elderly adults living in Cochran, Parmer, and Bailey counties in rural West Texas.
UNASSIGNED: Statistical methods such as Pearson\'s chi-squared, proportion tests, univariate binary logistic regression, and a multivariable logistic regression were utilized to analyze data. SPSS software was used to detect the significant relationship between cognitive impairment and risk factors.
UNASSIGNED: Summary statistics were obtained for sociodemographic and chronic diseases by using cross-tabulation analysis and comparing the county respondents with proportion tests. A univariate binary logistic regression method was utilized and found that age group 60-69, anxiety, depression, diabetes, hypertension, and cardiovascular disease were significantly associated with cognitive impairment. Using a multivariable logistic regression approach, it was found that Bailey County (age group 60-69) had a higher likelihood (p = 0.002) of cognitive impairment than Parmer (p = 0.067) and Cochran counties (p = 0.064). The risk of females (p = 0.033) in Parmer County was 78.3% lower compared to males in developing AD.
UNASSIGNED: Identifying significant risk factors for cognitive impairment are important in addressing issues of geographic variations and integrating such factors may guide relevant policy interventions to reduce cognitive impairment incidence in rural communities within West Texas.