Parkinson's Disease Inequities in Daily Cognitive Activities: An Intersectional Approach.

IF 3.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ethnicity & Disease Pub Date : 2024-07-02 eCollection Date: 2024-02-01 DOI:10.18865/ed.34.2.113

Paris B Adkins-Jackson, Nicole Taikeff, Josephine Akingbulu, Justina F Avila-Rieger, Caitlin A Corona-Long

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引用次数: 0

Abstract

Objective: Intersectionality approaches to examining differences in Parkinson's disease (PD) based on racialized group, gender identity, and socioeconomic status (SES) are not well covered in the literature. Additionally, the differences in daily cognitive activities for persons diagnosed with PD by racialized group, gender, and SES are undetermined. This study was conducted to explore the differences in PD daily cognitive activities for diverse racialized groups by gender and SES.

Methods: This study was a secondary analysis of the Michael J. Fox Foundation's Fox Insight online clinical dataset. Persons with PD were partitioned into 16 racialized by gender groups (Black women, Indigenous men, Latina/x women, Asian men, etc.) that were used in within-group comparisons of low-, middle-, and high-SES-a new variable comprising education and income.

Results: Intersectional analyses revealed most items differed between low-SES and high-SES except for items associated with Black and Indigenous men, for whom significant differential item functioning was found between mid-SES and high-SES.

Conclusions: These findings revealed that within-group differences exist and may be missed in research in which social factors are adjusted for instead of included in the model.

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帕金森病患者在日常认知活动中的不平等：交叉方法。

目的：文献中没有很好地涵盖基于种族群体、性别认同和社会经济地位（SES）的交叉性方法来研究帕金森病（PD）的差异。此外，不同种族、性别和社会经济地位的帕金森病患者在日常认知活动方面的差异也尚未确定。本研究旨在探讨不同种族群体在帕金森病日常认知活动方面的性别和社会经济地位差异：本研究是对迈克尔-J-福克斯基金会的福克斯洞察在线临床数据集进行的二次分析。将患有帕金森病的人按性别分为 16 个种族化群体（黑人女性、土著男性、拉丁裔/x 女性、亚裔男性等），用于低、中、高社会经济地位组内比较--社会经济地位是由教育程度和收入组成的新变量：交叉分析表明，除与黑人和土著男性相关的项目外，大多数项目在低社会经济地位和高社会经济地位之间存在差异，在中社会经济地位和高社会经济地位之间，黑人和土著男性的项目功能存在显著差异：这些研究结果表明，群体内差异是存在的，在研究中可能会忽略社会因素，而不是将其纳入模型。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.