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

IF 3.4 2区医学 Q2 GERIATRICS & GERONTOLOGY

BMC Geriatrics Pub Date : 2024-12-19 DOI:10.1186/s12877-024-05432-0

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

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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.

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哥伦比亚认知障碍的社会模式：来自SABE 2015研究的证据。

在低收入和中等收入国家，痴呆症是一个日益严重的公共卫生问题，它与较低的社会经济地位、早期认知障碍和痴呆症相关死亡风险升高有关。本研究旨在估计认知障碍的患病率，调查其与社会指标的联系，并可视化哥伦比亚不同地区的社会梯度。方法：对SABE 2015调查的二次资料进行分析，采用多项回归分析和等线图。结果：来自哥伦比亚的23,694名60岁或以上的个体的样本。深色皮肤人群的风险较高(OR 1.27；95%CI: 1.10 - 1.47)，较低的教育水平(OR 3.01；95%CI:2.04 - 4.42)和阅读文盲(OR 2.14；95%ci: 1.87 - 2.46)。根据居住地区和收入来确定不平等模式。讨论：这项研究强调需要采取旨在减少卫生不平等的有针对性的干预措施。研究结果表明，社会弱势群体的认知障碍患病率较高。

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

BMC Geriatrics GERIATRICS & GERONTOLOGY-

CiteScore

5.70

自引率

7.30%

发文量

873

审稿时长

20 weeks

期刊介绍： BMC Geriatrics is an open access journal publishing original peer-reviewed research articles in all aspects of the health and healthcare of older people, including the effects of healthcare systems and policies. The journal also welcomes research focused on the aging process, including cellular, genetic, and physiological processes and cognitive modifications.