Population attributable fraction of modifiable risk factors for dementia in Chile.

IF 4 2区 经济学 Q1 AGRICULTURAL ECONOMICS & POLICY
Agricultural and Food Economics Pub Date : 2022-02-23 eCollection Date: 2022-01-01 DOI:10.1002/dad2.12273
Rodrigo C Vergara, Pedro Zitko, Andrea Slachevsky, Consuelo San Martin, Carolina Delgado
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Abstract

Introduction: Projected dementia incidence in Latin America and the Caribbean for the next decades is overwhelming. Access to local data, stratified by sex, is imperative for planning precise dementia-prevention strategies.

Methods: We analyzed the individual and overall weighted population attributable fraction (PAF) of nine modifiable risk factors for dementia, in dementia-free subjects ≥45-years-old, using the 2016-2017 Chilean National Health Survey.

Results: The overall weighted PAF for modifiable risk factors was 45.8% (42.2% to 49.3%). Variables with the highest PAF were lower education, high blood pressure, hearing loss, and obesity. Women showed a greater overall weighted PAF: 50.7% (45.3% to -56.1%), compared to men: 40.2% (35.4% to 45.0%), driven by a higher PAF for physical inactivity and depression in women.

Discussion: The PAF for modifiable risk factors for dementia in Chile is higher than in previous world reports, due to a greater prevalence of cardiovascular risk factors. Women have a higher potential for dementia prevention.

Highlights: The proportion of dementia associated to modifiable risk factors in Chile is 45.8%.The main modifiable risk factors are high blood pressure, obesity, and hearing loss.Women had a greater prevalence of physical inactivity and depression than men.Chile had a greater prevalence of metabolic risk factors than other world regions.

智利痴呆症可改变风险因素的人口可归因比例。
导言:预计未来几十年拉丁美洲和加勒比地区的痴呆症发病率将非常高。要规划精确的痴呆症预防策略,就必须获得按性别分层的当地数据:我们利用 2016-2017 年智利全国健康调查,分析了年龄≥45 岁、无痴呆症的受试者中九个可改变的痴呆症风险因素的个体和总体加权人口可归因分数(PAF):可改变风险因素的总体加权PAF为45.8%(42.2%至49.3%)。教育程度较低、高血压、听力损失和肥胖是PAF最高的变量。女性的总体加权 PAF 值为 50.7%(45.3% 至 -56.1%),高于男性的 40.2%(35.4% 至 45.0%):讨论:智利可改变的痴呆症风险因素的PAF高于以往的世界报告,原因是心血管风险因素更为普遍。女性预防痴呆症的潜力更大:智利与可改变风险因素相关的痴呆症比例为45.8%,主要的可改变风险因素是高血压、肥胖和听力损失,女性缺乏运动和抑郁的患病率高于男性,智利代谢风险因素的患病率高于世界其他地区。
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来源期刊
Agricultural and Food Economics
Agricultural and Food Economics Agricultural and Biological Sciences-Agricultural and Biological Sciences (miscellaneous)
CiteScore
5.50
自引率
5.10%
发文量
29
审稿时长
13 weeks
期刊介绍: Agricultural and Food Economics (AFE) is an international peer-reviewed and open access journal published on behalf of the Italian Society of Agricultural Economics. AFE welcomes research articles from economists, scholars and researchers from all over the world to publish problem-oriented and high-quality articles. AFE publishes only original articles from a wide variety of economic perspectives that address current and relevant issues related to the agricultural and food system. AFE publishes articles focused on applied analysis, the discussion of innovative results, and relevant policy and managerial implications. AFE seeks clearly written articles from experts in the field, to promote insightful understanding of the current trends in the agri-food system. Topics of specific interest to AFE include agricultural and food market analysis, agri-food firm management and marketing, organization of the agri-food chains, consumer behavior, food quality and safety issues, economics of nutrition and food security, food and health economics, agri-food policy and trade, sustainable rural development, natural and marine resource economics and land economics.
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