中老年人一生中的重大歧视和日常歧视与认知功能的关系。

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

Ethnicity & Disease Pub Date : 2024-08-21 eCollection Date: 2024-08-01 DOI:10.18865/EthnDis-2023-42

Ruijia Chen, DeAnnah R Byrd, Keith E Whitfield, David R Williams

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引用次数: 0

摘要

研究目的我们调查了终生歧视和日常歧视与认知功能的关系：数据来自芝加哥社区成人健康研究（n=2952，平均年龄=43岁 [SD=17]）。我们建立了多变量线性回归模型来量化辨别力与认知功能之间的关系：结果：终生重大歧视（β1 vs 0 次歧视 = 0.56；95% CI，0.15-0.96；β2+ vs 0 次歧视 = 0.64，95% CI，0.31-0.97）和日常歧视（β=0.10，95% CI，0.06-0.14）与认知能力呈正相关，且这些相关性不因种族/族裔而异。在老年人中，终生遭受的重大歧视（而非日常歧视）与认知能力呈正相关（β2+ vs 0 次歧视 =1.79；95% CI，0.79-2.79）：讨论：测量和选择偏差可能部分解释了研究结果的反直觉性。我们呼吁开展纵向研究，进一步调查歧视与认知之间的关系。

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Associations of Major Lifetime and Everyday Discrimination with Cognitive Function among Middle-Aged and Older Adults.

Objectives: We investigated the associations of lifetime and everyday discrimination with cognitive function.

Methods: Data were from the Chicago Community Adult Health Study (n=2952, mean age=43 years [SD=17]). We fitted multivariable linear regression models to quantify the discrimination-cognition associations.

Results: Major lifetime (β_{1 vs 0 episodes of discrimination} = 0.56; 95% CI, 0.15-0.96; β_{2+ vs 0 episodes of discrimination} = 0.64, 95% CI, 0.31-0.97) and everyday (β=0.10, 95% CI, 0.06-0.14) discrimination were positively associated with cognition, and these associations did not differ by race/ethnicity. Among older adults, major lifetime discrimination, but not everyday discrimination, was positively associated with cognition (β_{2+ vs 0 episodes of discrimination} =1.79; 95% CI, 0.79-2.79).

Discussion: Measurement and selection bias may partially explain the counterintuitive study findings. We call for longitudinal research to further investigate the discrimination-cognition relationship.

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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.