讨论美国拉丁美洲人健康、衰老和阿尔茨海默病生物标志物的社会决定因素的相互作用。

Jairo E Martinez, Jaime Perales-Puchalt, Miriam J Rodriguez, Monica Rosselli, Christian Salazar, David X Marquez, Melissa Lamar, Clara Vila-Castelar, Katya Rascovsky, Sid O'Bryant, Raul Vintimilla, Mirella Díaz-Santos, Idaly Velez-Uribe, Yakeel T Quiroz, Jorge Llibre-Guerra
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引用次数: 0

摘要

本研究考察了美国拉丁裔人群中健康的社会决定因素(SDoH)对生物年龄相关衰退和阿尔茨海默病和相关痴呆(ADRD)生物标志物轨迹的影响,强调需要针对社区量身定制的综合多层次研究框架。我们讨论了美国拉丁裔社区中普遍存在的SDoH,包括经济、教育和医疗保健机会不平等,这些不平等加剧了健康风险。随后,我们研究了拉丁美洲人在ADRD患病率和生物标志物轨迹上的显著差异,表明SDoH和生物标志物之间的相互作用有助于ADRD的风险和进展。我们的观点反映了现有的研究前景,注意到从识别和理解ADRD的差异到研究纳入生物标志物和制定可操作的干预措施以解决更广泛的SDoH的研究存在巨大差距。这种转变对于创建更全面的ADRD研究方法和设计真正有效的策略来减轻ADRD差异和改善老年美国拉丁美洲人的大脑健康至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Discussing the interplay of social determinants of health, aging and Alzheimer's biomarkers in U.S. Latinos.

This perspective examines the impact of Social Determinants of Health (SDoH) on biological age-related decline and Alzheimer's Disease and Related Dementias (ADRD) biomarker trajectories in U.S. Latino populations, emphasizing the need for comprehensive multilevel research frameworks tailored to the community. We discuss the prevailing SDoH among U.S. Latino communities, including economic, educational, and healthcare access inequities that heighten health risks. Subsequently, we examine the pronounced differences in ADRD prevalence and biomarker trajectories among Latinos, suggesting that the interplay between SDoH and biological markers contributes to ADRD risk and progression. Our perspective reflects on the existing research landscape, noting a substantial gap in studies extending beyond identifying and understanding disparities in ADRD, to research incorporating biomarkers and developing actionable interventions to address broader SDoH. This shift is essential for creating a more holistic approach to ADRD research and devising truly effective strategies to mitigate ADRD disparities and improve brain health for older U.S. Latinos.

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