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PERCEPTIONS OF RISK FACTORS FOR ALZHEIMER’S DISEASE AMONG COMMUNITY LIVING NON-DEMENTED OLDER AFRICAN AMERICANS.

机译:老年患者中非老年性痴呆患者中老年痴呆症风险因素的感知。

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摘要

Heightened Alzheimer’s disease (AD) risk among African Americans represents a racial disparity in aging. An open question remains about variables that older African Americans perceive as AD risk factors. This study examines perceptions of potential AD risk factors among older non-demented African Americans. Participants from the Minority Aging Research Study (N=610; mean age=74.6 years, mean education=14.9 years, and 24% men) indicated how important 9 factors were in increasing one’s risk of AD using a 4-point Likert scale from 1= not at all important to 4= extremely important. We examined perceptions of AD risk factors as a function of age, education, gender, and global cognition using separate logistic regression models for each factor. Of the 9 AD risk factors, genetics and God’s Will were significantly related to predictors of interest. Younger participants (est. = -0.06, p= 0.02) and those with more education (est. = 0.14, p= 0.02) were more likely to report genetics as extremely important. Participants with more education were less likely to indicate God’s Will as extremely important (est. = -0.14, p< .0005). Genetics and God’s Will are perceived as salient risk factors for AD among subgroups of older African Americans. Younger and more educated African Americans perceive genetics as an important AD risk factor while those with less education perceive God’s Will as an important AD risk factor. As older African Americans are not a monolithic group, findings can facilitate the design of effective and culturally competent educational tools for meaningful engagement with older African Americans about AD.
机译:非洲裔美国人罹患阿尔茨海默氏病(AD)的风险增加,这是老龄化的种族差异。对于年长的非洲裔美国人认为是AD危险因素的变量,仍然存在一个悬而未决的问题。这项研究调查了年龄较大,未痴呆的非裔美国人对潜在AD危险因素的看法。来自少数族裔研究研究的参与者(N = 610;平均年龄= 74.6岁,平均受教育程度= 14.9岁,男性占24%)使用4点Likert量表从1提高了9个因素在增加AD风险中的重要性。 =根本不重要,到4 =非常重要。我们使用针对每个因素的独立Logistic回归模型,考察了AD风险因素与年龄,教育程度,性别和全球认知之间的关系。在这9种AD危险因素中,遗传学和上帝的意愿与所关注的预测因素显着相关。较年轻的参与者(估计= -0.06,p = 0.02)和受过较高教育的参与者(估计= 0.14,p = 0.02)更有可能报告遗传学非常重要。受过更多教育的参与者不太可能表明上帝的旨意极为重要(估计= -0.14,p <.0005)。遗传和上帝的意志被认为是老年非裔美国人亚组中AD的重要危险因素。年轻人和受过良好教育的非裔美国人将基因视为重要的AD危险因素,而受教育程度较低的非洲裔美国人则将上帝的意愿视为重要的AD危险因素。由于老年非裔美国人并不是一个庞大的群体,因此研究发现可以促进设计有效和具有文化能力的教育工具,以使老年非裔美国人有意义地参与有关AD的活动。

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