上海市社区老年人轻度认知功能障碍的筛查分析

Status and associated factors of mild cognitive impairment among the elderly in Shanghai community

  • 摘要:
    目的 调查上海市社区老年人轻度认知功能障碍(MCI)现状,探究相关影响因素。
    方法 采用蒙特利尔认知评估基础量表对≥65岁社区老年人进行MCI筛查,对影响因素进行logistic回归分析。
    结果 在629位社区老年人中筛查出MCI 226位(35.90%)。更大的年龄(OR=1.04,95%CI:1.01~0.07)、更差的家庭收入(一般OR=2.20,95%CI:1.01~4.80;较差OR=2.59,95%CI:1.03~6.50)、听力状况影响生活(OR=1.86,95%CI:1.19~2.91)、有焦虑症状(OR=1.58,95%CI:1.02~2.44)的社区老年人更可能筛查出MCI。居住中心城区(OR=0.57,95%CI:0.37~0.89)和更高的社会支持(OR=0.97,95%CI:0.94~1.00)是筛查出MCI的保护因素。
    结论 上海市社区老年人MCI现状不容乐观,建立老年认知障碍友好型社区是十分重要且必要的。

     

    Abstract:
    Objective To explore the status of mild cognitive impairment (MCI) among the elderly in Shanghai communities, and to identify the factors associated with MCI.
    Methods The Montreal Cognitive Assessment-Basic (MoCA-B) was used to screen for MCI in elderly adults. Logistic regression analysis was conducted to identify the factors associated with MCI.
    Results Among 629 participants, 226 (35.90%) were positive for MCI. Older age (OR=1.04, 95%CI: 1.01-1.07), lower family income (average OR=2.20, 95%CI: 1.01-4.80; poor OR=2.59, 95%CI: 1.03-6.50), hearing impairment affecting daily life (OR=1.86, 95%CI: 1.19-2.91), and anxiety symptoms (OR=1.58, 95%CI: 1.02-2.44) were associated with the positive for MCI. Living in central urban area (OR=0.57, 95%CI: 0.37-0.89) and having higher social support (OR=0.97, 95%CI: 0.94-1.00) were protective factors for MCI.
    Conclusion The current status of MCI among the elderly in Shanghai communities is not optimistic. It is important and necessary to establish the cognitive-friendly community for the elderly.

     

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