杨玉婷, 付朝伟, 辛照华, 方嘉列, 宋锐, 匡佳雯, 张彧文, 黎浩岑, 王静夷. 上海市社区老年人轻度认知功能障碍的筛查分析[J]. 上海预防医学, 2023, 35(10): 1016-1024. DOI: 10.19428/j.cnki.sjpm.2023.22973
引用本文: 杨玉婷, 付朝伟, 辛照华, 方嘉列, 宋锐, 匡佳雯, 张彧文, 黎浩岑, 王静夷. 上海市社区老年人轻度认知功能障碍的筛查分析[J]. 上海预防医学, 2023, 35(10): 1016-1024. DOI: 10.19428/j.cnki.sjpm.2023.22973
YANG Yuting, FU Chaowei, XIN Zhaohua, FANG Jialie, SONG Rui, KUANG Jiawen, ZHANG Yuwen, Li Haocen, WANG Jingyi. Status and associated factors of mild cognitive impairment among the elderly in Shanghai community[J]. Shanghai Journal of Preventive Medicine, 2023, 35(10): 1016-1024. DOI: 10.19428/j.cnki.sjpm.2023.22973
Citation: YANG Yuting, FU Chaowei, XIN Zhaohua, FANG Jialie, SONG Rui, KUANG Jiawen, ZHANG Yuwen, Li Haocen, WANG Jingyi. Status and associated factors of mild cognitive impairment among the elderly in Shanghai community[J]. Shanghai Journal of Preventive Medicine, 2023, 35(10): 1016-1024. DOI: 10.19428/j.cnki.sjpm.2023.22973

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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