摘要
目标:测量老年痴呆症筛查的可接受性,并评估美国老年初级保健病人种族多样化样本的筛查结果。 设计:65岁及以上初级保健患者的横断面研究。 地点:印第安纳州印第安纳波利斯的城市和郊区初级保健诊所,2008年至2009年。 参与者:954名初级保健患者,没有明确诊断为痴呆症。 测量:痴呆症社区筛查工具,小型精神状态检查和电话认知筛查工具。 结果:同意参加的954名研究参与者中,有748人同意接受痴呆筛查,206人拒绝接受筛查。整体回应率为78.4%。同意筛查的样本阳性筛查率为10.2%。调整人口统计学差异后,以下特征仍与痴呆筛查阳性的可能性增加有关:年龄,男性和低等教育。相信自己比其他同龄人有更多记忆力问题的患者也更有可能对痴呆筛查阳性。 结论:年龄和感知记忆问题与初级保健中痴呆筛查阳性有关
关键词: 痴呆筛查,阿尔茨海默病,初级保健,诊断评估,记忆。
Current Alzheimer Research
Title:Acceptability and Results of Dementia Screening Among Older Adults in the United States
Volume: 15 Issue: 1
关键词: 痴呆筛查,阿尔茨海默病,初级保健,诊断评估,记忆。
摘要: Objectives: To measure older adults acceptability of dementia screening and assess screening test results of a racially diverse sample of older primary care patients in the United States.
Design: Cross-sectional study of primary care patients aged 65 and older.
Setting: Urban and suburban primary care clinics in Indianapolis, Indiana, in 2008 to 2009.
Participants: Nine hundred fifty-four primary care patients without a documented diagnosis of dementia.
Measurements: Community Screening Instrument for Dementia, the Mini-Mental State Examination, and the Telephone Instrument for Cognitive Screening.
Results: Of the 954 study participants who consented to participate, 748 agreed to be screened for dementia and 206 refused screening. The overall response rate was 78.4%. The positive screen rate of the sample who agreed to screening was 10.2%. After adjusting for demographic differences the following characteristics were still associated with increased likelihood of screening positive for dementia: age, male sex, and lower education. Patients who believed that they had more memory problems than other people of their age were also more likely to screen positive for dementia.
Conclusion: Age and perceived problems with memory are associated with screening positive for dementia in primary care.
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Acceptability and Results of Dementia Screening Among Older Adults in the United States, Current Alzheimer Research 2018; 15 (1) . https://dx.doi.org/10.2174/1567205014666170908100905
DOI https://dx.doi.org/10.2174/1567205014666170908100905 |
Print ISSN 1567-2050 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5828 |
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