中国全科医学2026，Vol.29Issue(16)：2227-2233,2243,8.DOI:10.12114/j.issn.1007-9572.2024.0681
新疆地区城乡老年人主观认知下降现状及影响因素的对比研究
A Comparative Study on the Current Situation and Influencing Factors of Subjective Cognitive Decline among Urban and Rural Elderly People in Xinjiang
摘要
Abstract
Background Subjective Cognitive Decline(SCD)is an asymptomatic early stage of Alzheimer's Disease(AD).There are few studies on the comparative study of SCD status and influencing factors in the elderly between urban and rural areas in China.Objective To investigate the current status and influencing factors of SCD in the urban and rural elderly in Xinjiang,and to provide a reference for the development of relevant evaluation and intervention measures.Methods From July to September 2023,a multi-stage stratified cluster random sampling method was used to select elderly people from 9 urban communities in 13 rural areas of Xinjiang Uygur Autonomous Region as the research object.The general demographic characteristics,physiological health status,mental health status and social support status of the elderly were collected by questionnaire.The physical function status of the elderly was collected by physical measurement.Binary Logistic regression was used to analyze the influencing factors of SCD in the elderly in Xinjiang.Results A total of 1 377 valid questionnaires were collected,and the effective recovery rate was 95.22%.The incidence of SCD among the elderly in urban and rural areas of Xinjiang region was 44.88%(618/1 377),among which the incidence of SCD in rural areas was 47.02%(292/621),and that in urban areas was 43.12%(326/756),there was no statistically significant difference between the two(P>0.05).Binary Logistic regression analysis showed that:financial resources,vision,hearing,aCCI,depression and anxiety were the influencing factors of SCD in the rural elderly in Xinjiang(P<0.05);gender,vision,hearing and anxiety were the influencing factors of SCD in the urban elderly in Xinjiang(P<0.05).Conclusion The incidence of SCD is high in the urban and rural elderly in Xinjiang,and the risk factors for SCD are different between urban and rural elderly.Medical staff should strengthen the screening,diagnosis and health education of SCD risk in the elderly,and consider the urban-rural differences in the intervention of the elderly,improve the cognitive function of the elderly and delay the occurrence and development of SCD.关键词
主观认知下降/老年人/患病率/影响因素分析/城乡对比/新疆Key words
Subjective cognitive decline/Aged/Prevalence/Root cause analysis/Urban-rural comparison/Xinjiang分类
医药卫生引用本文复制引用
于珊,车雅洁,苏比伊努尔·麦麦提,郭楷扬,冯星星,颜萍..新疆地区城乡老年人主观认知下降现状及影响因素的对比研究[J].中国全科医学,2026,29(16):2227-2233,2243,8.基金项目
新疆维吾尔自治区区域协同创新专项-科技援疆计划(2022E02119) （2022E02119）
新疆医科大学2024年科研创新团队项目(XYD2024C06) （XYD2024C06）
