Parkinson's Disease Inequities in Daily Cognitive Activities: An Intersectional Approach.

Autor: Adkins-Jackson PB; Departments of Epidemiology and Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY., Taikeff N; Massachusetts General Hospital, Boston, MA., Akingbulu J; School of Community and Global Health, Claremont Graduate University, Claremont, CA., Avila-Rieger JF; Gertrude H. Sergievsky Center and Institute for Research in Aging and Alzheimer's Disease, Columbia University, New York, NY., Corona-Long CA; Department of Psychological and Brain Sciences, Johns Hopkins University, Baltimore, MD.
Jazyk: angličtina
Zdroj: Ethnicity & disease [Ethn Dis] 2024 Jul 02; Vol. 34 (2), pp. 113-122. Date of Electronic Publication: 2024 Jul 02 (Print Publication: 2024).
DOI: 10.18865/ed.34.2.113
Abstrakt: Objective: Intersectionality approaches to examining differences in Parkinson's disease (PD) based on racialized group, gender identity, and socioeconomic status (SES) are not well covered in the literature. Additionally, the differences in daily cognitive activities for persons diagnosed with PD by racialized group, gender, and SES are undetermined. This study was conducted to explore the differences in PD daily cognitive activities for diverse racialized groups by gender and SES.
Methods: This study was a secondary analysis of the Michael J. Fox Foundation's Fox Insight online clinical dataset. Persons with PD were partitioned into 16 racialized by gender groups (Black women, Indigenous men, Latina/x women, Asian men, etc.) that were used in within-group comparisons of low-, middle-, and high-SES-a new variable comprising education and income.
Results: Intersectional analyses revealed most items differed between low-SES and high-SES except for items associated with Black and Indigenous men, for whom significant differential item functioning was found between mid-SES and high-SES.
Conclusions: These findings revealed that within-group differences exist and may be missed in research in which social factors are adjusted for instead of included in the model.
Competing Interests: Conflict of Interest: No conflict of interest reported by authors.
Databáze: MEDLINE