A Commentary: Invisibility of Older African-American Adults in Electrophysiological Research on Alzheimer's Disease.

IF 3.4 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ethnicity & Disease Pub Date : 2024-10-22 eCollection Date: 2024-10-01 DOI:10.18865/EthnDis-2023-76
Ezra C Holston
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Abstract

Background: Currently, researchers are examining the feasibility of integrating electrophysiological biomarkers in the clinical assessment of older adults (≥65 years of age) with Alzheimer's disease (AD). This research has been executed predominantly in older Caucasian adults. Older African-American adults have not been effectively recruited for this research. This issue has resulted in a significant gap in the literature about electrophysiological biomarkers and potential clinical utility in assessing for and diagnosing AD in older African-American adults.

Purpose: To share an opinion about the invisibility of older African-American adults in electrophysiological research on AD and potential outcome their inclusion can have on the integration of electrophysiological biomarkers into clinical practice.

Methods: For this commentary, it was necessary to determine the status of older African-American adults in electrophysiological research. Studies were identified using the search engines PUBMED, CINAHL, Elsevier, and Scopus with a time range of between 2016 and 2022. Nineteen peer-reviewed studies supported this commentary.

Results: In older Caucasian adults with AD, electrophysiological biomarkers were associated with the onset and progression of AD. These biomarkers related to the cognitive impairment of AD and its manifestations. There were no studies characterizing any electrophysiological biomarkers in older African-American adults with AD.

Conclusion: Research is growing to support the integration of electrophysiological biomarkers into clinical practice. The invisibility of older African-American adults in this research affects the reliability of electrophysiological biomarkers and their application to persons with AD in racially diverse groups. This invisibility also contributes to health disparities confronting older African-American adults with AD and their caregivers.

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评论:非裔美国老人在阿尔茨海默病电生理研究中的隐匿性。
背景:目前,研究人员正在研究将电生理生物标志物纳入阿尔茨海默病(AD)老年人(≥65 岁)临床评估的可行性。这项研究主要针对高加索老年人。非裔美国老年人尚未被有效招募参与这项研究。目的:就非裔美国老年人在 AD 电生理研究中的不可见性以及将他们纳入研究对将电生理生物标记纳入临床实践可能产生的潜在结果发表看法:为了撰写本评论,有必要确定非裔美国老年人在电生理研究中的地位。我们使用 PUBMED、CINAHL、Elsevier 和 Scopus 等搜索引擎确定了时间范围在 2016 年至 2022 年之间的研究。19项经同行评审的研究支持了这一评论:在患有注意力缺失症的高加索老年人中,电生理生物标志物与注意力缺失症的发病和进展有关。这些生物标志物与 AD 的认知障碍及其表现有关。目前还没有研究表明任何电生理生物标志物在非裔美国人老年注意力缺失症患者中的特征:越来越多的研究支持将电生理生物标志物纳入临床实践。在这项研究中,非裔美国人老年人不受关注,这影响了电生理生物标志物的可靠性及其在不同种族群体中 AD 患者中的应用。这种隐匿性还造成了患有注意力缺失症的非裔美国老年人及其照顾者所面临的健康差异。
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来源期刊
Ethnicity & Disease
Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.30
自引率
0.00%
发文量
43
审稿时长
6-12 weeks
期刊介绍: Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.
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