Status and associated factors of mild cognitive impairment among the elderly in Shanghai community

• Published in: Shanghai Yufang Yixue Vol. 35; no. 10; pp. 1016 - 1024
• Main Authors: YANG Yuting, FU Chaowei, XIN Zhaohua, FANG Jialie, SONG Rui, KUANG Jiawen, ZHANG Yuwen, Li Haocen, WANG Jingyi
• Format: Journal Article
• Language: Chinese
• Published: Shanghai Preventive Medicine Association 01.10.2023
• Subjects: associated factor; cross-section study; mild cognitive impairment; older adult; prevalence
• DOI: 10.19428/j.cnki.sjpm.2023.22973
• ISSN: 1004-9231

ObjectiveTo explore the status of mild cognitive impairment （MCI） among the elderly in Shanghai communities， and to identify the factors associated with MCI.MethodsThe 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.ResultsAmong 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.ConclusionThe current status of MCI among the elderly in Shanghai communities is not optimistic. It is important and necessary to establish the cognitive-friendly community