我国居民对认知体检的认识、态度调查及相关因素分析

Objective To analyze the perceptions, attitudes toward cognitive screening and associated factors in Chinese population. Methods It was a cross-sectional study, a total of 1 246 Chinese residents who used smartphones and completed the cognitive screening survey in the Sojump application from February 22 to March 7, 2024 were consecutively selected as the study subjects. The questionnaire content included demographic data, physical examination information, perceptions of cognitive disorders, perceptions, attitudes and suggestions of cognitive screening. A total of 1 273 questionnaires were distributed, and 1 273 were retrieved, of which 1 246 were valid (97.9%). The logistic regression analysis was used to evaluate factors associated with the attitudes toward cognitive screening in the subjects. Results Of the 1 246 respondents included in the study, 468 were male and 778 were female, with a mean age of (43.9±13.8) years. The respondents covered 26 provincial-level administrative regions in China, including 347 (27.8%) in the east, 429 (34.4%) in the middle and 470 (37.7%) in the west. While 943 respondents failed to comprehend the cognitive screening, 914 considered it necessary. Additionally, 447 respondents recommended initiating cognitive screening at age 50, 927 respondents recommended annual screening, and 924 respondents preferred scale assessment. Female (OR=2.121, 95%CI: 1.599-2.815), middle-aged and elderly (OR=1.681, 95%CI: 1.223-2.310), urban residents (OR=1.426, 95%CI: 1.002-2.029), high per capita monthly household income (OR=1.253, 95%CI: 1.063-1.477), had complete physical examination (OR=1.404, 95%CI: 1.015-1.943), better understanding of cognitive disorders (OR=2.202, 95%CI: 1.750-2.772), and better understanding of cognitive screening (OR=3.313, 95%CI: 2.227-4.931) showed positive correlations with the attitude favoring cognitive screening (all P<0.05). Conclusion The perception levels of cognitive screening among Chinese residents are relatively low, but their attitudes are positive. Socio-economic factors, behavioral experiences, and knowledge levels are associated with residents′ attitudes toward cognitive screening.