Change of Cognitive Function in U.S. Chinese Older Adults: A Population-Based Study

This study aims to assess cognitive change in a 2-year period among U.S. Chinese older adults and examine sociodemographic characteristics associated with the change. Data were from the Population Study of Chinese Elderly (PINE) in which 2,713 participants (aged 60 and older) received in-home interv...

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Veröffentlicht in:The journals of gerontology. Series A, Biological sciences and medical sciences Biological sciences and medical sciences, 2017-07, Vol.72 (suppl_1), p.S5-S10
Hauptverfasser: Li, Lydia W, Ding, Ding, Wu, Bei, Dong, XinQi
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container_title The journals of gerontology. Series A, Biological sciences and medical sciences
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creator Li, Lydia W
Ding, Ding
Wu, Bei
Dong, XinQi
description This study aims to assess cognitive change in a 2-year period among U.S. Chinese older adults and examine sociodemographic characteristics associated with the change. Data were from the Population Study of Chinese Elderly (PINE) in which 2,713 participants (aged 60 and older) received in-home interviews at both the baseline and 2-year follow-up. A battery of cognitive tests that assessed episodic memory, working memory, perceptual speed, and overall cognitive status were administered in both times. A composite global cognition was constructed using all tests. Mixed-effect regression was conducted. Older age was associated with worse baseline cognition (ie, in all cognitive abilities) and faster decline in global cognition, episodic memory, and perceptual speed-rates of decline increased by .006, .004, and .009 standard score units, respectively, for each year older. More education was associated with better baseline cognition, but each year of additional schooling increased rates of decline in global cognition and episodic memory by .004 and .012 standard score units, respectively. Men performed better than women in most cognitive abilities at baseline but had faster rates of decline in working memory. Higher income was associated with better cognition at baseline and reduced rates of decline in working memory. Findings suggest differences in the rates of cognitive change by age, sex, education, and income. Those in advancing age are vulnerable to cognitive decline. The effects of education and sex on baseline performance versus change suggest a role for life experiences in cognition.
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Men performed better than women in most cognitive abilities at baseline but had faster rates of decline in working memory. Higher income was associated with better cognition at baseline and reduced rates of decline in working memory. Findings suggest differences in the rates of cognitive change by age, sex, education, and income. Those in advancing age are vulnerable to cognitive decline. 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More education was associated with better baseline cognition, but each year of additional schooling increased rates of decline in global cognition and episodic memory by .004 and .012 standard score units, respectively. Men performed better than women in most cognitive abilities at baseline but had faster rates of decline in working memory. Higher income was associated with better cognition at baseline and reduced rates of decline in working memory. Findings suggest differences in the rates of cognitive change by age, sex, education, and income. Those in advancing age are vulnerable to cognitive decline. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Aged
Aging
Asian - statistics & numerical data
Asian Americans
Changes
Chicago - epidemiology
Cognitive ability
Cognitive Dysfunction - diagnosis
Cognitive Dysfunction - ethnology
Female
Follow-Up Studies
Geriatrics
Humans
Longitudinal Studies
Male
Memory
Memory, Episodic
Middle Aged
Neuropsychological Tests
Older people
Population studies
Population-based studies
Regression analysis
Risk Factors
Short term memory
Surveys and Questionnaires
title Change of Cognitive Function in U.S. Chinese Older Adults: A Population-Based Study
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