Cognitive function in Vietnam: the effects of war exposure and social engagement.

IF 2.8 3区医学 Q3 GERIATRICS & GERONTOLOGY

Aging & Mental Health Pub Date : 2024-07-16 DOI:10.1080/13607863.2024.2379404

Jared M Poff, Kim Korinek, Tran Khanh Toan

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引用次数: 0

Abstract

Objective: Vietnam is an LMIC in Asia that is experiencing rising cases of Alzheimer's disease and related dementias (ADRD). Many Vietnamese adults at risk of ADRD have experienced early-life war exposures, which may have negative impacts on their cognitive function in later years.

Methods: Our study uses the Vietnam Health and Aging Study (VHAS) to investigate the impact of early-life war exposure on cognitive function in later life while also considering variations in social engagement. The sample consists of 2352 adults aged 60 and older from northern and central Vietnam. Cognitive function, measured by questions from the Mini Mental State Examination (MMSE), and self-rated memory are our dependent variables and five measures related to social engagement serve as independent variables.

Results: Our results show an association between PTSD symptoms and poorer cognitive function (0.0704, p < 0.05) and self-rated memory (OR = 0.904, p < 0.001; 95%). Similar results are also found among for individuals with lower level of social engagement. Furthermore, several sociodemographic factors exhibit attenuated effects on cognitive function due to variations in social engagement.

Conclusion: Social engagement is generally beneficial for cognitive health amongst those with early-life war exposure, but it does not necessarily attenuate the effects of trauma.

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越南人的认知功能：战争暴露和社会参与的影响。

目的：越南是亚洲的一个低收入国家，阿尔茨海默病和相关痴呆症（ADRD）的发病率正在上升。许多面临阿尔茨海默病风险的越南成年人早年都经历过战争，这可能会对他们晚年的认知功能产生负面影响：我们的研究利用越南健康与老龄化研究（VHAS）来调查早年的战争经历对晚年认知功能的影响，同时还考虑了社会参与度的变化。样本包括来自越南北部和中部的 2352 名 60 岁及以上的成年人。认知功能（通过迷你精神状态检查（MMSE）中的问题进行测量）和自评记忆力是我们的因变量，与社会参与相关的五个测量指标是自变量：结果：我们的研究结果表明，创伤后应激障碍症状与较差的认知功能之间存在关联（0.0704，p p 结论：社会参与通常对认知健康有益：对于早年经历过战争的人来说，社会参与通常有益于认知健康，但并不一定能减轻创伤的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging & Mental Health 医学-精神病学

CiteScore

7.00

自引率

2.90%

发文量

176

审稿时长

4-8 weeks

期刊介绍： Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.

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