Innovation in Aging最新文献

{"title":"Associations Between Self-Reported Visual and Hearing Functioning and Cognitive Function among Hispanics/Latino: Hispanic Community Health Study (HCHS/SOL)","authors":"D. Zheng, Byron L. Lam, Charlotte E Joslin, Hector M Gonzalez, Rachael R. Baiduc, W. Tarraf, A. Stickel, Martha Daviglus, Olga L. Garcia-Bedoya, Neil Schneiderman, Franklyn Gonzalez, David J. Lee","doi":"10.1093/geroni/igae006","DOIUrl":"https://doi.org/10.1093/geroni/igae006","url":null,"abstract":"\u0000 \u0000 \u0000 To investigate the associations between self-reported visual functioning (VF) and hearing functioning (HF) with cognition in the Hispanic/Latino population.\u0000 \u0000 \u0000 \u0000 We utilized data from the Miami Ocular SOL ancillary study to Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with 1,056 participants aged 45 and older. The outcomes were cognitive performances assessed by the Digit Symbol Substitution Test (DSST), Word Fluency, Brief Spanish-English Verbal Learning Test-recall (B-SEVLT recall), words recalled over three trials, and the Six-Item Screener. Visual functioning was measured by National Eye Institute Visual Function Questionnaire (NEI-VFQ) and hearing function was measured by Hearing Handicap Inventory Screening Questionnaire for Adults and Elderly (HHIA/E-S). Multiple regressions were performed for each cognitive outcome while controlling for covariates and complex sampling design.\u0000 \u0000 \u0000 \u0000 NEI-VFQ was associated with 3 of the 5 cognitive outcomes. A 4-point NEI-VFQ score difference was associated with 0.56-point difference in DSST (se=0.27, p<0.001), 0.17 in Word fluency (se=0.16, p<0.01), and 0.08 in B-SEVLT-recall (se=0.07, p<0.01). HHIA/E-S was not associated with any of the cognitive measures examined.\u0000 \u0000 \u0000 \u0000 These data suggest that impaired visual functioning is associated with worse cognition in the Hispanic/Latino population. Although previous work in this cohort indicated hearing loss assessed by pure tone audiometry was associated with worse cognition, we found self-perceived hearing function was not associated with cognition, suggesting the potential limitation of self-reported hearing function as a proxy for hearing loss in epidemiological research in Hispanic/Latino populations. Results also imply impaired visual functioning and hearing function may be linked to cognition differently in Hispanic population and more research is needed to better understand the underlying linking mechanisms. Visual and hearing impairment are common and treatable and represent important modifiable risk factors that can be treated to preserve cognitive function in Hispanics/Latinos.\u0000","PeriodicalId":507173,"journal":{"name":"Innovation in Aging","volume":"124 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139879865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Self-Reported Visual and Hearing Functioning and Cognitive Function among Hispanics/Latino: Hispanic Community Health Study (HCHS/SOL)","authors":"D. Zheng, Byron L. Lam, Charlotte E Joslin, Hector M Gonzalez, Rachael R. Baiduc, W. Tarraf, A. Stickel, Martha Daviglus, Olga L. Garcia-Bedoya, Neil Schneiderman, Franklyn Gonzalez, David J. Lee","doi":"10.1093/geroni/igae006","DOIUrl":"https://doi.org/10.1093/geroni/igae006","url":null,"abstract":"\u0000 \u0000 \u0000 To investigate the associations between self-reported visual functioning (VF) and hearing functioning (HF) with cognition in the Hispanic/Latino population.\u0000 \u0000 \u0000 \u0000 We utilized data from the Miami Ocular SOL ancillary study to Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with 1,056 participants aged 45 and older. The outcomes were cognitive performances assessed by the Digit Symbol Substitution Test (DSST), Word Fluency, Brief Spanish-English Verbal Learning Test-recall (B-SEVLT recall), words recalled over three trials, and the Six-Item Screener. Visual functioning was measured by National Eye Institute Visual Function Questionnaire (NEI-VFQ) and hearing function was measured by Hearing Handicap Inventory Screening Questionnaire for Adults and Elderly (HHIA/E-S). Multiple regressions were performed for each cognitive outcome while controlling for covariates and complex sampling design.\u0000 \u0000 \u0000 \u0000 NEI-VFQ was associated with 3 of the 5 cognitive outcomes. A 4-point NEI-VFQ score difference was associated with 0.56-point difference in DSST (se=0.27, p<0.001), 0.17 in Word fluency (se=0.16, p<0.01), and 0.08 in B-SEVLT-recall (se=0.07, p<0.01). HHIA/E-S was not associated with any of the cognitive measures examined.\u0000 \u0000 \u0000 \u0000 These data suggest that impaired visual functioning is associated with worse cognition in the Hispanic/Latino population. Although previous work in this cohort indicated hearing loss assessed by pure tone audiometry was associated with worse cognition, we found self-perceived hearing function was not associated with cognition, suggesting the potential limitation of self-reported hearing function as a proxy for hearing loss in epidemiological research in Hispanic/Latino populations. Results also imply impaired visual functioning and hearing function may be linked to cognition differently in Hispanic population and more research is needed to better understand the underlying linking mechanisms. Visual and hearing impairment are common and treatable and represent important modifiable risk factors that can be treated to preserve cognitive function in Hispanics/Latinos.\u0000","PeriodicalId":507173,"journal":{"name":"Innovation in Aging","volume":"8 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139820186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Multidimensional Poverty Associated to Dementia risk? The case of Older Adults in Pakistan","authors":"J. Trani, Yiqi Zhu, Soobin Park, Ganesh Babulal","doi":"10.1093/geroni/igae007","DOIUrl":"https://doi.org/10.1093/geroni/igae007","url":null,"abstract":"\u0000 \u0000 \u0000 Multidimensional poverty is associated with dementia. We aimed at establishing this association in Pakistan.\u0000 \u0000 \u0000 \u0000 A cross sectional study was conducted in Punjab and Sindh, Pakistan, between March 30th, 2002, and August 22nd, 2022, among adults aged 50 and older. Multidimensional poverty measures were composed of six dimensions and 15 indicators. Poverty was compared between adults with and without dementia using the Rowland Universal Dementia Assessment Scale, adjusting for sex, age, marital status, and household size. Associations between dementia and poverty were investigated using multivariate logistic regression model.\u0000 \u0000 \u0000 \u0000 We found that 594 (72.7%), 171 (20.9%), and 52 (6.4%) had no, mild, and moderate to severe dementia, respectively. More women than men had dementia (11.4% vs 2.9%). Approximately 40.4% adults with dementia were found to be deprived in four or more dimensions compared to 8.9% without dementia and the difference of multidimensional poverty between them was 348.6%. Education, health, living conditions and psychological well-being were main contributors to poverty. Poverty in four or more dimensions was strongly associated with dementia (odds ratio [OR], 5.02; 95%CI, 2.07-12.16) after adjusting for sex, marital status, age, and household size, with greater odds for older women (OR, 2.02; 95%CI, 1.41-2.90).\u0000 \u0000 \u0000 \u0000 Our findings suggest that early improvement in social determinants of health through targeted structural policies may prevent dementia later in life. Improving access to free, quality education, healthcare including mental healthcare and basic living standard, and to employment should reduce the collective risk of dementia.\u0000","PeriodicalId":507173,"journal":{"name":"Innovation in Aging","volume":"189 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139826989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participation of Latinos in the Diabetes Self-Management Program and <i>Programa de Manejo Personal de la Diabetes</i>.","authors":"Carolyn A Mendez-Luck,&nbsp;Diana J Govier,&nbsp;Jeff Luck,&nbsp;Esmeralda J Julyan,&nbsp;Shyama Mahakalanda,&nbsp;Angelica P Herrera-Venson","doi":"10.1093/geroni/igaa006","DOIUrl":"https://doi.org/10.1093/geroni/igaa006","url":null,"abstract":"<p><strong>Background and objectives: </strong>The Diabetes Self-Management Program (DSMP) and <i>Programa de Manejo Personal de la Diabetes</i> (PMPD) have been shown to reduce complications from poorly controlled diabetes. Only a few research studies have examined Latino individuals' participation in them. This study examines workshop completion among DSMP and PMPD participants and the effects of race/ethnicity, workshop language, workshop type, and workshop site on program completion rates by participants.</p><p><strong>Research design and methods: </strong>We used data from the National Council on Aging's data repository of individuals who participated in DSMP or PMPD between January 2010 and March 2019. Using a pooled cross-sectional study design, we examined workshop completion among 8,321 Latino and 23,537 non-Latino white (NLW) participants. We utilized linear probability models to estimate the effects of race/ethnicity and workshop language/type among the full sample; a stratified model estimated the separate effects of workshop language, type, and delivery site among Latinos. Participant characteristics included age, sex, education, number of chronic health conditions, living arrangement, health insurance status, and geographic location of workshop.</p><p><strong>Results: </strong>Compared to NLW participants in DSMP English workshops, Latinos enrolled in any workshop had a higher probability of completing at least four workshop sessions, and Latinos enrolled in PMPD Spanish workshops had a higher probability of completing six of six sessions. Among the Latino subsample, participation in PMPD Spanish or English workshops was associated with completing at least four sessions or all six sessions compared with participation in DSMP Spanish or English workshops. Among Latino participants, the effects of workshop site on completion rates were mixed.</p><p><strong>Discussion and implications: </strong>Diabetes self-management education programs tailored for Latino participants had higher completion rates. Further research is warranted to better understand the effect of workshop site and participant characteristics on completion of DSMP and PMPD programs.</p>","PeriodicalId":507173,"journal":{"name":"Innovation in Aging","volume":" ","pages":"igaa006"},"PeriodicalIF":7.0,"publicationDate":"2020-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/geroni/igaa006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37766075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}