Natalia Gomes Gonçalves, Regina Silva Paradela, Jaqueline C Avila, Laiss Bertola, Cleusa Pinheiro Ferri, Rebeca Wong, Claudia Kimie Suemoto
{"title":"巴西和墨西哥的城乡认知表现差异。","authors":"Natalia Gomes Gonçalves, Regina Silva Paradela, Jaqueline C Avila, Laiss Bertola, Cleusa Pinheiro Ferri, Rebeca Wong, Claudia Kimie Suemoto","doi":"10.1080/13607863.2025.2502780","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>There is little evidence of the disparities in cognitive performance in rural and urban areas in Latin America. We used data from the Brazilian Longitudinal Study of Aging (ELSI) and the Mexican Health and Aging Study (MHAS), to assess whether rurality is associated with cognitive impairment.</p><p><strong>Methods: </strong>Cognitive impairment was determined using a regression-based approach. Logistic regression was used to estimate the association between rurality and cognitive function, and if education modified this association.</p><p><strong>Results: </strong>ELSI participants (<i>n</i> = 9412) had a mean age of 62.5 ± 9.8 years, 53.9% were women, 64.4% had low education (<8 years). MHAS participants (<i>n</i> = 14,207) had a mean age of 64.7 ± 9.7 years, 55.3% were women, 68.1% had low education. Rurality increased the odds of cognitive impairment in MHAS but not in ELSI. Education modified this association.</p><p><strong>Conclusion: </strong>Rurality was associated with higher odds of cognitive impairment compared to living in urban areas in Mexico only.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-7"},"PeriodicalIF":2.8000,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Rural-urban disparities in cognitive performance in Brazil and Mexico.\",\"authors\":\"Natalia Gomes Gonçalves, Regina Silva Paradela, Jaqueline C Avila, Laiss Bertola, Cleusa Pinheiro Ferri, Rebeca Wong, Claudia Kimie Suemoto\",\"doi\":\"10.1080/13607863.2025.2502780\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>There is little evidence of the disparities in cognitive performance in rural and urban areas in Latin America. We used data from the Brazilian Longitudinal Study of Aging (ELSI) and the Mexican Health and Aging Study (MHAS), to assess whether rurality is associated with cognitive impairment.</p><p><strong>Methods: </strong>Cognitive impairment was determined using a regression-based approach. Logistic regression was used to estimate the association between rurality and cognitive function, and if education modified this association.</p><p><strong>Results: </strong>ELSI participants (<i>n</i> = 9412) had a mean age of 62.5 ± 9.8 years, 53.9% were women, 64.4% had low education (<8 years). MHAS participants (<i>n</i> = 14,207) had a mean age of 64.7 ± 9.7 years, 55.3% were women, 68.1% had low education. Rurality increased the odds of cognitive impairment in MHAS but not in ELSI. Education modified this association.</p><p><strong>Conclusion: </strong>Rurality was associated with higher odds of cognitive impairment compared to living in urban areas in Mexico only.</p>\",\"PeriodicalId\":55546,\"journal\":{\"name\":\"Aging & Mental Health\",\"volume\":\" \",\"pages\":\"1-7\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-05-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aging & Mental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/13607863.2025.2502780\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aging & Mental Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13607863.2025.2502780","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Rural-urban disparities in cognitive performance in Brazil and Mexico.
Objectives: There is little evidence of the disparities in cognitive performance in rural and urban areas in Latin America. We used data from the Brazilian Longitudinal Study of Aging (ELSI) and the Mexican Health and Aging Study (MHAS), to assess whether rurality is associated with cognitive impairment.
Methods: Cognitive impairment was determined using a regression-based approach. Logistic regression was used to estimate the association between rurality and cognitive function, and if education modified this association.
Results: ELSI participants (n = 9412) had a mean age of 62.5 ± 9.8 years, 53.9% were women, 64.4% had low education (<8 years). MHAS participants (n = 14,207) had a mean age of 64.7 ± 9.7 years, 55.3% were women, 68.1% had low education. Rurality increased the odds of cognitive impairment in MHAS but not in ELSI. Education modified this association.
Conclusion: Rurality was associated with higher odds of cognitive impairment compared to living in urban areas in Mexico only.
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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