The Effect of Sociodemographics, Physical Function, and Mood on Dementia Screening in a Multicultural Cohort

Magdalena I Tolea, Stephanie Chrisphonte, James E Galvin Comprehensive Center for Brain Health, Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USACorrespondence: Magdalena I ToleaComprehensive Center for Brain Health, Department of Neurology, University of Miami M...

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Autores principales:	Tolea MI, Chrisphonte S, Galvin JE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	cognitive performance subjective cognitive function racial and ethnic disparities in cognition age disparities in cognition socioeconomic status and cognition lower extremity function and cognition Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/5f846f38094b46358a6e3d2d43bd4715
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spelling	oai:doaj.org-article:5f846f38094b46358a6e3d2d43bd47152021-12-02T12:27:46ZThe Effect of Sociodemographics, Physical Function, and Mood on Dementia Screening in a Multicultural Cohort1178-1998https://doaj.org/article/5f846f38094b46358a6e3d2d43bd47152020-12-01T00:00:00Zhttps://www.dovepress.com/the-effect-of-sociodemographics-physical-function-and-mood-on-dementia-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Magdalena I Tolea, Stephanie Chrisphonte, James E Galvin Comprehensive Center for Brain Health, Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USACorrespondence: Magdalena I ToleaComprehensive Center for Brain Health, Department of Neurology, University of Miami Miller School of Medicine, 1120 NW 14th Street, Miami, FL 33136, USATel +1 305-243-6732Email mit38@med.miami.eduPurpose: To assess age, sex, race and ethnicity disparities in cognitive function in community-dwelling older adults and identify factors that contribute to these disparities.Patients and Methods: Cognitive performance (global and domain-specific) and self-reported cognitive function were compared among Black (N=57), Hispanic (N=139), and White (N=108) older adults. The impact of socioeconomic status (SES), physical functionality, and mood indicators was assessed with a combination of hierarchical general linear models and mediation analysis.Results: Poorer cognitive performance and higher levels of impairment were found in older adults from racial and ethnic backgrounds. The contribution of lower SES to the observed racial and ethnic disparities in objective cognitive performance was 33% in Hispanics and about 20% in Blacks, while poorer physical functionality explained over half of the differences between Black and White participants. Higher self-reported cognitive impairment in minorities was explained by lower SES and higher depressive symptoms in Hispanics but not in Blacks.Conclusion: Performance on objective memory testing and self-reported cognition are greatly influenced by relevant biological, sociodemographic and medical variables. Dementia screening programs should be tailored to individual sociodemographic groups based on contributors that are specific to each group.Keywords: cognitive performance, subjective cognitive function, racial and ethnic disparities in cognition, age disparities in cognition, socioeconomic status and cognition, lower extremity function, cognitionTolea MIChrisphonte SGalvin JEDove Medical Pressarticlecognitive performancesubjective cognitive functionracial and ethnic disparities in cognitionage disparities in cognitionsocioeconomic status and cognitionlower extremity functionand cognitionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 2249-2263 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	cognitive performance subjective cognitive function racial and ethnic disparities in cognition age disparities in cognition socioeconomic status and cognition lower extremity function and cognition Geriatrics RC952-954.6
spellingShingle	cognitive performance subjective cognitive function racial and ethnic disparities in cognition age disparities in cognition socioeconomic status and cognition lower extremity function and cognition Geriatrics RC952-954.6 Tolea MI Chrisphonte S Galvin JE The Effect of Sociodemographics, Physical Function, and Mood on Dementia Screening in a Multicultural Cohort
description	Magdalena I Tolea, Stephanie Chrisphonte, James E Galvin Comprehensive Center for Brain Health, Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USACorrespondence: Magdalena I ToleaComprehensive Center for Brain Health, Department of Neurology, University of Miami Miller School of Medicine, 1120 NW 14th Street, Miami, FL 33136, USATel +1 305-243-6732Email mit38@med.miami.eduPurpose: To assess age, sex, race and ethnicity disparities in cognitive function in community-dwelling older adults and identify factors that contribute to these disparities.Patients and Methods: Cognitive performance (global and domain-specific) and self-reported cognitive function were compared among Black (N=57), Hispanic (N=139), and White (N=108) older adults. The impact of socioeconomic status (SES), physical functionality, and mood indicators was assessed with a combination of hierarchical general linear models and mediation analysis.Results: Poorer cognitive performance and higher levels of impairment were found in older adults from racial and ethnic backgrounds. The contribution of lower SES to the observed racial and ethnic disparities in objective cognitive performance was 33% in Hispanics and about 20% in Blacks, while poorer physical functionality explained over half of the differences between Black and White participants. Higher self-reported cognitive impairment in minorities was explained by lower SES and higher depressive symptoms in Hispanics but not in Blacks.Conclusion: Performance on objective memory testing and self-reported cognition are greatly influenced by relevant biological, sociodemographic and medical variables. Dementia screening programs should be tailored to individual sociodemographic groups based on contributors that are specific to each group.Keywords: cognitive performance, subjective cognitive function, racial and ethnic disparities in cognition, age disparities in cognition, socioeconomic status and cognition, lower extremity function, cognition
format	article
author	Tolea MI Chrisphonte S Galvin JE
author_facet	Tolea MI Chrisphonte S Galvin JE
author_sort	Tolea MI
title	The Effect of Sociodemographics, Physical Function, and Mood on Dementia Screening in a Multicultural Cohort
title_short	The Effect of Sociodemographics, Physical Function, and Mood on Dementia Screening in a Multicultural Cohort
title_full	The Effect of Sociodemographics, Physical Function, and Mood on Dementia Screening in a Multicultural Cohort
title_fullStr	The Effect of Sociodemographics, Physical Function, and Mood on Dementia Screening in a Multicultural Cohort
title_full_unstemmed	The Effect of Sociodemographics, Physical Function, and Mood on Dementia Screening in a Multicultural Cohort
title_sort	effect of sociodemographics, physical function, and mood on dementia screening in a multicultural cohort
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/5f846f38094b46358a6e3d2d43bd4715
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The Effect of Sociodemographics, Physical Function, and Mood on Dementia Screening in a Multicultural Cohort

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