认知与环境：墨西哥老年成年人认知衰老的城乡差异
Cognition and Context: Rural-Urban Differences in Cognitive Aging Among Older Mexican Adults.
作者信息
Saenz Joseph L, Downer Brian, Garcia Marc A, Wong Rebeca
机构信息
1 University of Southern California, Los Angeles, CA, USA.
2 University of Texas Medical Branch, Galveston, TX, USA.
出版信息
J Aging Health. 2018 Jul;30(6):965-986. doi: 10.1177/0898264317703560. Epub 2017 Apr 21.
Abstract
OBJECTIVE
To describe differences in cognitive functioning across rural and urban areas among older Mexican adults.
METHOD
We include respondents aged 50+ in the 2012 Mexican Health and Aging Study (MHAS). Cognitive functioning by domain is regressed as a function of community size. The role of educational attainment in explaining rural/urban differences in cognitive functioning is examined.
RESULTS
Respondents residing in more rural areas performed worse across five cognitive domains. The majority, but not all, of the association between community size and cognitive functioning was explained by lower education in rural areas.
DISCUSSION
Respondents residing in more rural areas were disadvantaged in terms of cognitive functioning compared with those residing in more urban areas. Poorer cognitive functioning in late life may be the result of historical educational disadvantage in rural areas or selection through migration from rural to urban regions for employment.
摘要
目的
描述墨西哥老年成年人城乡之间认知功能的差异。
方法
我们纳入了2012年墨西哥健康与老龄化研究（MHAS）中年龄在50岁及以上的受访者。按领域划分的认知功能作为社区规模的函数进行回归分析。研究了教育程度在解释认知功能城乡差异中的作用。
结果
居住在农村地区的受访者在五个认知领域的表现较差。社区规模与认知功能之间的关联，大部分（但并非全部）可由农村地区较低的教育水平来解释。
讨论
与居住在城市地区的受访者相比，居住在农村地区的受访者在认知功能方面处于劣势。晚年较差的认知功能可能是农村地区历史上教育劣势的结果，或者是因从农村到城市地区就业而进行的选择性迁移导致的。
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本文引用的文献
1
Educational Gradients and Pathways of Disability Onset Among Older Mexicans.
Res Aging. 2016 Apr;38(3):299-321. doi: 10.1177/0164027515620243.
2
Stress and cognition.
Wiley Interdiscip Rev Cogn Sci. 2013 May;4(3):245-261. doi: 10.1002/wcs.1222. Epub 2013 Jan 22.
3
Normative and standardized data for cognitive measures in the Mexican Health and Aging Study.
Salud Publica Mex. 2015;57 Suppl 1(0 1):S90-6. doi: 10.21149/spm.v57s1.7594.
4
Target risk factors for dementia prevention: a systematic review and Delphi consensus study on the evidence from observational studies.
Int J Geriatr Psychiatry. 2015 Mar;30(3):234-46. doi: 10.1002/gps.4245. Epub 2014 Dec 12.
5
The prevalence of dementia in urban and rural areas of China.
Alzheimers Dement. 2014 Jan;10(1):1-9. doi: 10.1016/j.jalz.2013.01.012. Epub 2013 Jul 18.
6
Childhood poverty and depressive symptoms for older adults in Mexico: a life-course analysis.
J Cross Cult Gerontol. 2013 Sep;28(3):317-37. doi: 10.1007/s10823-013-9198-1.
7
Dementia incidence and mortality in middle-income countries, and associations with indicators of cognitive reserve: a 10/66 Dementia Research Group population-based cohort study.
Lancet. 2012 Jul 7;380(9836):50-8. doi: 10.1016/S0140-6736(12)60399-7. Epub 2012 May 23.
8
Exposure to severe urban air pollution influences cognitive outcomes, brain volume and systemic inflammation in clinically healthy children.
Brain Cogn. 2011 Dec;77(3):345-55. doi: 10.1016/j.bandc.2011.09.006. Epub 2011 Oct 26.
9
Prevalence and incidence rates of dementia and cognitive impairment no dementia in the Mexican population: data from the Mexican Health and Aging Study.
J Aging Health. 2011 Oct;23(7):1050-74. doi: 10.1177/0898264311421199.
10
A life course model of cognitive activities, socioeconomic status, education, reading ability, and cognition.
J Am Geriatr Soc. 2011 Aug;59(8):1403-11. doi: 10.1111/j.1532-5415.2011.03499.x. Epub 2011 Jul 28.
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