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选择性生存对黑人群体认知发展的影响。

The Effects of Selective Survival on Black Adults' Cognitive Development.

机构信息

Human Development and Family Studies, Pennsylvania State University, University Park, USA.

School of Aging Studies, University of South Florida, Tampa, USA.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2021 Sep 13;76(8):1489-1498. doi: 10.1093/geronb/gbab003.

Abstract

OBJECTIVES

The theory of selective survival suggests that possibly around 70-75 years of age, Blacks may display substantive changes in their pattern of cognitive decline. This study examined the age-graded pattern of cognitive decline within older Blacks by describing a trend that characterizes differences in the change of cognitive decline from ages 51.5 to 95.5, and hypothesized that this age-graded pattern is nonlinear.

METHOD

Utilizing 2 waves of longitudinal data from the Baltimore Study of Black Aging, this study used multilevel modeling to test whether the interaction between age and the 3-year study period (time between waves) had a positive effect on changes in inductive reasoning, declarative memory, working memory, and perceptual speed.

RESULTS

A significant positive interaction between age and wave was found for inductive reasoning, demonstrating an age-grade pattern of change/decline in cognitive pattern for Blacks aged 51.5-95.4. Simple slope probing via the Johnson-Neyman Technique suggested that Black adults ~64 years and younger experienced significant decline in inductive reasoning across study time, whereas for those older than 63.71, the decline was nonsignificant. No significant age-wave interactions were found for declarative memory, working memory, or perceptual speed.

DISCUSSION

Findings suggest a selective survival effect for inductive reasoning ability among Blacks. With decline evident so early, common cognitive intervention programs targeting adults 65+ may come too late for Blacks, signifying the importance and urgency for early health interventions and public policy designed to promote cognitive reserve.

摘要

目的

选择性存活理论表明,黑人可能在 70-75 岁左右表现出认知能力下降模式的实质性变化。本研究通过描述一个特征化 51.5 岁至 95.5 岁认知衰退变化差异的趋势,来研究老年黑人认知衰退的年龄分级模式,并假设这种年龄分级模式是非线性的。

方法

本研究利用巴尔的摩黑人老龄化研究的两波纵向数据,采用多层次模型来检验年龄与 3 年研究期(波与波之间的时间)之间的交互作用是否对归纳推理、陈述性记忆、工作记忆和知觉速度的变化有积极影响。

结果

在归纳推理方面发现年龄和波之间存在显著的正交互作用,这表明黑人的认知模式在 51.5-95.4 岁之间存在年龄分级的变化/衰退模式。通过 Johnson-Neyman 技术进行简单斜率探测表明,64 岁及以下的黑人成年人在整个研究期间经历了显著的归纳推理能力下降,而对于年龄大于 63.71 岁的人,下降则不显著。在陈述性记忆、工作记忆或知觉速度方面,没有发现显著的年龄-波交互作用。

讨论

研究结果表明,在黑人中,归纳推理能力存在选择性存活效应。由于下降如此之早,针对 65 岁以上成年人的常见认知干预计划可能对黑人来说为时已晚,这表明早期健康干预和促进认知储备的公共政策的重要性和紧迫性。

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