Rural/urban dwelling across the life-course and late-life cognitive ability in Mexico.
Rural/urban dwelling across the life-course and late-life cognitive ability in Mexico.
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墨西哥的乡村/城市居住在整个生命过程中和后期认知能力。
DOI：
10.1016/j.ssmph.2022.101031
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Wong R
中科院分区：
文献类型：
--
作者：
Saenz JL;Downer B;Garcia MA;Wong R
城市在老年人的认知功能方面具有优势。关于早期城市居住和晚期认知的了解较少。我们评估如何农村/城市居住在整个生活和农村到城市的生活转变与认知在墨西哥，一个国家经历老龄化和城市化。数据来自2003年和2012年的墨西哥健康和老龄化研究（n = 12，238名50岁以上的成年人）。早期生活的城市居住是自我报告的。晚年城市居住是基于调查时受访者居住社区的人口规模（社区2500多人）。通过几项认知任务测量认知功能。我们使用潜在变化评分模型评估了各组之间基线认知功能和9年下降的差异。从横截面上看，与一直居住在农村的居民相比，农村-城市过渡与认知益处相关，尽管连续居住在城市地区的个人表现出最高水平的认知功能（β = 0.89，95% CI：0.83，0.96），即使调整了SES、健康和健康行为（β = 0.28，95% CI：0.22，0.35）。纵向上，当调整基线认知时，总是城市居民比总是农村居民表现出更慢的下降（β = 0.11，95% CI：0.03，0.18），尽管当基线认知未调整时下降更快（β =-0.11，95% CI：-0.18，-0.04）。在调整潜在机制后，未观察到比较组之间的认知变化差异。早期和晚期的城市居住可能会导致墨西哥老年人的认知优势。临床医生应该考虑个人一生中居住的地方，以更好地了解患者经历不良认知结果的可能性。在墨西哥，早年或晚年居住在城市与晚年更好的认知能力有关。一直生活在城市的人的认知能力最强。与一直生活在农村的居民相比，从农村到城市的生活过渡与老年时更好的认知能力有关。根据基线控制，总是城市居民的认知能力下降速度与总是农村居民不同。
Urban advantages in older adults’ cognitive function have been observed. Less is known about early-life urban dwelling and late-life cognition. We evaluate how rural/urban dwelling throughout life and rural to urban shifts in life relate with cognition in Mexico, a country experiencing aging and urbanization. Data came from the 2003 and 2012 Mexican Health and Aging Study (n = 12,238 adults age 50+). Early-life urban dwelling was self-reported. Late-life urban dwelling was based on population size of respondents’ community of residence (community 2500+ people) at the time of survey. Cognitive function was measured across several cognitive tasks. We assess differences in baseline cognitive function and nine-year decline across groups using a latent change score model. Cross-sectionally, compared to always rural dwellers, rural-urban transitions were associated with cognitive benefits, though individuals residing in urban areas continuously through life exhibited the highest levels of cognitive function (β = 0.89, 95% CI: 0.83, 0.96) even after adjusting for SES, health, and health behaviors (β = 0.28, 95% CI: 0.22, 0.35). Longitudinally, always urban dwellers exhibited slower decline than always rural dwellers when adjusting for baseline cognition (β = 0.11, 95% CI: 0.03, 0.18), though faster decline when baseline cognition was not adjusted (β = −0.11, 95% CI: -0.18, −0.04). No differences were observed for cognitive change across comparison groups after adjusting for potential mechanisms. Early- and late-life urban dwelling may result in cognitive advantages for older Mexican adults. Clinicians should consider where individuals resided throughout life to better understand a patient's likelihood of experiencing poor cognitive outcomes. Urban dwelling in early- or late-life was associated with better late-life cognitive ability in Mexico. Always-urban dwellers had the highest level of cognitive ability. Compared to always-rural dwellers, rural-to-urban transition in life was associated with better cognitive ability in old age. Always-urban differed from always-rural dwellers in their pace of cognitive decline depending on baseline controls.
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影响因子：
4.7
作者：
Kievit RA;Brandmaier AM;Ziegler G;van Harmelen AL;de Mooij SMM;Moutoussis M;Goodyer IM;Bullmore E;Jones PB;Fonagy P;NSPN Consortium;Lindenberger U;Dolan RJ
通讯作者：
Dolan RJ
印度南部本地治里农村地区的室内空气污染与成年人认知障碍之间的关系。
影响因子：
1.4
作者：
Krishnamoorthy Y;Sarveswaran G;Sivaranjini K;Sakthivel M;Majella MG;Kumar SG
通讯作者：
Kumar SG
影响因子：
2.8
作者：
Aguila, Emma;Casanova, Maria
通讯作者：
Casanova, Maria
影响因子：
5.7
作者：
CRYSTAL, S;SHEA, D
通讯作者：
SHEA, D
DOI：
10.1207/s15328007sem1004_1
发表时间：
2003-01-01
影响因子：
6
作者：
Ferrer, E;McArdle, JJ
通讯作者：
McArdle, JJ