Life course socioeconomic position and mid-late life cognitive function in Eastern Europe.
Life course socioeconomic position and mid-late life cognitive function in Eastern Europe.
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DOI：
10.1093/geronb/gbu014
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发表时间：
2014-05
期刊：
影响因子：
--
通讯作者：
Bobak M
中科院分区：
文献类型：
--
作者：
Horvat P;Richards M;Malyutina S;Pajak A;Kubinova R;Tamosiunas A;Pikhart H;Peasey A;Marmot MG;Bobak M
在西方人群中观察到的整个生命历程中的社会经济地位（SEP）与晚年认知功能之间存在正相关关系，本研究旨在调查这种关系在收入不平等明显较小的前共产主义国家是否存在。
对来自中欧和东欧四个中心（俄罗斯新西伯利亚、波兰克拉科夫、立陶宛考纳斯以及来自HAPIEE（东欧健康、酒精和社会心理因素）研究的六个捷克城镇）年龄在45 - 78岁的30846名参与者的横断面数据进行结构方程模型分析。SEP通过自我报告的童年（母亲教育程度、家庭设施）、成年（自身教育程度）和老年（当前物质条件）指标来衡量。认知的潜在变量由单词回忆、动物命名和字母搜索构建而成。
在各个研究中心，生命历程中的SEP指标与认知之间的关联相似。教育与认知的直接关联最强，其次是当前物质条件。由当前SEP介导的从教育到认知的间接路径影响较小。从母亲教育程度到认知的直接路径显著但影响不大，并且部分由后来的SEP指标（特别是自身教育程度）介导。
在这些东欧人群中，晚年认知反映生命历程中的社会经济轨迹，这与西方国家的研究结果相似。
To investigate whether the positive relation between socioeconomic position (SEP) across the life course and later life cognitive function observed in Western populations exists in former communist countries with apparently smaller income inequalities. Structural equation modeling analysis of cross-sectional data on 30,846 participants aged 45–78 years in four Central and Eastern European centers: Novosibirsk (Russia), Krakow (Poland), Kaunas (Lithuania), and six Czech towns from the HAPIEE (Health, Alcohol, and Psychosocial factors In Eastern Europe) study. SEP was measured using self-reported childhood (maternal education, household amenities), adult (education), and older adult (current material circumstances) indicators. Latent variable for cognition was constructed from word recall, animal naming, and letter search. Associations between SEP measures over the life course and cognition were similar across study centers. Education had the strongest direct association with cognition, followed by current material circumstances. Indirect path from education to cognition, mediated by current SEP, was small. Direct path from mother’s education to cognition was significant but modest, and partially mediated by later SEP measures, particularly education. In these Eastern European populations, late life cognition reflected life course socioeconomic trajectories similarly to findings in Western countries.
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DOI：
10.1093/geronb/62.6.s404
发表时间：
2007-11-01
影响因子：
6.2
作者：
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