Quality of Education and Late-Life Cognitive Function in a Population-Based Sample From Puerto Rico.

Quality of Education and Late-Life Cognitive Function in a Population-Based Sample From Puerto Rico.
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波多黎各的基于人群样本的教育质量和晚期认知功能。

DOI:
10.1093/geroni/igab016
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发表时间:
2021
影响因子:
7
通讯作者:
Crowe M
Crowe M
中科院分区:
医学2区
文献类型:
--
作者:
Barba C;Garcia A;Clay OJ;Wadley VG;Andel R;Dávila AL;Crowe M

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我们研究了教育质量,识字率和教育年限与老年波多黎各人晚年认知功能和衰退的关系。我们的样本包括来自波多黎各老年人:健康状况研究的3,385名60岁及以上的社区居民。教育质量的依据是对教育部和人口普查报告中收集的变量进行的主成分分析。识字率(是/否)和受教育年限均为自我报告。认知功能在参与者的家中进行评估,基线和4年后使用先前验证的西班牙语20点痴呆症全球筛查措施,最低限度的Cabán。对回归模型进行社会人口统计学和生命过程协变量的调整。教育质量与教育成就和认知表现呈正相关。与教育质量最低四分位数的参与者相比,独立于受教育年限、识字率、儿童经济困难和成人经济困难,最高四分位数的参与者的基线认知表现显著更好(β = 0.09,p < .001)。教育质量并没有持续显示出与4年内认知功能变化的相关性。识字和更高的教育程度分别与基线时更好的认知功能和更少的认知下降独立相关。教育质量、识字率和受教育年限虽然相互关联,但也显示出与波多黎各老年人认知功能的独立关联。识字率和受教育年限的下游因素与年龄相关的认知能力下降的关系比教育质量更密切。
We examined quality of education, literacy, and years of education in relation to late-life cognitive function and decline in older Puerto Ricans. Our sample consisted of 3,385 community-dwelling adults aged 60 years and older from the Puerto Rican Elderly: Health Conditions study. Quality of education was based on principal component analysis of variables gathered from Department of Education and Census reports. Literacy (yes/no) and years of education were self-reported. Cognitive function was assessed in participants’ homes at baseline and 4 years later using a previously validated Spanish-language 20-point global screening measure for dementia, the minimental Cabán. Regression models were adjusted for sociodemographic and life course covariates. Quality of education was positively correlated with both educational attainment and cognitive performance. Independent of years of education, literacy, childhood economic hardship, and adult economic hardship, compared to participants in the lowest quartile of education quality, those in the highest quartile had significantly better baseline cognitive performance (β = 0.09, p < .001). Quality of education did not consistently show an association with change in cognitive function over 4 years. Literacy and greater educational attainment were each independently associated with better cognitive function at baseline and less cognitive decline. Quality of education, literacy, and years of education, while interrelated, also show independent associations with cognitive functioning in older Puerto Ricans. The downstream factors of literacy and years of education were more closely related to age-related cognitive decline than quality of education.
DOI: 10.1093/geronb/63.6.s337
发表时间: 2008-11
期刊: The journals of gerontology. Series B, Psychological sciences and social sciences
影响因子: --
作者:
McEniry M;Palloni A;Dávila AL;Gurucharri AG
通讯作者: Gurucharri AG
DOI: 10.1093/aje/kwz221
发表时间: 2020-05-01
影响因子: 5
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发表时间: 2009-03-01
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发表时间: 2004-01-15
影响因子: 5
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DOI: 10.1017/s1355617702813157
发表时间: 2002-03-01
影响因子: 2.6
作者:
Manly, JJ;Jacobs, DM;Stern, Y
通讯作者: Stern, Y