Disorder, networks, and cognition: do social networks buffer the influence of neighborhood and household disorder on cognitive functioning?

Disorder, networks, and cognition: do social networks buffer the influence of neighborhood and household disorder on cognitive functioning?
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DOI:
10.1080/13607863.2021.1922600
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发表时间:
2022-05
影响因子:
3.4
通讯作者:
Lee H
Lee H
中科院分区:
医学2区
文献类型:
--
作者:
Lee H

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研究邻里和家庭障碍是否对中老年人的认知功能有影响,以及障碍-认知联系是否受社会网络资源的调节。数据来自国家社会生活,健康和老龄化项目第2波(N= 3,198)。邻里和家庭都被认为是塑造一个人的社会生活和健康的关键居住环境。接触邻里和家庭的障碍是通过访问者对障碍和腐烂迹象的评估来衡量的,这些迹象包括受访者居住的建筑物和街道中存在的年久失修、垃圾、噪音和空气污染等难闻气味。认知功能使用调查适应蒙特利尔认知评估(MoCA-SA)。网络规模,网络范围,网络成员之间的互动频率进行了评估为主持人。邻里和家庭障碍与认知功能独立相关。然而,在家庭中的障碍似乎有更直接的关联与认知功能比邻居时,两者都存在。家庭障碍和认知功能之间的关联被网络规模所缓解,例如,只有那些社交网络较小的人,住房条件差与认知功能低下有关。目前的研究表明,一个更大的网络可能在最大限度地减少家庭混乱对中年和老年人认知功能的负面影响方面发挥作用。旨在促进网络联系的社会政策和干预措施可能有助于减少认知功能的进一步差异,特别是对于那些生活在低质量家庭中的弱势群体。
To examine whether neighborhood and household disorder matter for cognitive functioning among middle-aged and older adults and whether the disorder-cognition link is moderated by social network resources. Data are drawn from National Social Life, Health, and Aging Project Wave 2 (N=3,198). Both neighborhood and household were considered as key residential contexts that shape one’s social life and health. Exposure to neighborhood and household disorder was measured using interviewer assessments of signs of disorder and decay, including the presence of disrepair, trash, noise, and unpleasant smells such as air pollution, in the buildings and streets in which the respondent lives. Cognitive function was measured using the survey-adapted Montreal Cognitive Assessment (MoCA-SA). Network size, network range, and frequency of interaction among network members were assessed as moderators. Neighborhood and household disorder were independently associated with cognitive function. However, disorder in the household appeared to have more direct associations with cognitive function than did the neighborhood when both were present. The association between household disorder and cognitive function was mitigated by network size, such that poor housing conditions were associated with lower cognitive function only for those with small social networks. The current study suggests a larger network may play a role in minimizing the negative influence of household disorder on cognitive function for middle-aged and older adults. Social policy and intervention aimed at promoting network ties may help reduce further disparities in cognitive function, especially for those vulnerable groups living in a poor-quality household.
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