Does education moderate gender disparities in later-life memory function? A cross-national comparison of harmonized cognitive assessment protocols in the United States and India.
Does education moderate gender disparities in later-life memory function? A cross-national comparison of harmonized cognitive assessment protocols in the United States and India.
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教育是否可以调节晚年记忆功能的性别差异？
DOI：
10.1002/alz.13404
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Kobayashi,LindsayC
中科院分区：
文献类型：
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作者：
Westrick,AshlyC;Avila-Rieger,Justina;Gross,AldenL;Hohman,Timothy;Vonk,JetMJ;Zahodne,LauraB;Kobayashi,LindsayC
引言我们比较了印度和美国（US）在晚年记忆方面的性别差异，总体和教育程度。方法数据（N= 7443）来自印度纵向老龄化研究痴呆诊断评估中的协调认知评估方案（HCAP）（LASI-DAD;N= 4096; 2017 - 19）和美国健康和退休研究HCAP（HRS-HCAP;N= 3347; 2016 - 17）。我们使用验证性因子分析从每项研究中得出协调的记忆因子。我们使用多变量调整线性回归来比较不同国家之间记忆功能的性别差异，包括总体和教育程度。在美国，老年女性的记忆力优于老年男性（0.28 SD单位差异; 95% CI：0.22，0.35）。在印度，老年女性的记忆力比老年男性差（-0.15 SD-单位差异; 95% CI：-0.20，-0.10），随着教育和识字率的增加而减弱。结论我们观察到印度记忆力的性别差异在美国并不存在，随着教育和识字率的增加而消失。
INTRODUCTIONWe compared gender disparities in later‐life memory, overall and by education, in India and the United States (US).METHODSData (N= 7443) were from harmonized cognitive assessment protocols (HCAPs) in the Longitudinal Aging Study of India‐Diagnostic Assessment of Dementia (LASI‐DAD;N= 4096; 2017‐19) and US Health and Retirement Study HCAP (HRS‐HCAP;N= 3347; 2016‐17). We derived harmonized memory factors from each study using confirmatory factor analysis. We used multivariable‐adjusted linear regression to compare gender disparities in memory function between countries, overall and by education.RESULTSIn the United States, older women had better memory than older men (0.28 SD‐unit difference; 95% CI: 0.22, 0.35). In India, older women had worse memory than older men (−0.15 SD‐unit difference; 95% CI: −0.20, −0.10), which attenuated with increasing education and literacy.CONCLUSIONWe observed gender disparities in memory in India that were not present in the United States, and which dissipated with education and literacy.