Job Strain and Late-Life Cognition: Findings From the Puerto Rican Elderly Health Conditions Study.

Job Strain and Late-Life Cognition: Findings From the Puerto Rican Elderly Health Conditions Study.
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DOI:
10.1177/0898264320977329
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发表时间:
2021-03
影响因子:
2.8
通讯作者:
Crowe M
Crowe M
中科院分区:
医学3区
文献类型:
--
作者:
Vigoureux TFD;Nelson ME;Andel R;Small BJ;Dávila-Roman AL;Crowe M

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我们以波多黎各老年人为样本,研究了工作压力和认知老化之间的关系。波多黎各老年人健康状况研究项目的成员,基线年龄为60-100岁。工作压力指标通过O*Net (n=1632)和工作内容问卷得分矩阵(JCQ, n=1467)进行量化。整体认知能力在4年内进行了两次评估。控制年龄、性别、抑郁症状、经济问题、高血压、糖尿病和童年经济困难,低工作控制和高工作压力始终与更大的认知能力下降有关。教育程度的增加减弱了这些联系。高等教育强化了工作控制与认知变化的联系。低工作控制和高工作压力可能加速这一人群的认知老化。然而,相对于美国或欧洲邻近地区的老年人,要理清波多黎各老年人认知老化中教育和工作压力的交叉作用可能更加困难。
We examined associations between job strain and cognitive aging in a sample of older Puerto Ricans. Members of the Puerto Rican Elderly Health Conditions (PREHCO) study, aged 60-100 years at baseline, participated. Job strain indicators were quantified from O*Net (n=1632) and a matrix of Job Content Questionnaire scores (JCQ; n=1467). Global cognition was assessed twice across 4 years. Controlling for age, sex, depressive symptoms, financial problems, hypertension, diabetes, and childhood economic hardship, low job control and high job strain were consistently associated with greater cognitive decline. Adding education attenuated these associations. High education strengthened the job control (JCQ)-cognitive change link. Low job control and high job strain may accelerate cognitive aging in this population. However, it may be more difficult to disentangle the intersecting roles of education and job strain in cognitive aging among older Puerto Ricans relative to older adults from contiguous US or Europe.
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