| Autor: |
Steinberg, Nessa, Parisi, Jeanine M., Feger, Danielle M., Clay, Olivio J., Willis, Sherry L., Ball, Karlene K., Marsiske, Michael, Harrell, Erin R., Sisco, Shannon M., Rebok, George W. |
| Předmět: |
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| Zdroj: |
Journal of Aging & Health; 2023 Suppl 9, Vol. 35, p107S-118S, 1p |
| Abstrakt: |
Objectives: We examined associations between three geographic areas (urban, suburban, rural) and cognition (memory, reasoning, processing speed) over a 10-year period. Methods: Data were obtained from 2539 participants in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) trial. Multilevel, mixed-effects linear regression was used to estimate cognitive trajectories by geographical areas over 10 years, after adjusting for social determinants of health. Results: Compared to urban and suburban participants, rural participants fared worse on all cognitive measures—memory (B = −1.17 (0.17)), reasoning (B = −1.55 (0.19)), and processing speed (B = 0.76 (0.19)) across the 10-year trajectory. Across geographic areas, greater economic stability, health care access and quality, and neighborhood resources were associated with better cognition over time. Discussion: Findings highlight the importance of geographical location when examining cognition later in life. More research examining place-based life experiences is needed to make the greatest impact on geographically diverse communities. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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