Effect of Individual and District-level Socioeconomic Disparities on Cognitive Decline in Community-dwelling Elderly in Seoul
| Autor: | Hye Ah Lee, Kyoung Gyu Choi, Seong Hye Choi, Geon Ha Kim, Hyesook Park, Inho Jo, Jee Hyang Jeong, Dong Young Lee |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Gerontology
Male medicine.medical_specialty Databases Factual Seoul District-level SES 03 medical and health sciences 0302 clinical medicine Individual SES Sex Factors Risk Factors Medicine Dementia Humans Cumulative incidence Cognitive Dysfunction 030212 general & internal medicine Longitudinal Studies Cognitive decline Cognitive impairment Socioeconomic status Aged Proportional Hazards Models Retrospective Studies Cognitive Impairment business.industry Public health Incidence Age Factors General Medicine social sciences medicine.disease Confidence interval Social Class Original Article Female business 030217 neurology & neurosurgery District level Neuroscience |
| Zdroj: | Journal of Korean Medical Science |
| ISSN: | 1598-6357 1011-8934 |
| Popis: | This study was to investigate the effects of individual and district-level socioeconomic status (SES) on the development of cognitive impairment among the elderly. A 3-year retrospective observational analysis (2010–2013) was conducted which included 136,217 community-dwelling healthy elderly who participated in the Seoul Dementia Management Project. Cognitive impairment was defined as 1.5 standard deviations below the norms on the Mini-mental status examination. In the individual lower SES group, the cumulative incidence rate (CIR) of cognitive impairment was 8.7% (95% confidence interval [CI], 8.64–8.70), whereas the CIR in the individual higher SES group was 4.1% (95% CI, 4.08–4.10). The CIR for lower district-level SES was 4.7% (95% CI, 4.52–4.86), while that in the higher district-level SES was 4.3% (95% CI, 4.06–4.44). There were no additive or synergistic effects between individual and district-level SES. From this study, the individual SES contributed 1.9 times greater to the development of cognitive impairment than the district-level SES, which suggests that individual SES disparities could be considered as one of the important factors in public health related to cognitive impairment in the elderly. Graphical Abstract |
| Databáze: | OpenAIRE |
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