TY - JOUR
T1 - Effect of demographic and health dynamics on cognitive status in mexico between 2001 and 2015
T2 - Evidence from the mexican health and aging study
AU - Mejia-Arango, Silvia
AU - Avila, Jaqueline
AU - Downer, Brian
AU - Garcia, Marc A.
AU - Michaels-Obregon, Alejandra
AU - Saenz, Joseph L.
AU - Samper-Ternent, Rafael
AU - Wong, Rebeca
N1 - Publisher Copyright:
© 2021 by the authors.
PY - 2021/9
Y1 - 2021/9
N2 - Sources of health disparities such as educational attainment, cardiovascular risk factors, and access to health care affect cognitive impairment among older adults. To examine the extent to which these counteracting changes affect cognitive aging over time among Mexican older adults, we examine how sociodemographic factors, cardiovascular diseases, and their treatment relate to changes in cognitive function of Mexican adults aged 60 and older between 2001 and 2015. Self and proxy respondents were classified as dementia, cognitive impairment no dementia (CIND), and normal cognition. We use logistic regression models to examine the trends in dementia and CIND for men and women aged 60 years or older using pooled national samples of 6822 individuals in 2001 and 10,219 in 2015, and sociodemographic and health variables as covariates. We found higher likelihood of dementia and a lower risk of CIND in 2015 compared to 2001. These results remain after adjusting for sociodemographic factors, cardiovascular diseases, and their treatment. The improvements in educational attainment, treatment of diabetes and hypertension, and better access to health care in 2015 compared to 2001 may not have been enough to counteract the combined effects of aging, rural residence disadvantage, and higher risks of cardiovascular disease among older Mexican adults.
AB - Sources of health disparities such as educational attainment, cardiovascular risk factors, and access to health care affect cognitive impairment among older adults. To examine the extent to which these counteracting changes affect cognitive aging over time among Mexican older adults, we examine how sociodemographic factors, cardiovascular diseases, and their treatment relate to changes in cognitive function of Mexican adults aged 60 and older between 2001 and 2015. Self and proxy respondents were classified as dementia, cognitive impairment no dementia (CIND), and normal cognition. We use logistic regression models to examine the trends in dementia and CIND for men and women aged 60 years or older using pooled national samples of 6822 individuals in 2001 and 10,219 in 2015, and sociodemographic and health variables as covariates. We found higher likelihood of dementia and a lower risk of CIND in 2015 compared to 2001. These results remain after adjusting for sociodemographic factors, cardiovascular diseases, and their treatment. The improvements in educational attainment, treatment of diabetes and hypertension, and better access to health care in 2015 compared to 2001 may not have been enough to counteract the combined effects of aging, rural residence disadvantage, and higher risks of cardiovascular disease among older Mexican adults.
KW - Cognitive aging
KW - Epidemiology
KW - Healthcare disparities
KW - Minority health
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U2 - 10.3390/geriatrics6030063
DO - 10.3390/geriatrics6030063
M3 - Article
C2 - 34202004
AN - SCOPUS:85109343546
SN - 2308-3417
VL - 6
JO - Geriatrics (Switzerland)
JF - Geriatrics (Switzerland)
IS - 3
M1 - 63
ER -