Objectives: We explored whether depression and anxiety moderated the association of ethnicity and neurocognitive functioning among a sample of Hispanic and non-Hispanic White rural aging adults.
Method: 1,462 rural dwelling adults (age = 59.4 years, ge = 12.12) were included in the analysis for this study.
Results: MANCOVAs revealed a significant ( < .001) multivariate effect of ethnicity on all five indices of neurocognitive functioning when controlling for anxiety and sociodemographic variables ( = .20, (5,1,310) = 64.69) and depression and sociodemographic variables in the second model ( = .20, (5,1310) = 65.80, < .001). There was also a multivariate effect of anxiety ( = .02, (5,1310) = 4.57, < .001) and depression ( = .04, (5, 1310) = 11.38, < .001) on neurocognitive functioning when controlling for sociodemographic variables and ethnicity.
Conclusion: Findings revealed that Hispanic rural aging adults scored lower on neurocognitive functioning compared to non-Hispanic White rural aging adults, irrespective of depression or anxiety. Depression and anxiety contributed to lower scores on neurocognitive functioning-yet this finding was not as robust. Culturally tailored interventions targeting risk factors for neurocognitive impairment in Hispanic rural aging adults are imperative to mitigate neurocognitive disparities. One possible reason for differences in neurocognitive functioning between Hispanic individuals and non-Hispanic individuals is stress as ethnic health disparities have been found to be shaped by a diverse range of lifetime stressors that are disproportionally exacerbated for ethnic minorities.
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http://dx.doi.org/10.18632/aging.206166 | DOI Listing |
Health Serv Res
December 2024
Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, New York, USA.
Objective: To determine whether rural hospital closures affected hospital and post-acute care (PAC) use and outcomes.
Study Setting And Design: Using a staggered difference-in-differences design, we evaluated associations between 32 rural hospital closures and changes in county-level: (1) travel distances to and lengths of stay at hospitals; (2) functional limitations at and time from hospital discharge to start of PAC episode; (3) 30-day readmissions and mortality and hospitalizations for a fall-related injury; and (4) population-level hospitalization and death rates.
Data Sources And Analytic Sample: 100% Medicare claims and home health and skilled nursing facility clinical data to identify approximately 3 million discharges for older fee-for-service Medicare beneficiaries.
The PERSIAN eye cohort study is a population-based study that evaluates the overall prevalence of cataracts and their subtypes (nuclear sclerosis, cortical, and PSC) in Iran. In this study, from January 2015 to September 2021, 16,016 participants over 35 years of age from four provinces who were selected by random cluster sampling were examined. Demographic information, education, socioeconomic status, and place of residence were collected through interviews.
View Article and Find Full Text PDFFront Public Health
December 2024
School of Education, National University of Malaysia, Bangi, Selangor, Malaysia.
Background: In the context of the era of both digitalization and aging, Internet use plays an important role in supporting the rural older adults to actively integrate into the digital society and improve their mental health.
Purpose: To explore the impact of Internet use on the mental health of rural older adults and the mediating role of their social participation.
Methods: Based on the latest data from the China General Social Survey (CGSS) 2021, the study utilized linear regression analysis to explore the impact of Internet use on the mental health of rural older adults and the mediating role of their social participation.
Public Policy Aging Rep
November 2024
Department of Medicine, Health, and Society, Vanderbilt University, Nashville, Tennessee, USA.
BMC Health Serv Res
December 2024
Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, PB 4 St. Olavs Plass, N - 0130, Oslo, Norway.
Background: As the world's most populous country, India faces a growing challenge in addressing dementia, in which advancing age remains the strongest risk factor. Approximately 8.8 million Indians over the age of 60 are currently affected by this condition.
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