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Socioeconomic and Psychosocial Mechanisms Underlying Racial and Ethnic Disparities in Cognition Among Older Adults

机译:老年成年人认知中的种族和民族差异潜在的社会经济和心理社会机制

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Abstract Racial/ethnic disparities in cognitive aging are only partly attributable to socioeconomic indicators. Emerging literature highlights psychosocial factors, such as related constructs of discrimination and perceived control. Using data from 1,463 older adults (51% Hispanic, 27% non-Hispanic Black, 22% non-Hispanic White) in the Washington Heights-Inwood Columbia Aging Project, cross-sectional mediation models quantified separate indirect effects of Black race and Hispanic ethnicity on global cognitive composite scores. Socioeconomic status explained approximately 50% of Black-White and Hispanic-White disparities in cognition. Perceived control explained an additional 5-8%. Discrimination was not associated with cognition. Significant racial/ethnic disparities remained after accounting for the included socioeconomic and psychosocial factors, indicating that future studies should consider additional potential mediators. Lower perceived control, which likely reflects chronic exposure to interpersonal and institutional marginalization, may be a particularly salient psychosocial risk factor for poorer cognitive aging among certain racial/ethnic minority groups.
机译:摘要认知老龄化的种族/民族差异仅归因于社会经济指标。新兴文献突出了心理社会因素,如相关构建的歧视和感知控制。使用来自1,463名老年人的数据(51%西班牙裔,27%非西班牙裔黑色,22%非西班牙裔,22%非西班牙裔白人)在华盛顿州 - 玉米米哥伦比亚老化项目,横断调调解模型量化了黑色种族和西班牙裔民族的独立间接影响论全球认知综合分数。社会经济地位在认知中解释了大约50%的黑白和西班牙裔白色差异。感知控制额外解释了5-8%。歧视与认知无关。在占集体社会经济和心理社会因素的核算后仍然存在重大的种族/民族差异,表明未来的研究应该考虑额外的潜在调解员。降低感知控制,这可能反映了慢性暴露于人际关系和制度边缘化,这可能是某些种族/少数民族群体中较差的认知老龄化的特别突出的心理社会危险因素。

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