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Job Strain and Late-Life Cognition: Findings From the Puerto Rican Elderly Health Conditions Study

机译:工作压力和晚期认知:来自波多黎各的老年人健康状况研究的调查结果

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Abstract Chronic stress at work, represented by job strain, has been associated with adverse late-life cognitive outcomes in the United States and Western Europe. We examined the relationship between job strain and change in cognition in a less affluent, Hispanic sample of adults aged 60-100 from mainland Puerto Rico. Job strain indicators (i.e., job demands/job control/job strain) were quantified from (a) standardized occupation-based job strain scores from Karasek’s Job Content Questionnaire (JCQ; n=1102), and (b) O*Net variables forming factors of job demands and job control (n=1639). Occupation information, covariates, and cognition came from the Puerto Rican Elderly Health Conditions (PREHCO) Study conducted in 2002-2003, with cognition follow-up in 2006-2007. All analyses controlled for age, sex, baseline depressive symptoms, baseline financial problems, and childhood economic hardship. Across both operationalizations of job strain indicators, higher job control was associated with less decline in late-life cognition (JCQ: b=.18, p.05; O*Net: b=.31, p.001) until controlling for education (JCQ: b=.09, p=.248; O*Net: b=.12, p=.097). Job strain was associated with more decline in cognition (JCQ: b=-.75, p.05; O*Net: b=-.87, p.05) until controlling for education (JCQ: b=-.49, p=.098; O*Net: b=-.46, p=.262). For Karasek’s measure, the relationships were driven by more educated participants. Job control was related to less cognitive decline whereas strain related to more decline among older Puerto Ricans over four years, whether assessed with JCQ-based or O*Net-based scores. However, education emerged as more important for change in late-life cognition than job strain indicators overall, suggesting results that diverge from countries with higher average socioeconomic status.
机译:摘要作品中的慢性应力,由工作菌株代表,已与美国和西欧的不利后期认知成果有关。我们审查了在大陆波多黎各大陆60-100岁的成年人少富裕,西班牙裔成人样本之间的工作压力与认知变化的关系。作业应变指示符(即,工作要求/作业控制/作业应变)从卡萨斯克的工作内容调查问卷(JCQ; N = 1102)和(B)O *净变量形成的标准化的占用作业应变分数量化工作需求和求职因素(n = 1639)。职业信息,协变者和认知来自2002 - 2003年在2002 - 2003年进行的波多黎各人卫生条件(Prehco)研究,2006 - 2007年的认知随访。所有分析对年龄,性,基线抑郁症状,基线财务问题和童年经济困难控制。在作业应变指标的两种操作中,更高的作业控制与晚期寿命认知的下降相关联(JCQ:B = .18,P <.05; O * NET:B = .31,P <.001)直到控制为教育(JCQ:B = .09,P = .248; O * NET:B = .12,P = .097)。作业应变与认知的更多下降有关(JCQ:B = - 。75,P <.05; O * NET:B = - 。87,P <.05),直到控制教育(JCQ:B = - 。49 ,p = .098; o * net:b = - 。46,p = .262)。对于卡萨斯克的措施,这些关系由更多受过教育的参与者驱动。工作控制与较少的认知下降有关,而在四年内较老的波多黎各人的较大衰退与较大的衰落相关,无论是基于JCQ的还是基于净的分数的评估。然而,教育对于长生活的变化而言,比工作应变指标总体而言更为重要,这表明来自具有更高平均社会经济地位的国家分歧。

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