D. Zheng, Byron L. Lam, Charlotte E Joslin, Hector M Gonzalez, Rachael R. Baiduc, W. Tarraf, A. Stickel, Martha Daviglus, Olga L. Garcia-Bedoya, Neil Schneiderman, Franklyn Gonzalez, David J. Lee
To investigate the associations between self-reported visual functioning (VF) and hearing functioning (HF) with cognition in the Hispanic/Latino population. We utilized data from the Miami Ocular SOL ancillary study to Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with 1,056 participants aged 45 and older. The outcomes were cognitive performances assessed by the Digit Symbol Substitution Test (DSST), Word Fluency, Brief Spanish-English Verbal Learning Test-recall (B-SEVLT recall), words recalled over three trials, and the Six-Item Screener. Visual functioning was measured by National Eye Institute Visual Function Questionnaire (NEI-VFQ) and hearing function was measured by Hearing Handicap Inventory Screening Questionnaire for Adults and Elderly (HHIA/E-S). Multiple regressions were performed for each cognitive outcome while controlling for covariates and complex sampling design. NEI-VFQ was associated with 3 of the 5 cognitive outcomes. A 4-point NEI-VFQ score difference was associated with 0.56-point difference in DSST (se=0.27, p<0.001), 0.17 in Word fluency (se=0.16, p<0.01), and 0.08 in B-SEVLT-recall (se=0.07, p<0.01). HHIA/E-S was not associated with any of the cognitive measures examined. These data suggest that impaired visual functioning is associated with worse cognition in the Hispanic/Latino population. Although previous work in this cohort indicated hearing loss assessed by pure tone audiometry was associated with worse cognition, we found self-perceived hearing function was not associated with cognition, suggesting the potential limitation of self-reported hearing function as a proxy for hearing loss in epidemiological research in Hispanic/Latino populations. Results also imply impaired visual functioning and hearing function may be linked to cognition differently in Hispanic population and more research is needed to better understand the underlying linking mechanisms. Visual and hearing impairment are common and treatable and represent important modifiable risk factors that can be treated to preserve cognitive function in Hispanics/Latinos.
{"title":"Associations Between Self-Reported Visual and Hearing Functioning and Cognitive Function among Hispanics/Latino: Hispanic Community Health Study (HCHS/SOL)","authors":"D. Zheng, Byron L. Lam, Charlotte E Joslin, Hector M Gonzalez, Rachael R. Baiduc, W. Tarraf, A. Stickel, Martha Daviglus, Olga L. Garcia-Bedoya, Neil Schneiderman, Franklyn Gonzalez, David J. Lee","doi":"10.1093/geroni/igae006","DOIUrl":"https://doi.org/10.1093/geroni/igae006","url":null,"abstract":"\u0000 \u0000 \u0000 To investigate the associations between self-reported visual functioning (VF) and hearing functioning (HF) with cognition in the Hispanic/Latino population.\u0000 \u0000 \u0000 \u0000 We utilized data from the Miami Ocular SOL ancillary study to Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with 1,056 participants aged 45 and older. The outcomes were cognitive performances assessed by the Digit Symbol Substitution Test (DSST), Word Fluency, Brief Spanish-English Verbal Learning Test-recall (B-SEVLT recall), words recalled over three trials, and the Six-Item Screener. Visual functioning was measured by National Eye Institute Visual Function Questionnaire (NEI-VFQ) and hearing function was measured by Hearing Handicap Inventory Screening Questionnaire for Adults and Elderly (HHIA/E-S). Multiple regressions were performed for each cognitive outcome while controlling for covariates and complex sampling design.\u0000 \u0000 \u0000 \u0000 NEI-VFQ was associated with 3 of the 5 cognitive outcomes. A 4-point NEI-VFQ score difference was associated with 0.56-point difference in DSST (se=0.27, p<0.001), 0.17 in Word fluency (se=0.16, p<0.01), and 0.08 in B-SEVLT-recall (se=0.07, p<0.01). HHIA/E-S was not associated with any of the cognitive measures examined.\u0000 \u0000 \u0000 \u0000 These data suggest that impaired visual functioning is associated with worse cognition in the Hispanic/Latino population. Although previous work in this cohort indicated hearing loss assessed by pure tone audiometry was associated with worse cognition, we found self-perceived hearing function was not associated with cognition, suggesting the potential limitation of self-reported hearing function as a proxy for hearing loss in epidemiological research in Hispanic/Latino populations. Results also imply impaired visual functioning and hearing function may be linked to cognition differently in Hispanic population and more research is needed to better understand the underlying linking mechanisms. Visual and hearing impairment are common and treatable and represent important modifiable risk factors that can be treated to preserve cognitive function in Hispanics/Latinos.\u0000","PeriodicalId":507173,"journal":{"name":"Innovation in Aging","volume":"124 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139879865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Zheng, Byron L. Lam, Charlotte E Joslin, Hector M Gonzalez, Rachael R. Baiduc, W. Tarraf, A. Stickel, Martha Daviglus, Olga L. Garcia-Bedoya, Neil Schneiderman, Franklyn Gonzalez, David J. Lee
To investigate the associations between self-reported visual functioning (VF) and hearing functioning (HF) with cognition in the Hispanic/Latino population. We utilized data from the Miami Ocular SOL ancillary study to Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with 1,056 participants aged 45 and older. The outcomes were cognitive performances assessed by the Digit Symbol Substitution Test (DSST), Word Fluency, Brief Spanish-English Verbal Learning Test-recall (B-SEVLT recall), words recalled over three trials, and the Six-Item Screener. Visual functioning was measured by National Eye Institute Visual Function Questionnaire (NEI-VFQ) and hearing function was measured by Hearing Handicap Inventory Screening Questionnaire for Adults and Elderly (HHIA/E-S). Multiple regressions were performed for each cognitive outcome while controlling for covariates and complex sampling design. NEI-VFQ was associated with 3 of the 5 cognitive outcomes. A 4-point NEI-VFQ score difference was associated with 0.56-point difference in DSST (se=0.27, p<0.001), 0.17 in Word fluency (se=0.16, p<0.01), and 0.08 in B-SEVLT-recall (se=0.07, p<0.01). HHIA/E-S was not associated with any of the cognitive measures examined. These data suggest that impaired visual functioning is associated with worse cognition in the Hispanic/Latino population. Although previous work in this cohort indicated hearing loss assessed by pure tone audiometry was associated with worse cognition, we found self-perceived hearing function was not associated with cognition, suggesting the potential limitation of self-reported hearing function as a proxy for hearing loss in epidemiological research in Hispanic/Latino populations. Results also imply impaired visual functioning and hearing function may be linked to cognition differently in Hispanic population and more research is needed to better understand the underlying linking mechanisms. Visual and hearing impairment are common and treatable and represent important modifiable risk factors that can be treated to preserve cognitive function in Hispanics/Latinos.
{"title":"Associations Between Self-Reported Visual and Hearing Functioning and Cognitive Function among Hispanics/Latino: Hispanic Community Health Study (HCHS/SOL)","authors":"D. Zheng, Byron L. Lam, Charlotte E Joslin, Hector M Gonzalez, Rachael R. Baiduc, W. Tarraf, A. Stickel, Martha Daviglus, Olga L. Garcia-Bedoya, Neil Schneiderman, Franklyn Gonzalez, David J. Lee","doi":"10.1093/geroni/igae006","DOIUrl":"https://doi.org/10.1093/geroni/igae006","url":null,"abstract":"\u0000 \u0000 \u0000 To investigate the associations between self-reported visual functioning (VF) and hearing functioning (HF) with cognition in the Hispanic/Latino population.\u0000 \u0000 \u0000 \u0000 We utilized data from the Miami Ocular SOL ancillary study to Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with 1,056 participants aged 45 and older. The outcomes were cognitive performances assessed by the Digit Symbol Substitution Test (DSST), Word Fluency, Brief Spanish-English Verbal Learning Test-recall (B-SEVLT recall), words recalled over three trials, and the Six-Item Screener. Visual functioning was measured by National Eye Institute Visual Function Questionnaire (NEI-VFQ) and hearing function was measured by Hearing Handicap Inventory Screening Questionnaire for Adults and Elderly (HHIA/E-S). Multiple regressions were performed for each cognitive outcome while controlling for covariates and complex sampling design.\u0000 \u0000 \u0000 \u0000 NEI-VFQ was associated with 3 of the 5 cognitive outcomes. A 4-point NEI-VFQ score difference was associated with 0.56-point difference in DSST (se=0.27, p<0.001), 0.17 in Word fluency (se=0.16, p<0.01), and 0.08 in B-SEVLT-recall (se=0.07, p<0.01). HHIA/E-S was not associated with any of the cognitive measures examined.\u0000 \u0000 \u0000 \u0000 These data suggest that impaired visual functioning is associated with worse cognition in the Hispanic/Latino population. Although previous work in this cohort indicated hearing loss assessed by pure tone audiometry was associated with worse cognition, we found self-perceived hearing function was not associated with cognition, suggesting the potential limitation of self-reported hearing function as a proxy for hearing loss in epidemiological research in Hispanic/Latino populations. Results also imply impaired visual functioning and hearing function may be linked to cognition differently in Hispanic population and more research is needed to better understand the underlying linking mechanisms. Visual and hearing impairment are common and treatable and represent important modifiable risk factors that can be treated to preserve cognitive function in Hispanics/Latinos.\u0000","PeriodicalId":507173,"journal":{"name":"Innovation in Aging","volume":"8 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139820186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Multidimensional poverty is associated with dementia. We aimed at establishing this association in Pakistan. A cross sectional study was conducted in Punjab and Sindh, Pakistan, between March 30th, 2002, and August 22nd, 2022, among adults aged 50 and older. Multidimensional poverty measures were composed of six dimensions and 15 indicators. Poverty was compared between adults with and without dementia using the Rowland Universal Dementia Assessment Scale, adjusting for sex, age, marital status, and household size. Associations between dementia and poverty were investigated using multivariate logistic regression model. We found that 594 (72.7%), 171 (20.9%), and 52 (6.4%) had no, mild, and moderate to severe dementia, respectively. More women than men had dementia (11.4% vs 2.9%). Approximately 40.4% adults with dementia were found to be deprived in four or more dimensions compared to 8.9% without dementia and the difference of multidimensional poverty between them was 348.6%. Education, health, living conditions and psychological well-being were main contributors to poverty. Poverty in four or more dimensions was strongly associated with dementia (odds ratio [OR], 5.02; 95%CI, 2.07-12.16) after adjusting for sex, marital status, age, and household size, with greater odds for older women (OR, 2.02; 95%CI, 1.41-2.90). Our findings suggest that early improvement in social determinants of health through targeted structural policies may prevent dementia later in life. Improving access to free, quality education, healthcare including mental healthcare and basic living standard, and to employment should reduce the collective risk of dementia.
{"title":"Is Multidimensional Poverty Associated to Dementia risk? The case of Older Adults in Pakistan","authors":"J. Trani, Yiqi Zhu, Soobin Park, Ganesh Babulal","doi":"10.1093/geroni/igae007","DOIUrl":"https://doi.org/10.1093/geroni/igae007","url":null,"abstract":"\u0000 \u0000 \u0000 Multidimensional poverty is associated with dementia. We aimed at establishing this association in Pakistan.\u0000 \u0000 \u0000 \u0000 A cross sectional study was conducted in Punjab and Sindh, Pakistan, between March 30th, 2002, and August 22nd, 2022, among adults aged 50 and older. Multidimensional poverty measures were composed of six dimensions and 15 indicators. Poverty was compared between adults with and without dementia using the Rowland Universal Dementia Assessment Scale, adjusting for sex, age, marital status, and household size. Associations between dementia and poverty were investigated using multivariate logistic regression model.\u0000 \u0000 \u0000 \u0000 We found that 594 (72.7%), 171 (20.9%), and 52 (6.4%) had no, mild, and moderate to severe dementia, respectively. More women than men had dementia (11.4% vs 2.9%). Approximately 40.4% adults with dementia were found to be deprived in four or more dimensions compared to 8.9% without dementia and the difference of multidimensional poverty between them was 348.6%. Education, health, living conditions and psychological well-being were main contributors to poverty. Poverty in four or more dimensions was strongly associated with dementia (odds ratio [OR], 5.02; 95%CI, 2.07-12.16) after adjusting for sex, marital status, age, and household size, with greater odds for older women (OR, 2.02; 95%CI, 1.41-2.90).\u0000 \u0000 \u0000 \u0000 Our findings suggest that early improvement in social determinants of health through targeted structural policies may prevent dementia later in life. Improving access to free, quality education, healthcare including mental healthcare and basic living standard, and to employment should reduce the collective risk of dementia.\u0000","PeriodicalId":507173,"journal":{"name":"Innovation in Aging","volume":"189 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139826989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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