Jordana Breton, Janelle T Foret, Abbey M Hamlin, Nazareth Ortega, Alexandra L Clark
{"title":"医疗保险的覆盖面可调节拉丁裔老年人代谢综合征与基线记忆结果之间的关系。","authors":"Jordana Breton, Janelle T Foret, Abbey M Hamlin, Nazareth Ortega, Alexandra L Clark","doi":"10.1080/13854046.2024.2392303","DOIUrl":null,"url":null,"abstract":"<p><p><b>Objective:</b> Latino adults are at increased risk of metabolic syndrome (MetS) and have lower rates of health insurance (HI) coverage. Although inadequate HI coverage and MetS have been independently linked to poor cognition, their potential interactive effects have not yet been examined. The present study explored whether HI moderated the association between MetS and cognition. We hypothesized that Latinos with MetS that did not have HI would demonstrate poorer cognition than those with HI, whereas there would be minimal differences in cognition across HI status in those without MetS. <b>Methods:</b> Cross-sectional data from 805 Latino older adults enrolled in the Health and Aging Brain Study-Health Disparities was utilized. Analysis of covariance adjusting for sociodemographics examined MetS x HI interactions on memory and attention/executive functions composites. <b>Results:</b> Results revealed a significant MetS x HI interaction on memory (<i>F</i> = 4.33, <i>p</i> = 0.037, η<sub>p</sub><sup>2</sup> = .01); Latino adults with MetS and no HI coverage had worse memory performance than those with MetS who had HI coverage (<i>p</i> = 0.022, η<sub>p</sub><sup>2</sup> = .01), whereas there was no significant difference in memory between HI coverage groups in those without MetS (<i>p</i> > .05, η<sub>p</sub><sup>2</sup> = .002). No MetS x HI interaction was observed for the attention/executive functions composite (<i>F</i> = 0.29, <i>p</i> = 0.588, η<sub>p</sub><sup>2</sup> < .001). <b>Conclusion:</b> Latino older adults with MetS that do not have HI coverage may be at risk for poorer memory outcomes. Increasing the accessibility of HI coverage may help reduce cognitive health disparities in Latino older adults with vascular health comorbidities.</p>","PeriodicalId":55250,"journal":{"name":"Clinical Neuropsychologist","volume":null,"pages":null},"PeriodicalIF":3.0000,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Health insurance coverage moderates the relationship between metabolic syndrome and baseline memory outcomes in Latino older adults.\",\"authors\":\"Jordana Breton, Janelle T Foret, Abbey M Hamlin, Nazareth Ortega, Alexandra L Clark\",\"doi\":\"10.1080/13854046.2024.2392303\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Objective:</b> Latino adults are at increased risk of metabolic syndrome (MetS) and have lower rates of health insurance (HI) coverage. Although inadequate HI coverage and MetS have been independently linked to poor cognition, their potential interactive effects have not yet been examined. The present study explored whether HI moderated the association between MetS and cognition. We hypothesized that Latinos with MetS that did not have HI would demonstrate poorer cognition than those with HI, whereas there would be minimal differences in cognition across HI status in those without MetS. <b>Methods:</b> Cross-sectional data from 805 Latino older adults enrolled in the Health and Aging Brain Study-Health Disparities was utilized. Analysis of covariance adjusting for sociodemographics examined MetS x HI interactions on memory and attention/executive functions composites. <b>Results:</b> Results revealed a significant MetS x HI interaction on memory (<i>F</i> = 4.33, <i>p</i> = 0.037, η<sub>p</sub><sup>2</sup> = .01); Latino adults with MetS and no HI coverage had worse memory performance than those with MetS who had HI coverage (<i>p</i> = 0.022, η<sub>p</sub><sup>2</sup> = .01), whereas there was no significant difference in memory between HI coverage groups in those without MetS (<i>p</i> > .05, η<sub>p</sub><sup>2</sup> = .002). No MetS x HI interaction was observed for the attention/executive functions composite (<i>F</i> = 0.29, <i>p</i> = 0.588, η<sub>p</sub><sup>2</sup> < .001). <b>Conclusion:</b> Latino older adults with MetS that do not have HI coverage may be at risk for poorer memory outcomes. Increasing the accessibility of HI coverage may help reduce cognitive health disparities in Latino older adults with vascular health comorbidities.</p>\",\"PeriodicalId\":55250,\"journal\":{\"name\":\"Clinical Neuropsychologist\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Neuropsychologist\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/13854046.2024.2392303\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Neuropsychologist","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/13854046.2024.2392303","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的:拉丁裔成年人患代谢综合征(MetS)的风险增加,而他们的医疗保险(HI)覆盖率较低。虽然医疗保险覆盖率不足和代谢综合征与认知能力差有独立联系,但尚未研究它们之间潜在的交互影响。本研究探讨了健康保险是否会调节 MetS 与认知能力之间的关系。我们假设,患有 MetS 但没有 HI 的拉美人的认知能力会比有 HI 的人差,而没有 MetS 的拉美人在不同 HI 状态下的认知能力差异很小。研究方法利用参加 "健康与老龄化大脑研究--健康差异 "的 805 名拉丁裔老年人的横截面数据。调整社会人口统计学因素后进行协方差分析,研究 MetS x HI 在记忆力和注意力/执行功能组合上的交互作用。结果显示结果表明,MetS x HI 在记忆力方面存在明显的交互作用(F = 4.33,p = 0.037,ηp2 = .01);患有 MetS 但没有 HI 保险的拉丁裔成年人的记忆力比患有 MetS 但有 HI 保险的成年人差(p = 0.022,ηp2 = .01),而在没有 MetS 的人群中,HI 保险组之间的记忆力没有明显差异(p > .05,ηp2 = .002)。在注意力/执行功能综合方面,未观察到 MetS x HI 的交互作用(F = 0.29,p = 0.588,ηp2 < .001)。结论患有 MetS 的拉丁裔老年人如果没有医疗保险,可能会面临记忆力较差的风险。提高医疗保险的可及性可能有助于减少患有血管健康合并症的拉美裔老年人在认知健康方面的差异。
Health insurance coverage moderates the relationship between metabolic syndrome and baseline memory outcomes in Latino older adults.
Objective: Latino adults are at increased risk of metabolic syndrome (MetS) and have lower rates of health insurance (HI) coverage. Although inadequate HI coverage and MetS have been independently linked to poor cognition, their potential interactive effects have not yet been examined. The present study explored whether HI moderated the association between MetS and cognition. We hypothesized that Latinos with MetS that did not have HI would demonstrate poorer cognition than those with HI, whereas there would be minimal differences in cognition across HI status in those without MetS. Methods: Cross-sectional data from 805 Latino older adults enrolled in the Health and Aging Brain Study-Health Disparities was utilized. Analysis of covariance adjusting for sociodemographics examined MetS x HI interactions on memory and attention/executive functions composites. Results: Results revealed a significant MetS x HI interaction on memory (F = 4.33, p = 0.037, ηp2 = .01); Latino adults with MetS and no HI coverage had worse memory performance than those with MetS who had HI coverage (p = 0.022, ηp2 = .01), whereas there was no significant difference in memory between HI coverage groups in those without MetS (p > .05, ηp2 = .002). No MetS x HI interaction was observed for the attention/executive functions composite (F = 0.29, p = 0.588, ηp2 < .001). Conclusion: Latino older adults with MetS that do not have HI coverage may be at risk for poorer memory outcomes. Increasing the accessibility of HI coverage may help reduce cognitive health disparities in Latino older adults with vascular health comorbidities.
期刊介绍:
The Clinical Neuropsychologist (TCN) serves as the premier forum for (1) state-of-the-art clinically-relevant scientific research, (2) in-depth professional discussions of matters germane to evidence-based practice, and (3) clinical case studies in neuropsychology. Of particular interest are papers that can make definitive statements about a given topic (thereby having implications for the standards of clinical practice) and those with the potential to expand today’s clinical frontiers. Research on all age groups, and on both clinical and normal populations, is considered.