scholarly journals Intersections of Gender and Cognition in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 696-696
Author(s):  
Shana Stites ◽  
Jason Flatt ◽  
Carol Derby
Keyword(s):  
Older Adults ◽  
Research Participant ◽  
Cognitive Outcomes ◽  
Sex And Gender ◽  
Gender Minorities ◽  
Dichotomous Variable ◽  
Wide Range ◽  
Health And Disease ◽  
And Gender ◽  
Sociocultural Effects

Abstract The National Institutes of Health (NIH) is committed to supporting rigorous science that advances what is understood about the influences of sex and gender in health and disease in order to inform the development of prevention strategies and treatment interventions. In research on aging and Alzheimer’s disease, sex/gender disparities in key outcomes are common. But, much of this research hinges on asking a single question: Is the patient or research participant male or female, man or woman? This practice offers few options for disambiguating sociocultural effects associated with gender from those related to biologic sex. It also assumes that self-reports are a suitable proxy for social phenotypes and that a dichotomous variable adequately captures the wide-range of sociocultural effects attributable to gender. The premise of this symposium is to evaluate how gender interacts with cognitive outcomes in order to advance measurement. This symposium will review evidence from five distinct lines of research on associations between gender and cognition for individuals and for individual’s interactions with their family members: (1) effects of normative shifts in American education on cognition in older adults; (2) hospitalization as a risk factor for cognitive decline in racially diverse American men and women; (3) caregivers who identify as sexual and gender minorities (SGM or LGBTQ+) and care for persons with dementia; (4) correlates of cognitive function in SGM older adults; and (5) differences in adults’ cognition based on childhood exposure to women’s social empowerment in 30+ Organisation for Economic Co-operation and Development (OECD) countries.

DSM-5 alcohol use disorder features among treatment-seeking older adults

2018 ◽  
Vol 64 (4) ◽  
pp. 185-196 ◽  
Author(s):  
Silke Behrendt ◽  
Barbara Braun ◽  
Randi Bilberg ◽  
Gerhard Bühringer ◽  
Michael Bogenschutz ◽  
...  
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
The Elderly ◽  
Treatment Seeking ◽  
Controlled Clinical Trial ◽  
Dsm 5 ◽  
Wide Range ◽  
And Gender ◽  
International Multicenter

Abstract. Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.

scholarly journals The CoGenT3 Study: Cognition and Gender Trends in Three American Generations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 817-817
Author(s):  
Shana Stites
Keyword(s):  
Cognitive Impairment ◽  
Quantitative Methods ◽  
Cognitive Testing ◽  
Library Science ◽  
Sexual And Gender Minorities ◽  
Functional Impairments ◽  
Gender Minorities ◽  
Wide Range ◽  
And Gender ◽  
New Research

Abstract Many studies find gender differences in how older adults’ report on their memory, perform on cognitive testing, and manage functional impairments that can accompany cognitive impairment. Thus, understanding gender’s effects in aging and Alzheimer’s research is key for advancing methods to prevent, slow, manage, and diagnosis cognitive impairment. Our study, CoGenT3 – The study of Cognition and Gender in Three Generations – seeks to disambiguate the effects of gender on cognition in order to inform a conceptual model, guide innovations in measurement, and support future study. To accomplish this ambitious goal, we have gathered an interdisciplinary team with expertise in psychology, cognition, sexual and gender minorities, library science, measurement, quantitative methods, qualitative methods, and gender and women’s studies. The team benefits from the intersections of expertise in being able to build new research ideas, gain novel insights, and evaluate a wide-range of actions and re-actions but this novelty can also raise challenges.

Gendered Innovations: A New Approach for Nursing Science

2010 ◽  
Vol 12 (2) ◽  
pp. 156-161 ◽  
Author(s):  
Stacy T. Sims ◽  
Marcia L. Stefanick ◽  
Fredi Kronenberg ◽  
Nishma A. Sachedina ◽  
Londa Schiebinger
Keyword(s):  
Nursing Education ◽  
Sex And Gender ◽  
Gender Analysis ◽  
Scientific Rigor ◽  
New Approach ◽  
Nursing Science ◽  
Health And Disease ◽  
And Gender ◽  
Source Of Error ◽  
It Risk

Considerable sex and gender bias has been recognized within the field of medicine. Investigators have used sex and gender analysis to reevaluate studies and outcomes and generate new perspectives and new questions regarding differential diagnoses and treatments of men and women. Sex and gender analysis acts as an experimental control to provide critical scientific rigor; researchers who ignore it risk ignoring a possible source of error in past, current, and future science. In this article, the authors introduce some tools of sex and gender analysis and illustrate the concept of gendered innovations by demonstrating through examples how this type of analysis has profoundly enhanced human knowledge in health and disease. The authors also provide recommendations for incorporating the concepts of sex and gender analysis into nursing education and research.

Influence of Physician Sex and Gender on Prescribing Practices Among Older Adults

2020 ◽  
Vol 68 (12) ◽  
pp. 2764-2767
Author(s):  
Anamika Mishra ◽  
Stephanie H. Read ◽  
Paula A. Rochon
Keyword(s):  
Older Adults ◽  
Sex And Gender ◽  
Prescribing Practices ◽  
And Gender

Socialist/Marxist Feminism

2020 ◽  
Author(s):  
Wendy Lynne Lee
Keyword(s):  
Civil Rights ◽  
Political Ecology ◽  
Sex And Gender ◽  
Communist Manifesto ◽  
Original Intent ◽  
Wide Range ◽  
Women's Lives ◽  
And Gender ◽  
Material Conditions ◽  
The 1960S

The long arc of Marxist scholarship certainly reaches many domains—economics, sociology, political ecology. However, few scholarly projects have likely benefited more, or offered more, to sustaining the relevance of Marx and Marxism than the feminist analysis, interpretation, and application of the Marxist critique of capitalism. From the earliest translations of Marxist thought into revolutionary action, socialist feminists have sought to introduce sex and gender as salient categories of capitalist oppression, arguing that being a woman bound to patriarchal institutions such as marriage is comparable to a working-class laborer bound to the wage. Friedrich Engels also plays a key role in the socialist feminist appropriation of Marxist ideas. By showing the extent to which marriage is about the maintenance and expansion of property, Engels opens the door to a wide range of analysis concerning the material conditions of women’s lives and labors. Marxist ideas become the focus of renewed interest over the course of the American civil rights and feminist movements of the 1960s. It is thus unsurprising that a wealth of new feminist and antiracist theories begin to develop during this period, as well as analyses of structural inequality, including oppression with respect to the LGBTQ community. It is perhaps the most recent work among socialist feminists, in league with other activists and theorists, however, that is both truest to Marx’s original intent and that demonstrates the relevance of his ideas to the future fortunes of human societies, namely, the application of Marxist critique to environmental deterioration—especially anthropogenic climate change. Hence, the following is organized historically but also topically. It begins with the work of early socialist feminists, looking to include women within Marxist categories of class analysis but quickly moves to arguments that sex and gender—and then race/ethnicity and sexual identity—constitute their own salient categories of oppression. This explosion of theory and activism deserves to be treated topically so that the variety and breadth of socialist feminist ideas as well as the divisions and debates among its representatives becomes clear. The critique of capitalism has, of course, always been an essentially global enterprise. It is thus not surprising that the extension of socialist feminist analyses to the Global North and Global South would produce a wealth of insight and activism. For many of the same reasons, the same is true of the rise of socialist ecofeminism. The last section comes full circle. Devoted to arguments whose focus is the justification and fomenting of revolution, The Communist Manifesto finds its place next to contemporary socialist ecofeminist calls for workers from all regions of the planet to unite to overthrow once and for all the capitalist economic system responsible for jeopardizing the planet’s capacity to support life.

scholarly journals Sex and Gender Interactions on the Use and Impact of Recreational Cannabis

2020 ◽  
Vol 17 (2) ◽  
pp. 509 ◽  
Author(s):  
Lorraine Greaves ◽  
Natalie Hemsing
Keyword(s):  
Cannabis Use ◽  
Public Health Issue ◽  
Sex And Gender ◽  
Related Factors ◽  
Precise Integration ◽  
Routes Of Administration ◽  
Wide Range ◽  
Scoping Reviews ◽  
And Gender ◽  
The Impact

Cannabis is the second most frequently used substance in the world and regulated or legalized for recreational use in Canada and fourteen US states and territories. As with all substances, a wide range of sex and gender related factors have an influence on how substances are consumed, their physical, mental and social impacts, and how men and women respond to treatment, health promotion, and policies. Given the widespread use of cannabis, and in the context of its increasing regulation, it is important to better understand the sex and gender related factors associated with recreational cannabis use in order to make more precise clinical, programming, and policy decisions. However, sex and gender related factors include a wide variety of processes, features and influences that are rarely fully considered in research. This article explores myriad features of both sex and gender as concepts, illustrates their impact on cannabis use, and focuses on the interactions of sex and gender that affect three main areas of public interest: the development of cannabis use dependence, the impact on various routes of administration (ROA), and the impact on impaired driving. We draw on two separate scoping reviews to examine available evidence in regard to these issues. These three examples are described and illustrate the need for more comprehensive and precise integration of sex and gender in substance use research, as well as serious consideration of the results of doing so, when addressing a major public health issue such as recreational cannabis use.

scholarly journals DISTINCT PREVALENCE OF SUBJECTIVE COGNITIVE DECLINE AMONG DIFFERENT BRAZILIAN REGIONS, SEX AND GENDER

2021 ◽  
Author(s):  
Wyllians Borelli ◽  
Carolina Formoso ◽  
Andrei Bieger ◽  
Eduardo Zimmer ◽  
Marcia Chaves ◽  
...  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Cognitive Decline ◽  
Subjective Cognitive Decline ◽  
Sex And Gender ◽  
Complex Sampling ◽  
The North ◽  
Complex Sample ◽  
And Gender ◽  
Public Health Strategies

Background: Subjective Cognitive Decline may represent the earliest clinical manifestation of the Alzheimer’s continuum. A continental-size country like Brazil demands regionalized strategies to provide adequate public health strategies. Objectives: To analyze the prevalence of SCD in Brazilian regions, sex and genders. Methods: Data was gathered from a complex-sample epidemiological study named ELSI (Estudo Longitudinal da Saúde de Idosos). SCD criteria was applied within the dataset. Weighting for complex-sampling was performed. Data was analyzed according to national region, sex and gender. Results: Overall nationwide prevalence of SCD was 15.48%. Prevalence of SCD was the highest in Midwest (19.9%), followed by Northeast (17%), North (16.9%), South (14.6%) and Southeast (14.2%, p <0.0001). Among adults, males in the North showed the highest prevalence of SCD (27.5%), while the lowest prevalence was in females in the Southeast (14.4%). Among older adults, the highest prevalence was in females in the North (19.2%), while females in the Southeast showed the lowest (11.2%). Prevalence of SCD was statistically similar in females and males (15.6% vs. 16.1%, p=0.6). Conclusions: Brazil exhibits distinct profiles of SCD according to regions, sex and genders that should be analyzed by policymakers in public health. The Midwest presented the highest prevalence of SCD. Individually, male adults and female older adults in the North presented the highest prevalence in Brazil.

scholarly journals Cognitive dispersion predicts grip strength trajectories in men but not women in a sample of the oldest-old without dementia

2021 ◽  
Author(s):  
Tamlyn Watermeyer ◽  
Fernando Massa ◽  
Jantje Goerdten ◽  
Lucy Stirland ◽  
Boo Johansson ◽  
...  
Keyword(s):  
Older Adults ◽  
Grip Strength ◽  
Cognitive Performance ◽  
Oldest Old ◽  
Rate Of Change ◽  
Sex And Gender ◽  
The Common ◽  
Reliable Marker ◽  
And Gender ◽  
Design And Methods

Abstract Background and Objectives Grip strength is a reliable marker of biological vitality and it typically demonstrates an expected decline in older adults. According to the common-cause hypothesis there is also a significant association between cognitive and physical function in older adults. Some specific cognitive functions have been shown to be associated with grip strength trajectories with most research solely focused on cut-off points or mean cognitive performance. In the present study we examine whether a measure of cognitive dispersion might be more informative. We therefore used an index that quantifies dispersion in cognitive scores across multiple cognitive tests, shown to be associated with detrimental outcomes in older adults. Research Design and Methods Using repeated grip strength measures from men and women aged 80 and older, free of dementia in the OCTO-Twin study, we estimated ageing-related grip strength trajectories. We examined the association of cognitive dispersion and mean cognitive function with grip strength level and ageing-related rate of change, accounting for known risk factors. Results Cognitive dispersion was associated with grip strength trajectories in men and the association varied by mean cognitive performance, whereas we found no association in women. Discussion and Implications Our results provide evidence of a sex-specific vitality association between cognitive dispersion and ageing-related trajectories of grip strength. Our results support the call for integration of sex and gender in health promotion and intervention research.

Gender

Anthropology ◽  
2012 ◽  
Author(s):  
Rebecca L. Upton
Keyword(s):  
Methodological Approach ◽  
Sex And Gender ◽  
Health And Human Rights ◽  
Feminist Anthropology ◽  
Distinct Area ◽  
Family Issues ◽  
Wide Range ◽  
And Gender ◽  
Biological Differences

Gender is a key concept in the discipline of anthropology. Sex and gender are defined differently in anthropology, the former as grounded in perceived biological differences and the latter as the cultural constructions observed, performed, and understood in any given society, often based on those perceived biological differences. Throughout the 20th century and the rise of sociocultural anthropology, the meaning and significance of gender to the discipline has shifted. In early ethnographic studies, gender was often synonymous with kinship or family, and a monograph might include just a single chapter on women or family issues. Despite early female pioneers in the field, it was not until the 1970s and 1980s and the real rise of feminist anthropology that gender as a distinct area of theoretical and methodological interest took hold within the discipline. Women were no longer seen as a category of culture and society outside of the realm of the everyday. While some focused on divisions between the domestic and the public, feminist anthropologists and those interested in the study of gender began to challenge the simple “add women and stir” model of ethnography and sought to bring attention to structural inequalities, the role of economic disparities, global dimensions to gender politics, the role of language, sexuality and masculinity studies, and health and human rights. Gradually the most recent works in gender and anthropology came to encompass a wide range of perspectives that challenge Western or monolithic assumptions about women and the experience of gender. For example, non-Western writing on gender illustrates how varied the experience of feminism can be in contemporary contexts where religious beliefs, development experiences, and the very role of language can influence understandings of gender. The study of women, men, and the intersections of gender across cultures has become a key aspect of any holistic study or methodological approach in anthropology today.

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