JOB STRAIN AND COGNITIVE DECLINE IN THE PUERTO RICAN ELDERLY: HEALTH CONDITIONS STUDY

Objectives: We examined associations between job strain and cognitive aging in a sample of older Puerto Ricans. Methods: Members of the Puerto Rican Elderly: Health Conditions study, aged 60–100 years at baseline, participated. Job strain indicators were quantified from O*NET ( n = 1632) and a matrix of Job Content Questionnaire scores (JCQ; n = 1467). Global cognition was assessed twice across 4 years. Results: Controlling for age, sex, depressive symptoms, financial problems, hypertension, diabetes, childhood economic hardship, low job control and high job strain were consistently associated with greater cognitive decline. Adding education attenuated these associations. High education strengthened the JCQ job control-cognitive change link. Discussion: Low job control and high job strain may accelerate cognitive aging in this population. However, it may be more difficult to disentangle the intersecting roles of education and job strain in cognitive aging among older Puerto Ricans relative to older adults from contiguous United States or Europe.

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

Innovation in Aging ◽

10.1093/geroni/igaa057.1173 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 364-364

Author(s):

Taylor Vigoureux ◽

Monica Nelson ◽

Ross Andel ◽

Brent Small ◽

Michael Crowe ◽

...

Keyword(s):

Puerto Rican ◽

Western Europe ◽

Job Strain ◽

Job Demands ◽

Late Life ◽

The United States ◽

Job Control ◽

Cognitive Outcomes ◽

Health Conditions ◽

Elderly Health

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.

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Puerto Rican Elderly: Health Conditions (PREHCO) Project, 2002-2003, 2006-2007

ICPSR Data Holdings ◽

10.3886/icpsr34596.v1 ◽

2013 ◽

Cited By ~ 1

Author(s):

Alberto Palloni ◽

Ana Luisa Davila ◽

Melba Sanchez-Ayendez

Keyword(s):

Puerto Rican ◽

Health Conditions ◽

Elderly Health

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Puerto Rican Elderly: Health Conditions (PREHCO) Project, 2002-2003, 2006-2007

ICPSR Data Holdings ◽

10.3886/icpsr34596 ◽

2013 ◽

Cited By ~ 1

Author(s):

Alberto Palloni ◽

Ana Luisa Davila ◽

Melba Sanchez-Ayendez

Keyword(s):

Puerto Rican ◽

Health Conditions ◽

Elderly Health

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Poor oral health conditions and cognitive decline: Studies in humans and rats

PLoS ONE ◽

10.1371/journal.pone.0234659 ◽

2020 ◽

Vol 15 (7) ◽

pp. e0234659 ◽

Cited By ~ 1

Author(s):

Shuang Zhang ◽

Fengchun Yang ◽

Zezheng Wang ◽

Xueshen Qian ◽

Yan Ji ◽

...

Keyword(s):

Oral Health ◽

Cognitive Decline ◽

Health Conditions

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Aging in Puerto Rico: A Comparison of Health Status Among Island Puerto Rican and Mainland U.S. Older Adults

Journal of Aging and Health ◽

10.1177/0898264317714144 ◽

2017 ◽

Vol 29 (6) ◽

pp. 1056-1078 ◽

Cited By ~ 8

Author(s):

Catherine Pérez ◽

Jennifer A. Ailshire

Keyword(s):

Puerto Rico ◽

Health Status ◽

Puerto Rican ◽

Puerto Ricans ◽

Adult Population ◽

Aging Research ◽

Puerto Rican Women ◽

Self Rated Health ◽

Elderly Health ◽

Older Adult Population

Objective: To characterize the health status of older island Puerto Ricans, a segment of the U.S. population that has been largely overlooked in aging research. Method: Data from the 2002 Puerto Rican Elderly Health Conditions Project and the 2002 Health and Retirement Study are used to examine differences in disease, disability, and self-rated health among island Puerto Ricans and the mainland U.S.-born older adult population. Differences are further examined by gender. Results: Island Puerto Ricans were less likely to have heart disease, stroke, lung disease, cancer, activities of daily living (ADL) limitations, and poor self-rated health, but more likely to have hypertension and diabetes. Island Puerto Rican women had worse health relative to island Puerto Rican men. Discussion: Recent challenges in the funding and provision of health care in Puerto Rico are worrisome given the large number of aging island adults, many of whom have hypertension and diabetes, two conditions that require long-term medical care.

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Influence of Type II Diabetes and High Depressive Symptoms on the Likelihood for Developing Activities of Daily Living (ADL) Disability and Mortality in Older Puerto Ricans

Journal of Aging and Health ◽

10.1177/0898264317708882 ◽

2017 ◽

Vol 29 (6) ◽

pp. 1079-1095 ◽

Cited By ~ 7

Author(s):

Brian Downer ◽

Michael Crowe ◽

Kyriakos S. Markides

Keyword(s):

Depressive Symptoms ◽

Activities Of Daily Living ◽

Puerto Rican ◽

Type Ii Diabetes ◽

Daily Living ◽

Psychiatric Treatment ◽

Puerto Ricans ◽

Elderly Health ◽

Adl Disability

Objective: To examine the development of activities of daily living (ADL) disability and mortality according to diabetes and high depressive symptoms among Puerto Rican adults aged 60 and older. Method: Data came from Wave I and Wave II of the Puerto Rican Elderly: Health Conditions Study ( n = 3,419). Logistic regression was used. Using insulin and receiving psychiatric treatment were proxy measures of disease severity for diabetes and depressive symptoms, respectively. Results: High depressive symptoms at baseline were associated with developing ADL disability (OR = 2.21; 95% CI = [1.68, 2.91]). Diabetes at baseline was associated with mortality at follow-up (OR = 1.72; 95% CI = [1.34, 2.19]). Baseline diabetes was associated with developing ADL disability but only for those who reported using insulin (OR = 1.69; 95% CI = [1.08, 2.61]). Participants with comorbid diabetes and high depressive symptoms had the highest odds for developing ADL disability and mortality. Discussion: Diabetes and high depressive symptoms are risk factors of developing ADL disability and mortality for older Puerto Ricans.

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Early Life Circumstances and Cognitive Aging: Longitudinal Evidence From China Health and Retirement Study

Innovation in Aging ◽

10.1093/geroni/igaa057.202 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 62-62

Author(s):

Zhuoer Lin ◽

Xi Chen

Keyword(s):

Socioeconomic Status ◽

Cognitive Decline ◽

Cognitive Aging ◽

Early Life ◽

Cognitive Deficit ◽

Later Life ◽

Health Conditions ◽

Childhood Socioeconomic Status ◽

Life Circumstances

Abstract Objectives: This study examines the long-term relationship between early life circumstances and later life cognitive aging. In particular, we differentiate the long-term effects of early life circumstances on level of cognitive deficit and rate of cognitive decline. Methods: Cognitive trajectories were measured using three waves of China Health and Retirement Longitudinal Surveys (CHARLS 2011-2015). Linear mixed-effect model was used to decompose the individual level of cognitive deficit and rate of cognitive change in a sample of Chinese middle-aged and older adults 45-90 years of age (N=6,700). These two dimensions of cognition were matched to four domains of early life circumstances using CHARLS Life History Survey (2014), including childhood socioeconomic status, neighborhood environment, social relationships and health conditions. Their associations were examined by linear regressions. Stratification analysis was further conducted to investigate the mediating effect of education on early life circumstances and cognitive aging. Results: Childhood socioeconomic status, childhood friendship and early life health conditions were significantly associated with both the level of cognitive deficit and rate of decline. In contrast, the community environment, including childhood neighborhood safety and social cohesion, only affected the baseline level of cognitive deficit; and childhood relationship with parents only affected the rate of cognitive decline. Moreover, education was found to be a mediating factor of these relationships. Conclusion: Exposure to disadvantaged early life circumstances have significant negative effects on later life cognitive deficit as well as rate of cognitive decline. Nevertheless, these long-term impacts can be partially ameliorated by higher educational attainment.

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PELATIHAN DAN PEMBERDAYAAN KADER KESEHATAN TENTANG SCREENING KEJADIAN DEPRESI SEBAGAI SALAH SATU UPAYA IDENTIFIKASI KONDISI KESEHATAN LANSIA

SELAPARANG Jurnal Pengabdian Masyarakat Berkemajuan ◽

10.31764/jpmb.v5i1.6406 ◽

2021 ◽

Vol 5 (1) ◽

pp. 101

Author(s):

Wisoedhanie Widi Anugrahanti ◽

Cecilia Widijati Imam ◽

Raswati Prapti Rahayu

Keyword(s):

Community Service ◽

Geriatric Depression Scale ◽

Depression Scale ◽

The Elderly ◽

Health Conditions ◽

Geriatric Depression ◽

Elderly Health ◽

Power Point ◽

Media Power ◽

Partnership Program

ABSTRAKKegiatan Program Kemitraan Masyarakat “Pelatihan dan Pemberdayaan Kader Kesehatan Tentang Screening Kejadian Depresi Sebagai Salah Satu Upaya Identifikasi Kondisi Kesehatan Lansia, khususnya pada masa pandemi COVID-19 merupakan kegiatan yang bertujuan untuk meningkatkan pengetahuan dan keterampilan kader kesehatan tentang resiko depresi yang rentan muncul pada lansia dan bagaimana cara mengidentifikasi kejadian depresi yang mungkin muncul pada lansia. Pelatihan dan pemberdayaan kader kesehatan tentang resiko depresi pada lansia dilakukan menggunakan metode penyuluhan atau ceramah dengan media power point berikut diskusi dan tanya jawab. Untuk mempraktikkan bagaimana cara melakukan screening atau mengidentifikasi kejadian depresi pada lansia digunakan metode demonstrasi dengan mempraktikkan penggunakan instrument Geriatric Depression Scale. Hasil yang diperoleh dari kegiatan pengabdian masyarakat ini adalah peningkatan pengetahuan kader kesehatan tentang resiko depresi pada lansia serta dimilikinya keterampilan kader kesehatan dalam menggunakan instrument Geriatric Depression Scale dalam mengkaji resiko depresi pada lansia di Desa Tambakasri Kelurahan Tajinan Kabupaten Malang. Adanya peningkatan pengetahuan dan keterampilan kader kesehatan tersebut sangat bermanfaat bagi Desa Tambaksri untuk dapat secara mandiri mengenali dan mengidentifiaksi permasalahan kesehatan yang mungkin muncul di Desa Tambakasri sebagai upaya preventif dalam mencegah terjadinya permasalahan kesehatan dan untuk mewujudkan desa siaga kesehatan. Kata kunci: pelatihan; kader kesehatan; screening; depresi; lansia ABSTRACTCommunity Partnership Program Activities “Training and Empowerment of Health Cadres About Screening for Depression Events as One of the Efforts to Identify Elderly Health Conditions, especially during the COVID-19 pandemic, aims to provide understanding and skills for health cadres regarding depression that is prone to appear in the lives of the elderly. This risk is magnified by the COVID-19 pandemic situation which has consequences for limiting activities outside the home, so that the elderly's social activities are limited and monotonous and in the end can increase the risk of depression in the elderly. Training and empowerment of health cadres using counseling methods and demonstrations of the implementation of screening for depression in the elderly. The abilities and skills of health cadres possessed as an outcome of community service activities are very useful for efforts to identify the health conditions of the elderly, especially related to the incidence of depression and are useful for fulfilling elderly health data, especially for mental health posyandu owned in the local Tambakasri Village Keywords: health cadres; screening; depression; elderly.

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