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

2020 ◽  
pp. 089826432097732
Author(s):  
Taylor F. D. Vigoureux ◽  
Monica E. Nelson ◽  
Ross Andel ◽  
Brent J. Small ◽  
Ana Luisa Dávila-Roman ◽  
...  

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.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 364-364
Author(s):  
Taylor Vigoureux ◽  
Monica Nelson ◽  
Ross Andel ◽  
Brent Small ◽  
Michael Crowe ◽  
...  

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.


2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 424-424
Author(s):  
T Drury ◽  
R Andel ◽  
B Small ◽  
A Luisa Davila ◽  
M Crowe

2018 ◽  
Vol 75 (12) ◽  
pp. 856-862 ◽  
Author(s):  
Liming Dong ◽  
William W Eaton ◽  
Adam P Spira ◽  
Jacqueline Agnew ◽  
Pamela J Surkan ◽  
...  

ObjectivesTo investigate the association between job strain and subsequent cognitive change over approximately 11 years, using data from the population-based Baltimore Epidemiologic Catchment Area follow-up study.MethodsThe sample ranged from 555 to 563 participants, depending on the outcome, who reported psychosocial characteristics corresponding to the full-time job they held at baseline (1993–1996). Overall cognitive performance was measured by the Mini-Mental State Examination (MMSE), and verbal memory was measured by the ImmediateWord Recall Task and Delayed Word Recall Task at baseline and follow-up (2004–2005). Multiple linear regression was used to examine the association between job strain and cognitive change, and inverse probability weighting was used to account for differential attrition.ResultsParticipants with high job demands (psychological or physical demands) and/or low job control had greater decrease in the MMSE and memory scores than those with low job demands and high job control. After adjustment for baseline outcome scores, age and sex, the greatest decrease was observed in participants with high job demands and low job control (MMSE: −0.24, 95% CI −0.36 to –0.11; verbal memory scores: −0.26, 95% CI −0.44 to –0.07). The differences were partially explained by sociodemographic characteristics, occupational prestige and health factors.ConclusionsFindings from this prospective study suggest that job strain is associated with and may be a potential modifiable risk factor for adverse cognitive outcomes.


2017 ◽  
Vol 29 (6) ◽  
pp. 1056-1078 ◽  
Author(s):  
Catherine Pérez ◽  
Jennifer A. Ailshire

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.


2017 ◽  
Vol 29 (6) ◽  
pp. 1079-1095 ◽  
Author(s):  
Brian Downer ◽  
Michael Crowe ◽  
Kyriakos S. Markides

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.


2013 ◽  
Vol 113 (2) ◽  
pp. 363-379 ◽  
Author(s):  
Thi Giang Hoang ◽  
Marc Corbière ◽  
Alessia Negrini ◽  
Minh Khuê Pham ◽  
Daniel Reinharz

The objective of this study was to validate the Karasek-Job Content Questionnaire in Vietnamese. A translation/back-translation of the questionnaire was performed prior to its administration to 344 health personnel in Vietnam. Several psychometric properties of the Vietnamese version of the Karasek-Job Content Questionnaire were assessed. A valid Vietnamese version of the Karasek-Job Content Questionnaire was produced, composed of five subscales based on the original theoretical model: Psychological demands, Social support at work, Decision latitude-Autonomy, Decision latitude—Authority, and Skill discretion. Internal consistency and reliability coefficients for each subscale of the questionnaire were satisfactory. The correlations with depression and work absence indicators were weak but statistically significant, as expected. The Vietnamese version of the Karasek-Job Content Questionnaire will help Vietnamese researchers and clinicians appropriately evaluate and document the job strain of workers in Vietnamese workplaces.


Author(s):  
Ahmad Zulfahmi Mohd Kamaruzaman ◽  
Mohd Ismail Ibrahim ◽  
Anees Abdul Hamid

Introduction: Medical officers are responsible to give health services to population. Ironically, they also suffer from unhealthy consequences in the mould of job strain.Objective: Thus, the main aim of this study is to determine the job strain among medical officers in health clinics (HCs), Kelantan and its associated factors.Methods: This was a cross-sectional study of the prevalence and risk factors of job strain among medical officers in HCs. The study was conducted between January and April 2019 using simple random sampling involving a total number of 232 medical officers. The selected medical officers were given the Malay version of validated Job Content Questionnaire (JCQ) in order to investigate job strain. There were three components investigated and two of them; decision latitude and psychological demands were applied to define job strain. The median score was utilized as the cut-off point to separate high and low result of the data. High psychological demand with concurrent low decision latitude resulted in high job strain. The last component investigated was social support (co-worker and supervisor support). The data were presented descriptively and logistic regression was used to find the association for the job strain.Results: The prevalence of high job strain among medical officers serving in HCs, Kelantan was 22.4 percent. Supervisor support was significantly associated with job strain.Conclusion: A high proportion of medical officers in HCs suffered high job strain. Supervisor support proved to be substantial in relieving job strain.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 50


Author(s):  
Alberto Palloni ◽  
Ana Luisa Davila ◽  
Melba Sanchez-Ayendez

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