Abstract

The objective is to assess if the effect of diabetes on cognition differs by race/ethnicity in the U.S. and how this association differs between older Hispanics in the U.S. and older Mexicans in Mexico. Data comes from a sample of older adults 50 and older with direct interviews from the 2012 waves of the Health and Retirement Study (N=17,810) and the Mexican Health and Aging Study (N=13,270). Cognition was measured as a total cognition score. OLS regressions were used to test the association between diabetes and cognition by race/ethnicity in the U.S. and among older Mexicans in Mexico. Results showed that Non-Hispanic Whites (NHW) had the highest cognition scores in the U.S., followed by Hispanics and non-Hispanic blacks (NHB). Mean cognition score of older Mexicans was higher than for NHB and Hispanics in the U.S. but lower than NHWs. The prevalence of diabetes was highest among Hispanics (32.3%), followed by NHB (30.6%) and NHW (19.9%). The prevalence of diabetes in Mexico was like those NHW in the U.S. (19.9%). In the U.S., the effect of being NHB and Hispanic (compared to white) on cognition was equivalent to having 5.3 and 2.4 fewer years of education, respectively. However, the effect of diabetes on cognition did not differ by race/ethnicity. The final analysis will include a direct comparison between Hispanics in the U.S. and a matched sample of older adults in Mexico with similar sex and age to test differences in the effect of diabetes on cognition between these two samples.

Highlights

  • The correlation coefficient of the Everyday Cognition (ECog) total score was 0.48, indicating a fair correlation, and the coefficients of the ECog domains ranged between 0.35 and 0.56, indicating poor to fair correlations based on the guideline of Cicchetti (1994). These findings suggest that a tailored approach to addressing the poor agreement between recipients and caregivers should be adopted to develop successful treatment plans for cognitive impairment

  • The objective is to assess if the effect of diabetes on cognition differs by race/ethnicity in the U.S and how this association differs between older Hispanics in the U.S and older Mexicans in Mexico

  • Previous cross-sectional research suggests that age-related decreases in Rapid-Eye Movement (REM) sleep may contribute to poorer cognitive functioning (CF); few studies have examined the relationship at the intraindividual level by measuring habitual sleep over multiple days

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Summary

Introduction

The objective is to assess if the effect of diabetes on cognition differs by race/ethnicity in the U.S and how this association differs between older Hispanics in the U.S and older Mexicans in Mexico. This cross-sectional study is the first to examine the correlation between recipient-rated and caregiver-rated cognitive function in the LT population. Sixty pairs of adult LT recipients (mean age 60.4±6.9) and their caregivers (mean relationship with recipients 35 years) participated in this study.

Results
Conclusion

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