Greater Engagement Research Articles

Factors driving the acceptance of genetically modified food crops in Ghana

AbstractCrops produced using recombinant DNA technology have invaluable food security roles but are not broadly accepted. Food insecurity affects between 45% and 50% of the Ghanaian populace, while the debate to adopt, accept, use, and commercialize genetically modified (GM) crops is ongoing. In this study, a choice‐based conjoint experimental design was adopted to investigate factors driving the acceptance or rejection of GM crops in Ghana. Results from average marginal component effect estimation suggest that safety concern is the major driver for accepting or rejecting GM crops. This was further confirmed using predicted probabilities and marginal means estimation of community acceptance especially when it possesses certain attributes. The safer the GM crop is perceived for human consumption, health, and environment, the more likely the Ghanaian populace will accept it. In addition, yield and taste were observed to be other key driving factors to accept GM crops. Importantly, the country of patency was also observed to be a critical driving factor for whether or not a GM crop is accepted in Ghana. There is a need for active and greater engagement with the Ghanaian populace to put proper legislation, regulations, policies, and knowledge co‐creation process to ensure the proper use of GM crops.

CONNECTING LIFETIME EXPERIENCE OF MISCARRIAGE TO POSITIVE LIFE EVALUATION AMONG WOMEN AGING-IN-CUSTODY

Abstract This study assessed the interconnection between miscarriage, forgiveness, and social provisions on positive valuation of life among N = 157 older women (45 years and older) under correctional custody in Oklahoma. Based on the Model of Developmental Adaptation, path analysis was conducted positing valuation of life, the developmental outcome, regressed on the proximal influence of socio-emotional support and forgiveness and the distal lifetime report of miscarriage. Endogenous measures were controlled for age, race, marital status, education, and crime type. Using Mplus 8.8 and an estimator (MLR) that provides parameter estimates and a chi-square test statistic robust to non-normality, the model fit well with a non-significant chi square test statistics and significant parameter estimates. For these women, 40.5% of the variation in positive valuation of life was explained, primarily by socio-emotional support. Miscarriage had a significant positive association with socio-emotional provisions (β = .15, p < .05) but not forgiveness. Meanwhile, forgiveness had a significant direct association with positive valuation of life (β = .46, p < .001). A significant indirect effect emerged for miscarriage on positive valuation of life through socio-emotional support (.047, p =.035, one-tail test). Results suggest that older incarcerated women with a reported history of miscarriage achieve a positive life outlook to the extent they feel emotionally supported. Greater engagement in forgiveness also appears to contribute to a positive life perspective. This has implications relative to how correctional counselors, social workers, and case managers offer services to support older incarcerated women with a reported history of miscarriage.

Thoughts on ‘planetary rural geographies’: Commonalties of capitalist development, authoritarian populisms, and energy transition

In contrast to the urban-centric framing of planetary urbanization, the concept of ‘planetary rural geographies’ emphasizes the ongoing importance and distinctiveness of pluriversal rural spaces and identities, including their continued centrality to the global economy. It also argues that rural spaces are especially defined by diverse relationships between the human and non-human that must be understood volumetrically, rather than through largely two-dimensional territorial imaginaries. These themes are developed and illustrated via consideration of contemporary rural geographies as spaces of crisis, spaces of conflict, and spaces of hope. The concept of planetary rural geographies could be enhanced by greater attention to key analytical commonalties among admittedly diverse rural geographies, particularly with respect to broader dynamics of capitalist development and climate change, an effort that could be supported via greater engagement between the literatures on specifically rural geographies, and those on rural populisms, climate adaptation and mitigation, and energy geographies.

Organizational factors determining LGBT disclosure: an analysis of the Brazilian context

PurposeThis study investigated the impact of some determinant organizational factors on disseminating LGBT information in Brazilian companies in 2019.Design/methodology/approachThe study is exploratory and has a quantitative approach, which uses secondary data from the CSR Hub database 2019 of publicly traded Brazilian companies. For constructing the LGBT disclosure metric, the authors took the study by Parizek and Evangelinos (2021). The independent variables were the social responsibility, financial and governance characteristics of the companies. Analysis was conducted by combining a symmetric method (multiple linear regression analysis with econometric models) and an asymmetric approach (fuzzy-set qualitative comparative analysis).FindingsThe research findings showed that companies with higher performance in CSR have greater LGBT disclosure. Findings also show that companies with higher financial performance tend to have greater LGBT disclosure. This is because larger companies have more resources to invest in CSR practices and sexual diversity policies, as well as a greater number of stakeholders pressing them to act more responsibly. Additional results showed that companies that signed the UN Global Compact and publish an environmental report annually have greater engagement in LGBT disclosure.Originality/valueThis study's novelty emerges from applying the fsQCA technique, which helps to a broaden understanding of the conditions necessary to achieve greater LGBT disclosure. Furthermore, this study initiates the debate on LGBT disclosure in emerging economies, a recent topic and still little explored empirically.

Ensuring a ‘Responsible’ AI future in India: RRI as an approach for identifying the ethical challenges from an Indian perspective

Artificial intelligence (AI) can be seen to be at an inflexion point in India, a country which is keen to adopt and exploit new technologies, but needs to carefully consider how they do this. AI is usually deployed with good intentions, to unlock value and create opportunities for the people; however it does not come without its challenges. There are a set of ethical–social issues associated with AI, which include concerns around privacy, data protection, job displacement, historical bias and discrimination. Through a series of focus groups with knowledgeable people embedded in India and its culture, this research explores the ethical–societal changes and challenges that India now faces. Further, it investigates whether the principles and practices of responsible research and innovation (RRI) might provide a framework to help identify and deal with these issues. The results show that the areas in which RRI could offer scope to improve this outlook include education, policy and governance, legislation and regulation, and innovation and industry practices. Some significant challenges described by participants included: the lack of awareness of AI by the public as well as policy makers; India’s access and implementation of Western datasets, resulting in a lack of diversity, exacerbation of existing power asymmetries, increase in social inequality and the creation of bias; the potential replacement of jobs by AI. One option was to look at a hybrid approach, a mix of AI and humans, with expansion and upskilling of the current workforce. In terms of strategy, there seems to be a gap between the rhetoric of the government and what is seen on the ground, and therefore going forward there needs to be a much greater engagement with a wider audience of stakeholders.

Wildfire management and evacuation in indigenous communities in Canada and the United States: A scoping review

Indigenous people and communities are disproportionately affected by wildfire and the accompanying smoke, motivating calls for revitalization, integration, and greater engagement with Indigenous people regarding fire knowledges and practices. We conducted a scoping review of literature on wildfire management and evacuation in Canada and the United States to understand impacts on Indigenous communities, and to inform ways that Indigenous communities can be more involved in decision-making in these areas. The literature reviewed suggests that, despite progress, there are still a range of barriers that leave little scope for Indigenous participation in shaping wildfire management on their territories. The literature also illustrates that the evacuation process can be traumatic and, at times, more harmful than the risk posed by the wildfire itself. However, the challenge is deeper than government agencies and external support organizations needing to improve their acceptance and utilization of Indigenous experiences and knowledges, identify opportunities for effective partnerships between government and Indigenous communities and organizations, and provide adequate funding and resources. More so, the challenge relates to the need to make space for Indigenous people's self-determination, with more agency and control over key aspects of wildfire management and evacuation. Some of the most promising examples from the literature were situations in which Indigenous communities took initiative on their own, had more control over decisions, or were otherwise enabled to express their collective agency in both wildfire management and evacuation. The pursuit of more integrative and holistic approaches in wildfire management generally will strengthen Indigenous community sovereignty, capacity, and community resilience.

Does Health & Her app use improve menopausal symptoms? A longitudinal cohort study

ObjectivesThe Health & Her app provides menopausal women with a means of monitoring their symptoms, symptom triggers and menstrual periods, and enables them to engage in a variety of digital...

Towards a science of ‘land grabbing’

In the past two decades, large-scale land transactions (LSLTs), commonly known as land grabs or large-scale land acquisitions, have been pursued by agricultural investors and host-country governments in Lower- and Middle-Income Countries (LMIC) to boost crop yield. Existing knowledge on LSLTs is highly diverse, generated by scholars taking a wide range of perspectives and frameworks. However, the global patterns of LSLT-related research and their potential shortcomings remain under-investigated. In this paper, we analyze 370 peer-reviewed papers on LSLTs to advance this field of knowledge towards a science of ‘land grabbing’. Our findings reveal that 1) research on LSLTs displays geographical imbalances; 2) global statistics do not fully capture the complexity of LSLTs on the ground; 3) different disciplinary interests and theoretical traditions result in different use of terms in referring to LSLTs and divergent impressions of their social consequences; and 4) the environmental consequences of LSLTs are under-studied relatively. We suggest that a better understanding of LSLTs could result from greater engagement with each discipline’s strength and epistemic frameworks.

LGBTQ+ students’ weekly academic engagement and disaffection predicted by experiences in gender-sexuality alliance meetings

BackgroundSchools are responsible for promoting LGBTQ+ students' academic success, yet many LGBTQ+ students contend with unsupportive learning environments. Gender-Sexuality Alliances (GSAs)—clubs that affirm students’ sexual orientation and gender diversity—could promote academic engagement and protect against disaffection. AimsWe aimed to identify GSA meeting-to-meeting experiences that predicted students’ ensuing academic engagement and disaffection over an eight-week weekly survey study. SampleParticipants were 92 LGBTQ+ GSA members (50% students of color, 51% trans/nonbinary, Mage = 15.83). MethodsParticipants completed once-weekly surveys over an 8-week period on their experiences in their most recently attended GSA meeting and their current level of academic engagement and disaffection with learning. ResultsParticipants reported relatively lower disaffection on days after meetings where they had perceived greater advisor responsiveness, socialized with peers, and discussed academic issues. They reported relatively greater engagement on days after meetings where they took on more leadership. Participants who led more, on average, over the eight-week period reported less disaffection and greater engagement than others. ConclusionsGSAs may contribute partially to LGBTQ+ students’ educational experiences by guarding against academic disaffection and, to a lesser extent, promoting their academic engagement from week to week. More research needs to consider how GSAs and other school-based resources promote learning among LGBTQ+ students.

Attitudes and experiences regarding preventive strategies for the deaf population in Western New York.

People for whom English is a second language, such as the deaf population, often have unequal access to health information and low health literacy. In the context of a wider study on risk of tick-borne illness in deaf communities, we explored barriers, opportunities, and nuances to accessible health information and communication among deaf people. Semi-structured qualitative individual and group interviews were conducted with 40 deaf people in upstate New York, to explore factors associated with health literacy and health information accessibility. Interviews were conducted in American Sign Language (ASL) by a deaf researcher fluent in ASL. Data analysis included the translation of ASL signs into English words, systematic coding, and generation of themes. A total of 21 interview events (mean time per interview = 41 minutes) were conducted. Two main themes and multiple sub-themes emerged from the data: 1) Layers of obstacles faced by deaf people confirms (or reinforces) exclusion; and 2) preventive information is unavailable or inaccessible to deaf people. Sub- themes identified in the results were perceptions of the deaf community and deaf culture, complex layers of obstacles faced by deaf individuals, the digital divide, the culture of communication, awareness of tick and tick-borne disease (TBD) diseases, importance of using certified deaf interpreters (CDI), health information dissemination strategies and collaborations with the education system, and physical/virtual community engagement. The data suggested several challenges to health literacy in the deaf population, including healthcare and education inequalities and negative perceptions of deaf people by both deaf and hearing people. Improving health literacy in the deaf population requires more interpreters who themselves are deaf ("certified deaf interpreters"), provision of health information in ASL, and a greater engagement with the deaf population by education and healthcare systems.

Ecological drivers of hunter-gatherer lithic technology from the Middle and Later Stone Age in Central Africa

Central Africa is a key region for examining patterns of hunter-gatherer inhabitation and engagement with ecological diversity and environmental change. In contrast to adjacent regions, however, the archaeological record of prehistoric hunter-gatherer populations in Central Africa is underrepresented in studies of recent human evolution. This limited engagement with Central African archaeological records in part stems from the complexities of identifying, excavating, and dating hunter-gatherer sites in what are today often heavily forested environments, a focus on named stone tool industries from undated sites to structure the record, and highly limited means to associate dated hunter-gatherer occupations with proxy records of environmental conditions. Here, we present a novel synthesis of prehistoric hunter-gatherer stone tool assemblages from dated Central African sites and use climate model datasets to illuminate the environmental and ecological landscapes in which they were deployed. Our results suggest a significant ecological shift occurred from 14,000 years ago onwards, associated with a greater engagement with broadleaf forests. We examine the extent to which a range of geographic and paleoclimatic drivers can explain patterns of gross assemblage composition and the appearance of individual lithic technologies highlighting the significant role of changes in altitude, precipitation, seasonality, and ecology. Notably, considerable continuity can be observed between the habitat ranges of contemporary hunter-gatherer populations in Central Africa and prehistoric occupations that significantly precede the appearance of farming lifeways in the region.

Nursing students bringing first aid to the community

AimThis study aimed to evaluate the theoretical and practical skills acquired by nursing students and school students after the service-learning project.MethodsThis study promotes nursing students and school students working together to gain awareness and basic theoretical knowledge of first aid. The learning project was conducted with nursing students (n = 67) and school students (n = 131) from April to June 2022. The nursing students gave scores higher than 8 on the aspects linked to expectations, self-perception, overall assessment, and attainment of the goals, and these results are in line with the qualitative analysis.ResultsMoreover, 100% of the school students reported a satisfactory outcome about the service.ConclusionService-learning is a challenging and motivating methodology for nursing students, which results in greater engagement with theory and practice and the development of essential skills for future professionals.

Disabled people’s accessible taxi experiences in Toronto, Canada

Many paratransit agencies contract out trips to accessible taxi services. The literature has identified an array of transport barriers facing disabled people, and offers useful insights into how they experience different transport modes. However, remarkably little attention has been given to understanding how disabled people experience accessible taxi trips. In this paper, we present findings from a study focused on understanding how disabled people experience accessible taxi services in Toronto, Canada. Findings emerged from a thematic analysis of 590 customer complaint reports and 494 driver-reported incident reports that were provided by a local accessible taxi brokerage. To question the embodied experiences of disabled people during accessible taxi trips, we employed a critical disability studies perspective informed by phenomenological and critical ableist studies. Findings underscore the temporal experiences of disability, while highlighting ableist aspects of accessible taxi services that are contributing to various barriers for disabled riders relating to service quality issues, safety concerns, and inflexible taxi service policies. In this paper, we call for enhanced disability-related training for drivers, flexible accessible taxi policies that better account for the needs of disabled riders, improved communication protocols, and greater engagement with disabled people when developing new policies and operational changes.

A scoping review of health promotion interventions delivered via social media to women of reproductive age.

Adult women of reproductive age are highly engaged with social media, suggesting its utility for conveying health information to this population, at scale. This scoping review aimed to describe health promotion interventions conducted via social media and assess their effectiveness to improve health outcomes, engagement and acceptability in adult women of reproductive age. Six databases were searched on 13 May 2022. Two reviewers independently screened studies. Data were extracted and risk of bias assessed using the Joanna Briggs Critical Appraisal Tools. Eligible studies conducted an intervention primarily via social media, with or without a comparison intervention, and reported health-related outcomes/behaviours pre- and post-intervention. Results were presented in narrative form. Adult women (mean age 18-45 years). Nine eligible studies were identified: six randomised control trials, two quasi-experimental studies and one cross-sectional study. Interventions focused on prenatal, antenatal or postpartum health or physical activity. Seven studies utilised Facebook for intervention delivery, one conducted a digital campaign across four platforms and one used WeChat. Studies reported significant improvements in a range of outcomes, including increased parenting competence, longer duration of breast-feeding and higher rates of physical activity. Social media interventions had greater engagement than control interventions. We identified nine diverse health promotion interventions conducted via social media, which appear acceptable and effective for improving various health outcomes in adult women of reproductive age. While this supports the utility of social media to convey health information, further research is required to prove effectiveness and superiority over other intervention strategies.

Evaluating an Inquiry-Based Learning Program.

Background Inquiry-based learning (IBL) is a promising educational framework that is understudied in graduate medical education. Objective To determine participant satisfaction, and engagement with phases of an IBL postgraduate education program. Methods A mixed methods study collected data via survey statements and open-ended responses. The authors included participants attending an Intensive Care Medicine (ICM) IBL program from May to November, 2020. Quantitative outcomes included participants' satisfaction with the IBL format and impact of engagement with IBL on the learning experience. Qualitative outcomes explored determinants of engagement with IBL phases and the impact on the learning experience. Results Of 378 attendees, 167 submitted survey responses (44.2%). There was strong agreement relating to overall satisfaction (93.4%). Responses indicated engagement with 'orientation' (94.6%), 'conceptualization' (97.3%), 'discussion' (91.1%) and 'conclusion' (91.0%), but limited engagement with the 'investigation' phase (48.1%). Greater engagement with IBL phases had positive impacts, with repeat attenders having clearer learning objectives (79.1% vs 56.6%, [p<0.05]) and enhanced learning through collaborative discussion (65.9% vs 48.7%, [p<0.05]). Qualitative analysis showed that ICM learners value active learning principles, clear objectives and a safe environment to expand their "knowledge base". Sessions facilitated "clinically relevant learning", with application of theoretical knowledge. Learners transformed and "reframed their understanding" using the input of others' experiences. Conclusions ICM learners were highly satisfied with the IBL format and reported valuable learning. Participants engaged strongly with all IBL phases except the investigation phase during the sessions. IBL facilitated learners' active construction of meaning, facilitating a constructivist approach to learning.

Equitable access to COVID-19 diagnostics: factors associated with the uptake of rapid antigen testing in Victoria, Australia, January – February 2022

BackgroundAccessible and accurate diagnostics are critical to control communicable diseases. Uptake of COVID-19 rapid antigen (RA) testing requires physical and financial access to tests, knowledge about usage, motivation, and ability to report results. We sought to understand patterns of and factors associated with RA test uptake in Victoria during a period of high caseload, RA test promotion, and difficulty accessing RA and PCR testing. We hypothesise RA test uptake is indicated by the ratio of cases diagnosed by RA test (probable) to those diagnosed using PCR (confirmed) (p:c).MethodsAnalysing case records, trends in p:c were assessed, between regions, sex, age groups, socio-economic strata and cultural diversity. Logistic regression assessed associations between case classification, and median age, postcode-level socio-economic disadvantage, and proportion overseas-born.ResultsWe included 591,789 cases. Mean p:c was lower in socio-economically disadvantaged areas (decile 1 + 2: 0.90 vs. decile 9 + 10: 1.10), and in postcodes where the overseas-born population was above the Victorian average (0.83 vs. 1.05). Conversely, p:c was higher in younger age groups; with no difference between sexes overall. In metropolitan Melbourne, odds of RA test usage increased as socio-economic disadvantage decreased (decile 9 + 10, aOR 1.40, 95%CI 1.37–1.43, vs. decile 1 + 2; p < .001), decreased for cases from areas with a higher overseas-born population (aOR 0.85, 0.83–0.86, p < .001), and with older age.ConclusionsReduced uptake of RA tests in Victoria is associated with socio-economic disadvantage, cultural diversity, and older age. Equitable access to COVID-19 diagnostics requires elimination of financial barriers, and greater engagement with culturally diverse and older groups. Inequitable RA test uptake may lead to case under-ascertainment, affecting resource allocation, effective control strategy development, in turn impacting COVID-19 morbidity and mortality, and could indicate relative engagement with response initiatives.

Phenomenological Changes Associated with Deep Brain Stimulation for Obsessive Compulsive Disorder: A Cognitive Appraisal Model of Recovery.

The current scientific enquiry of deep brain stimulation (DBS) does not capture the breadth of DBS-induced changes to an individual's life. Considering that DBS is applied in severe and complex cases, it is ethically and clinically necessary to consider the patient perspective and personally relevant outcomes. This lived experience investigation of people with obsessive compulsive disorder (OCD) undergoing DBS aims to provide a comprehensive evaluation of DBS-induced effects associated with OCD psychopathology. Six patients and six carers completed semi-structured open-ended interviews. A blended approach of interpretative phenomenological, inductive, and thematic analysis techniques was employed. Profound psychopathological changes were expressed; individuals felt more alive, had improved cognitive affective control, greater engagement in the world, and were able to manage their OCD. Through suppression of the condition, self-constructs were able to re-emerge and develop. A framework describing the progression of phenomenological changes, and a theoretical model describing changes in the cognitive appraisal of intrusions influencing recovery are proposed. This is the first identified qualitative investigation of DBS-induced changes in psychiatric patients and carers. Findings have implications for patient education and recovery models of OCD, and scientific understanding of DBS effects.

A - 171 Neuropsychological Performance Relates to Observed Risky Driving in Healthy Adults.

This study uses video telematics to examine relationships between neuropsychological performance and directly observed naturalistic driving-as-usual in healthy adult drivers. We hypothesized that visual attention and executive function measures would have the strongest associations with unsafe driving behaviors. Twenty-five healthy drivers (ages 23-61, 62% women) were recruited from the general community into this cross-sectional study. They completed neuropsychological testing and 28days of naturalistic driving with an in-vehicle video telematics platform that detected unsafe driving behaviors. The neuropsychological battery measured driving-relevant domains, namely visual attention, processing speed, executive function, and visuospatial memory. We examined correlations between neuropsychological measures and unsafe behaviors. Unsafe following distance correlated with better performance on Useful Field of View Selective Attention (r = 0.55, p = 0.004, 95% CI = 0.19-0.77), Symbol Digit Modalities Test Written (r = 0.51, p = 0.009, CI = 0.13-0.76) and Oral (r = 0.51, p = 0.010, CI = 0.13-0.75), Trails B (r = 0.42, p = 0.035, CI = 0.02-0.70), and Stroop Color (r = 0.46, p = 0.022, CI = 0.06-0.72). Speeding correlated with better Spatial Recall Test Immediate (r = 0.48, p = 0.015, CI = 0.10-0.73) and Delay performance (r = 0.42, p = 0.038, CI = 0.02-0.69). In healthy adult drivers, better performance in the domains of visuospatial memory, processing speed, and attention is associated with greater engagement in unsafe driving behaviors. In the absence of concern about cognitive compromise, individuals may feel more comfortable making risky behaviors. We plan to expand this work to broader samples and clinical populations to increase generalizability and applicability to clinical driving evaluations.

Role of Blended Learning in Higher Education: Students’ “First Steps” to Precarious Work and Social Life

Introduction. The discussion of the challenges and consequences of permanent crises for university life from the point of view of students is centered around the problem of quality of higher education. The author proposes to measure it in the context of the transition of Russian universities to the model of blended learning through the indicator of perception of learning formats. The aim of the article is to determine the parameters of positive and negative attitudes of potential students to higher education with online elements, to highlight its advantages and disadvantages. Materials and Methods. The answers to these questions are based on empirical research data: the results of an online survey conducted in 2021–2022 among full-time undergraduate and graduate applicants to one of the largest Russian universities; additional surveys conducted by the authors in 2015 (using a similar methodology); semi-structured interviews conducted at the end of the academic year with first-year students from among those surveyed in the quantitative study in 2021, university graduates (using a similar methodology); semi-structured interviews conducted at the end of the academic year with first-year students from among those surveyed in the quantitative research in 2021, university graduates working in the digital sphere in 2021. Results. The results of the study showed that studentsʼ positive attitudes towards blended and online learning are constantly increasing, with this result being characteristic of undergraduate students. Flexible learning is gradually becoming a more natural process of higher education in studentsʼ perception. The interviews provide insights into studentsʼ greater engagement in a blended learning educational environment. Such experiences increase their adaptability to changing work content. The limitations of the blended learning model are related to the fact that conservative students (“pro” traditional education) have more stable orientations for self-realization in the specialty. Discussion and Conclusion. The conclusions made by the author contribute to the development of scientific ideas about the relationship between the labor market and higher education, where the preparation of young people for unstable employment and social life becomes a key task. An important role in blended learning is the development of elements of studentsʼ agency through mastering digital skills, ability to plan in response to the challenges of instability of future work and social life.

Early-life participation in cognitively stimulating activities and risk of depression and anxiety in late life.

Early-life stressful experiences are associated with increased risk of adverse psychological outcomes in later life. However, much less is known about associations between early-life positive experiences, such as participation in cognitively stimulating activities, and late-life mental health. We investigated whether greater engagement in cognitively stimulating activities in early life is associated with lower risk of depression and anxiety in late life. We surveyed former participants of the St. Louis Baby Tooth study, between 22 June 2021 and 25 March 2022 to collect information on participants' current depression/anxiety symptoms and their early-life activities (N = 2187 responded). A composite activity score was created to represent the early-life activity level by averaging the frequency of self-reported participation in common cognitively stimulating activities in participants' early life (age 6, 12, 18), each rated on a 1 (least frequent) to 5 (most frequent) point scale. Depression/anxiety symptoms were measured by Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder Screener (GAD-7). We used logistic regressions to estimate odds ratios (OR) and 95% confidence intervals (CI) of outcome risk associated with frequency of early-life activity. Each one-point increase in the early-life composite cognitive activity score was associated with an OR of 0.54 (95% CI 0.38-0.77) for late-life depression and an OR of 0.94 (95% CI 0.61-1.43) for late-life anxiety, adjusting for age, sex, race, parental education, childhood family structure, and socioeconomic status. More frequent participation in cognitively stimulating activities during early life was associated with reduced risk of late-life depression.