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Health and social correlates of dementia in oldest‐old Mexican‐origin populations

INTRODUCTION: Substantial gaps in research remain across oldest‐old ethnic populations while the burden of dementia increases exponentially with age among Mexican and Mexican American older adults. METHODS: Prevalence and correlates of dementia among individuals ≥82 years of age were examined using...

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Autores principales: Mejia‐Arango, Silvia, Aguila, Emma, López‐Ortega, Mariana, Gutiérrez‐Robledo, Luis Miguel, Vega, William A., Andrade, Flavia C. Drumond, Rote, Sunshine M., Grasso, Stephanie M., Markides, Kyriakos S., Angel, Jacqueline L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7744026/
https://www.ncbi.nlm.nih.gov/pubmed/33344751
http://dx.doi.org/10.1002/trc2.12105
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author Mejia‐Arango, Silvia
Aguila, Emma
López‐Ortega, Mariana
Gutiérrez‐Robledo, Luis Miguel
Vega, William A.
Andrade, Flavia C. Drumond
Rote, Sunshine M.
Grasso, Stephanie M.
Markides, Kyriakos S.
Angel, Jacqueline L.
author_facet Mejia‐Arango, Silvia
Aguila, Emma
López‐Ortega, Mariana
Gutiérrez‐Robledo, Luis Miguel
Vega, William A.
Andrade, Flavia C. Drumond
Rote, Sunshine M.
Grasso, Stephanie M.
Markides, Kyriakos S.
Angel, Jacqueline L.
author_sort Mejia‐Arango, Silvia
collection PubMed
description INTRODUCTION: Substantial gaps in research remain across oldest‐old ethnic populations while the burden of dementia increases exponentially with age among Mexican and Mexican American older adults. METHODS: Prevalence and correlates of dementia among individuals ≥82 years of age were examined using two population‐based cohort studies: The Mexican Health and Aging Study (MHAS, n = 1078, 2012) and the Hispanic Established Populations for the Epidemiologic Study of the Elderly (HEPESE, n = 735, 2012–2013). The analytic MHAS and HEPESE samples had an average age of 86.4 and 88.0 years, 1.2 and 1.8 women to men, and 2.7 and 5.1 average years of education, respectively. RESULTS: We identified 316 (29.2%) and 267 (36.3%) cases of likely dementia in the MHAS and HEPESE cohorts, respectively. For Mexicans but not Mexican Americans, age‐adjusted prevalence rates of likely dementia were higher in women than men. For both populations prevalence rates increased with age and decreased with education for Mexican Americans but not for Mexicans. In both populations, odds of likely dementia increased with age. Health insurance for the low‐income was significantly associated with higher odds of likely dementia for Mexican American men and women and Mexican women but not men. Living in extended households increased the odds of likely dementia in women, but not in men for both studies. Multiple cardiovascular conditions increased the odds of likely dementia for Mexicans but not for Mexican Americans. DISCUSSION: Our study provides evidence of the high burden of dementia among oldest‐old Mexicans and Mexican Americans and its association with health and social vulnerabilities.
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spelling pubmed-77440262020-12-18 Health and social correlates of dementia in oldest‐old Mexican‐origin populations Mejia‐Arango, Silvia Aguila, Emma López‐Ortega, Mariana Gutiérrez‐Robledo, Luis Miguel Vega, William A. Andrade, Flavia C. Drumond Rote, Sunshine M. Grasso, Stephanie M. Markides, Kyriakos S. Angel, Jacqueline L. Alzheimers Dement (N Y) Research Articles INTRODUCTION: Substantial gaps in research remain across oldest‐old ethnic populations while the burden of dementia increases exponentially with age among Mexican and Mexican American older adults. METHODS: Prevalence and correlates of dementia among individuals ≥82 years of age were examined using two population‐based cohort studies: The Mexican Health and Aging Study (MHAS, n = 1078, 2012) and the Hispanic Established Populations for the Epidemiologic Study of the Elderly (HEPESE, n = 735, 2012–2013). The analytic MHAS and HEPESE samples had an average age of 86.4 and 88.0 years, 1.2 and 1.8 women to men, and 2.7 and 5.1 average years of education, respectively. RESULTS: We identified 316 (29.2%) and 267 (36.3%) cases of likely dementia in the MHAS and HEPESE cohorts, respectively. For Mexicans but not Mexican Americans, age‐adjusted prevalence rates of likely dementia were higher in women than men. For both populations prevalence rates increased with age and decreased with education for Mexican Americans but not for Mexicans. In both populations, odds of likely dementia increased with age. Health insurance for the low‐income was significantly associated with higher odds of likely dementia for Mexican American men and women and Mexican women but not men. Living in extended households increased the odds of likely dementia in women, but not in men for both studies. Multiple cardiovascular conditions increased the odds of likely dementia for Mexicans but not for Mexican Americans. DISCUSSION: Our study provides evidence of the high burden of dementia among oldest‐old Mexicans and Mexican Americans and its association with health and social vulnerabilities. John Wiley and Sons Inc. 2020-12-16 /pmc/articles/PMC7744026/ /pubmed/33344751 http://dx.doi.org/10.1002/trc2.12105 Text en © 2020 The Authors. Alzheimer's & Dementia: Translational Research & Clinical Interventions published by Wiley Periodicals, Inc. on behalf of Alzheimer's Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Research Articles
Mejia‐Arango, Silvia
Aguila, Emma
López‐Ortega, Mariana
Gutiérrez‐Robledo, Luis Miguel
Vega, William A.
Andrade, Flavia C. Drumond
Rote, Sunshine M.
Grasso, Stephanie M.
Markides, Kyriakos S.
Angel, Jacqueline L.
Health and social correlates of dementia in oldest‐old Mexican‐origin populations
title Health and social correlates of dementia in oldest‐old Mexican‐origin populations
title_full Health and social correlates of dementia in oldest‐old Mexican‐origin populations
title_fullStr Health and social correlates of dementia in oldest‐old Mexican‐origin populations
title_full_unstemmed Health and social correlates of dementia in oldest‐old Mexican‐origin populations
title_short Health and social correlates of dementia in oldest‐old Mexican‐origin populations
title_sort health and social correlates of dementia in oldest‐old mexican‐origin populations
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7744026/
https://www.ncbi.nlm.nih.gov/pubmed/33344751
http://dx.doi.org/10.1002/trc2.12105
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