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Life course socioeconomic position and mid-late life cognitive function in eastern europe

机译:东欧的人生历程社会经济地位和中后期人生认知功能

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Objectives.To investigate whether the positive relation between socioeconomic position (SEP) across the life course and later life cognitive function observed in Western populations exists in former communist countries with apparently smaller income inequalities.Method.Structural equation modeling analysis of cross-sectional data on 30,846 participants aged 45-78 years in four Central and Eastern European centers: Novosibirsk (Russia), Krakow (Poland), Kaunas (Lithuania), and six Czech towns from the HAPIEE (Health, Alcohol, and Psychosocial factors In Eastern Europe) study. SEP was measured using self-reported childhood (maternal education, household amenities), adult (education), and older adult (current material circumstances) indicators. Latent variable for cognition was constructed from word recall, animal naming, and letter search.Results.Associations between SEP measures over the life course and cognition were similar across study centers. Education had the strongest direct association with cognition, followed by current material circumstances. Indirect path from education to cognition, mediated by current SEP, was small. Direct path from mother's education to cognition was significant but modest, and partially mediated by later SEP measures, particularly education.Discussion.In these Eastern European populations, late life cognition reflected life course socioeconomic trajectories similarly to findings in Western countries.
机译:目的:研究在收入不平等程度明显较小的前共产主义国家中,在整个生命过程中社会经济地位(SEP)与西方人群中观察到的晚年生活认知功能之间是否存在正相关关系。方法。结构方程模型分析截面数据30846名年龄在45-78岁的参与者在中欧和东欧的四个中心:新西伯利亚(俄罗斯),克拉科夫(波兰),考纳斯(立陶宛)和HAPIEE的六个捷克城镇(东欧的健康,酒精和心理社会因素)研究。 SEP是使用自我报告的儿童(母亲教育,家庭设施),成人(教育)和老年人(当前物质环境)指标进行测量的。通过单词回忆,动物命名和字母搜索来构造认知的潜在变量。结果。在整个学习过程中,整个生命过程中SEP度量与认知之间的关联相似。教育与认知有着最强的直接联系,其次是当前的物质环境。当前的SEP介导的从教育到认知的间接路径很小。从母亲的教育到认知的直接途径是重要的,但适度的,部分地由后来的SEP措施,特别是教育来介导。讨论:在东欧这些人群中,晚生活认知反映了人生历程的社会经济轨迹,类似于西方国家的发现。

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