TY - JOUR
T1 - Association of Social Integration with Cognitive Status in a Multi-Ethnic Cohort
T2 - Results From the Kaiser Healthy Aging and Diverse Life Experiences Study
AU - Calmasini, Camilla
AU - Swinnerton, Kaitlin N.
AU - Zimmerman, Scott C.
AU - Peterson, Rachel L.
AU - George, Kristen M.
AU - Gilsanz, Paola
AU - Hayes-Larson, Eleanor
AU - Mayeda, Elizabeth Rose
AU - Mungas, Dan M.
AU - Whitmer, Rachel A.
AU - Glymour, Medellena Maria
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/11
Y1 - 2022/11
N2 - We evaluated overall and race-specific relationships between social integration and cognition in older adults. Kaiser Healthy Aging and Diverse Life Experiences (KHANDLE) cohort participants included 1343 Asian, Black, Latino, or non-Latino White Kaiser Permanente Northern California members. We estimated the effect of social integration on verbal episodic memory, semantic memory, and executive function derived from the Spanish and English Neuropsychological Assessment (SENAS) Scales. Social integration scores included marital status; volunteer activity; and contact with children, relatives, friends, and confidants. We estimated covariate-adjusted linear mixed-effects models for baseline and 17-month follow-up cognition. Social integration was associated with higher baseline cognitive scores (average (Formula presented.) = 0.066 (95% confidence interval: 0.040, 0.092)) overall and in each racial/ethnic group. The association did not vary by race/ethnicity. Social integration was not associated with the estimated rate of cognitive change. In this cohort, more social integration was similarly associated with better late-life cognition across racial/ethnic groups.
AB - We evaluated overall and race-specific relationships between social integration and cognition in older adults. Kaiser Healthy Aging and Diverse Life Experiences (KHANDLE) cohort participants included 1343 Asian, Black, Latino, or non-Latino White Kaiser Permanente Northern California members. We estimated the effect of social integration on verbal episodic memory, semantic memory, and executive function derived from the Spanish and English Neuropsychological Assessment (SENAS) Scales. Social integration scores included marital status; volunteer activity; and contact with children, relatives, friends, and confidants. We estimated covariate-adjusted linear mixed-effects models for baseline and 17-month follow-up cognition. Social integration was associated with higher baseline cognitive scores (average (Formula presented.) = 0.066 (95% confidence interval: 0.040, 0.092)) overall and in each racial/ethnic group. The association did not vary by race/ethnicity. Social integration was not associated with the estimated rate of cognitive change. In this cohort, more social integration was similarly associated with better late-life cognition across racial/ethnic groups.
KW - cognition
KW - racial/ethnic disparities
KW - social integration
UR - http://www.scopus.com/inward/record.url?scp=85124013778&partnerID=8YFLogxK
U2 - 10.1177/08919887211070259
DO - 10.1177/08919887211070259
M3 - Article
C2 - 35077251
AN - SCOPUS:85124013778
SN - 0891-9887
VL - 35
SP - 789
EP - 799
JO - Journal of Geriatric Psychiatry and Neurology
JF - Journal of Geriatric Psychiatry and Neurology
IS - 6
ER -