Yuri Jang1, Eun Young Choi2, Min-Kyoung Rhee2, Nan Sook Park3, David A Chiriboga4, Miyong T Kim5. 1. Edward R. Roybal Institute on Aging, Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles. 2. Leonard Davis School of Gerontology, University of Southern California, Los Angeles. 3. School of Social Work, University of South Florida, Tampa. 4. Department of Child and Family Studies, University of South Florida, Tampa. 5. School of Nursing, University of Texas at Austin.
Abstract
BACKGROUND AND OBJECTIVES: In response to the dearth of information on cognitive health in older ethnic minorities, in the present study, we examined factors associated with self-rated cognitive health (SRCH) in older Korean Americans. Drawing from the World Health Organization's framework of social determinants of health, we examined how a broad spectrum of factors might influence the way in which older Korean Americans perceive and evaluate their own cognitive health. RESEARCH DESIGN AND METHODS: Using data from the Study of Older Korean Americans (SOKA; N = 2,061, mean age = 73.2), a series of hierarchical linear regression models of SRCH was tested with sequential entry of predictors: (1) Mini-Mental State Examination (MMSE) score of cognitive status, (2) demographic variables, (3) physical and mental health status, (4) health behaviors, and (5) socio-cultural and community factors. RESULTS: In addition to cognitive screening outcomes, each set of variables made a significant contribution to the predictive model of SRCH. Positive ratings of cognitive health were observed among older individuals with greater education, good physical and mental health, involvement in regular exercise, and socio-cultural resources (social networks, acculturation, and family solidarity). DISCUSSION AND IMPLICATIONS: The SRCH of older adults goes beyond cognitive screening outcomes, suggesting a need to incorporate the various sources of social determinants when seeking to promote the cognitive health of older populations.
BACKGROUND AND OBJECTIVES: In response to the dearth of information on cognitive health in older ethnic minorities, in the present study, we examined factors associated with self-rated cognitive health (SRCH) in older Korean Americans. Drawing from the World Health Organization's framework of social determinants of health, we examined how a broad spectrum of factors might influence the way in which older Korean Americans perceive and evaluate their own cognitive health. RESEARCH DESIGN AND METHODS: Using data from the Study of Older Korean Americans (SOKA; N = 2,061, mean age = 73.2), a series of hierarchical linear regression models of SRCH was tested with sequential entry of predictors: (1) Mini-Mental State Examination (MMSE) score of cognitive status, (2) demographic variables, (3) physical and mental health status, (4) health behaviors, and (5) socio-cultural and community factors. RESULTS: In addition to cognitive screening outcomes, each set of variables made a significant contribution to the predictive model of SRCH. Positive ratings of cognitive health were observed among older individuals with greater education, good physical and mental health, involvement in regular exercise, and socio-cultural resources (social networks, acculturation, and family solidarity). DISCUSSION AND IMPLICATIONS: The SRCH of older adults goes beyond cognitive screening outcomes, suggesting a need to incorporate the various sources of social determinants when seeking to promote the cognitive health of older populations.
Authors: Jonathan D Jackson; Dorene M Rentz; Sarah L Aghjayan; Rachel F Buckley; Tamy-Fee Meneide; Reisa A Sperling; Rebecca E Amariglio Journal: Age Ageing Date: 2017-11-01 Impact factor: 10.668
Authors: Bryce P Mulligan; Colette M Smart; Sidney J Segalowitz; Stuart W S MacDonald Journal: J Int Neuropsychol Soc Date: 2017-07-19 Impact factor: 2.892
Authors: Yuri Jang; Eunyoung Choi; Min-Kyoung Rhee; Hyunwoo Yoon; Nan Sook Park; David A Chiriboga Journal: Aging Ment Health Date: 2020-01-31 Impact factor: 3.658
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