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Diabetes and cognitive decline: investigating the potential influence of factors related to health disparities
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2010 (English)In: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, Vol. 22, no 3, 292-306 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The authors investigated whether factors related to health disparities--race, rural residence, education, perceived racial discrimination, vascular disease, and health care access and utilization--may moderate the association between diabetes and cognitive decline.

METHOD: Participants were 624 community-dwelling older adults (49% African American and 49% rural) who completed in-home mini-mental state examination at baseline and 4-year follow-up.

RESULTS: Diabetes at baseline predicted four-year cognitive decline in regression models adjusted for a number of possible confounds. Only perceived discrimination and health utilization showed significant interaction effects with diabetes. Among African Americans who reported experiencing racial discrimination, there was a stronger relationship between diabetes and cognitive decline. Among participants who reported absence of visiting a physician within the past 6 months, the association between diabetes and cognitive decline was substantially larger.

DISCUSSION: Findings suggest that factors related to health disparities may influence cognitive outcomes among older adults with diabetes.

Place, publisher, year, edition, pages
Newbury Park, CA ; Thousand Oaks, CA: Sage Publications, 2010. Vol. 22, no 3, 292-306 p.
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Medical and Health Sciences
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URN: urn:nbn:se:su:diva-84979DOI: 10.1177/0898264309357445PubMedID: 20103688OAI: oai:DiVA.org:su-84979DiVA: diva2:585508
Available from: 2013-01-10 Created: 2013-01-04 Last updated: 2017-12-06Bibliographically approved

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