| Poster | Poster Session 11 Program Schedule
02/17/2024
10:45 am - 12:00 pm
Room: Shubert Complex (Posters 1-60)
Poster Session 11: Cultural Neuropsychology | Education/Training | Professional Practice Issues
Final Abstract #27
Risk and Resilience Factors for Cognitive Decline Among Older U.S. Chinese
Michelle Chen, Rutgers University, New Brunswick, United States
Yiming Ma, Children's Hospital of Philadelphia, Philadelphia, United States
Charu Verma, Rutgers Universiity, New Brunswick, United States
Stephanie Bergren, Rutgers University, New Brunswick, United States
XinQi Dong, Institute for Population Health Sciences, Chicago, United States
William Hu, Rutgers University, New Brunswick, United States
Category: Aging
Keyword 1: cognitive functioning
Keyword 2: cross-cultural issues
Keyword 3: aging disorders
Objective:
Older U.S. Chinese (individuals of Chinese descent living in the U.S.) are at increased risk of delayed diagnosis and treatment of dementia. They also face unique psychosocial challenges that can contribute to cognitive decline, including health-, language-, and immigration-related factors. The current study aimed to understand risk and resilience factors in age-associated cognitive decline among older U.S. Chinese using data from the Population Study of ChINese Elderly (PINE).
Participants and Methods:
PINE is a community-based epidemiological study of older adults of Chinese descent (aged 60 and older) living in the greater Chicago, Illinois area. In-person interviews were conducted in 2011-2013 for wave 1, 2013-2015 for wave 2, and 2015-2017 for wave 3. For the current study, sample consisted of 1,528 older U.S. Chinese who were cognitively normal and reported minimal functional difficulties at wave 1 and participated in all three waves. All participants completed a brief battery of neuropsychological tests and responded to self-report survey questions about demographics, health, U.S. acculturation, and psychosocial functioning. A principal component analysis (PCA) was conducted to derive two cognitive component scores: memory and executive functioning. An exploratory factor analysis was used to identify latent constructs among the psychosocial variables. Linear mixed-effects models were performed to determine significant cross-sectional and longitudinal predictors of decline in the two cognitive component scores.
Results:
Consistent with extant literature on Chinese and non-Chinese cohorts, lower socioeconomic status, poorer physical and mental health, less social engagement, and lower degree of U.S. acculturation were correlated with worse cognition cross-sectionally, specifically in executive functioning. We also identified a stress internalization latent construct, comprising of perceived stress, feelings of hopelessness, and lack of conscientiousness, which predicted greater memory decline over time.
Conclusions:
The current study augmented previous PINE studies on cognition by utilizing a more psychometrically robust approach and clarified independent cross-sectional and longitudinal associations between known risk factors and cognitive decline.
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