Sri Banerjee (United States of America)
Walden University College of Health ProfessionsAuthor Of 1 Presentation
RACIAL DISPARITIES IN THE EFFECT OF LOW COGNITIVE FUNCTION ON ALL-CAUSE MORTALITY
- Sri Banerjee (United States of America)
Abstract
Background and Aims:
Dementia is a significant public health problem which leads to poor health outcomes. Racial minorities also have disparate access to health. In this study, we determined whether the population longitudinal evidence supports the presence of the relationship between poor cognitive function and dementia and the effect of race.
Methods:
We used population-based cohort study of 1999-2002 National Health and Nutrition Examination Surveys with mortality data obtained through 2015. Adults aged 60 years or older were assessed for cognitive skills using Digit Symbol Substitution Test (DSST). Outcomes of all-cause mortality were evaluated using Cox regression.
Results:
Percent of deaths from low cognitive function among the population (N=14,340) were higher among Hispanic Americans (12.0%) than Caucasians (9.4%). The mean follow-up was 13.1 years. For all-cause mortality, the overall unadjusted hazard ratio (HR) of low cognitive function was 4.57 (95% confidence interval [CI], 3.67-6.25, p < 0.001). Adjusted HR was elevated, 4.43 (CI 2.09-9.37, p < 0.001), among Hispanic participants with low cognitive function but closer to 1.0 (1.92 CI 0.63-5.87, p < 0.25) among Caucasians with low cognitive function, after controlling for medical (obesity, cardiovascular disease, and chronic kidney disease) and demographic risk factors (age, gender, food insecurity, and education).
Conclusions:
Our research shows that low cognitive function leads to higher mortality. In addition, Hispanic Americans experience poorer from low cognitive function than other races. Improved identification of dementia, improved surveillance efforts, and addressing issues with health equity are needed to improve survival.
Presenter of 1 Presentation
RACIAL DISPARITIES IN THE EFFECT OF LOW COGNITIVE FUNCTION ON ALL-CAUSE MORTALITY
- Sri Banerjee (United States of America)
Abstract
Background and Aims:
Dementia is a significant public health problem which leads to poor health outcomes. Racial minorities also have disparate access to health. In this study, we determined whether the population longitudinal evidence supports the presence of the relationship between poor cognitive function and dementia and the effect of race.
Methods:
We used population-based cohort study of 1999-2002 National Health and Nutrition Examination Surveys with mortality data obtained through 2015. Adults aged 60 years or older were assessed for cognitive skills using Digit Symbol Substitution Test (DSST). Outcomes of all-cause mortality were evaluated using Cox regression.
Results:
Percent of deaths from low cognitive function among the population (N=14,340) were higher among Hispanic Americans (12.0%) than Caucasians (9.4%). The mean follow-up was 13.1 years. For all-cause mortality, the overall unadjusted hazard ratio (HR) of low cognitive function was 4.57 (95% confidence interval [CI], 3.67-6.25, p < 0.001). Adjusted HR was elevated, 4.43 (CI 2.09-9.37, p < 0.001), among Hispanic participants with low cognitive function but closer to 1.0 (1.92 CI 0.63-5.87, p < 0.25) among Caucasians with low cognitive function, after controlling for medical (obesity, cardiovascular disease, and chronic kidney disease) and demographic risk factors (age, gender, food insecurity, and education).
Conclusions:
Our research shows that low cognitive function leads to higher mortality. In addition, Hispanic Americans experience poorer from low cognitive function than other races. Improved identification of dementia, improved surveillance efforts, and addressing issues with health equity are needed to improve survival.