View : 62 Download: 7

Effect of individual and district-level socioeconomic disparities on cognitive decline in community-dwelling elderly in Seoul

Title
Effect of individual and district-level socioeconomic disparities on cognitive decline in community-dwelling elderly in Seoul
Authors
Kim G.H.Lee H.A.Park H.Lee D.Y.Jo I.Choi S.H.Choi K.-G.Jeong J.H.
Ewha Authors
최경규박혜숙정지향조인호김건하이혜아
SCOPUS Author ID
최경규scopus; 박혜숙scopus; 정지향scopus; 조인호scopus; 김건하scopus; 이혜아scopus
Issue Date
2017
Journal Title
Journal of Korean Medical Science
ISSN
1011-8934JCR Link
Citation
vol. 32, no. 9, pp. 1508 - 1515
Keywords
Cognitive impairmentDistrict-level SESIndividual SES
Publisher
Korean Academy of Medical Science
Indexed
SCI; SCIE; SCOPUS; KCI WOS scopus
Abstract
This study was to investigate the effects of individual and district-level socioeconomic status (SES) on the development of cognitive impairment among the elderly. A 3-year retrospective observational analysis (2010-2013) was conducted which included 136,217 community-dwelling healthy elderly who participated in the Seoul Dementia Management Project. Cognitive impairment was defined as 1.5 standard deviations below the norms on the Mini-mental status examination. In the individual lower SES group, the cumulative incidence rate (CIR) of cognitive impairment was 8.7% (95% confidence interval [CI], 8.64-8.70), whereas the CIR in the individual higher SES group was 4.1% (95% CI, 4.08- 4.10). The CIR for lower district-level SES was 4.7% (95% CI, 4.52-4.86), while that in the higher district-level SES was 4.3% (95% CI, 4.06-4.44). There were no additive or synergistic effects between individual and district-level SES. From this study, the individual SES contributed 1.9 times greater to the development of cognitive impairment than the district-level SES, which suggests that individual SES disparities could be considered as one of the important factors in public health related to cognitive impairment in the elderly. © 2017 The Korean Academy of Medical Sciences.
DOI
10.3346/jkms.2017.32.9.1508
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
Effect of Individual and District-level.pdf(702.42 kB)Download
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE