2024
Early-Life Circumstances and Racial Disparities in Cognition Among Older Adults in the US
Lin Z, Ye J, Allore H, Gill T, Chen X. Early-Life Circumstances and Racial Disparities in Cognition Among Older Adults in the US. JAMA Internal Medicine 2024, 184: 904-914. PMID: 38805197, PMCID: PMC11134283, DOI: 10.1001/jamainternmed.2024.1132.Peer-Reviewed Original ResearchEarly-life circumstancesLate-life cognitionRacial disparitiesCross-sectional studyBlack participantsWhite participantsCognitive scoresCognitive impairmentRacial differencesTelephone Interview for Cognitive StatusHealth and Retirement StudyAssociated with racial disparitiesPromote health equityPrevalence of cognitive impairmentIntervention of cognitive impairmentNon-Hispanic blacksSurvey of US adultsNon-Hispanic whitesReduce racial disparitiesPrimary explanatory variableSubstantial racial differencesHealth equityRetirement StudyOlder AdultsUS adultsAssociation of Family Support With Lower Modifiable Risk Factors for Dementia Among Cognitively Impaired Older Adults
Lin Z, Yin X, Levy B, Yuan Y, Chen X. Association of Family Support With Lower Modifiable Risk Factors for Dementia Among Cognitively Impaired Older Adults. American Journal Of Geriatric Psychiatry 2024, 32: 1187-1199. PMID: 38839462, PMCID: PMC11366488, DOI: 10.1016/j.jagp.2024.05.005.Peer-Reviewed Original ResearchModifiable risk factorsCognitively impaired older adultsOlder adultsFamily supportResidential proximitySpousal presenceRisk factorsDepressive symptomsCognitive impairmentModifiable dementia risk factorsHealth and Retirement StudyProportion of older adultsDementia risk factorsSocial isolationDegree of family supportPercentage of smokingMixed-effects logistic regressionRobust to various sensitivity analysesCo-resident childrenRetirement StudySocial supportNo spouseLogistic regressionSpousesProtective factors
2023
Trends in Gender and Racial/Ethnic Disparities in Physical Disability and Social Support Among U.S. Older Adults With Cognitive Impairment Living Alone, 2000–2018
Chen S, Zhang H, Underwood B, Wang D, Chen X, Cardinal R. Trends in Gender and Racial/Ethnic Disparities in Physical Disability and Social Support Among U.S. Older Adults With Cognitive Impairment Living Alone, 2000–2018. Innovation In Aging 2023, 7: igad028. PMID: 37223006, PMCID: PMC10202553, DOI: 10.1093/geroni/igad028.Peer-Reviewed Original ResearchCognitive impairmentU.S. older adultsOlder adultsIADL disabilityPhysical disabilityEthnic disparitiesSupport needsRacial/Ethnic DisparitiesSocial supportUnmet support needsEligible peopleInstrumental activitiesDaily livingPoisson regressionBlack respondentsImpairmentDisabilityAdultsBADLU.S. HealthPrevalenceInformal care
2022
Long-term services and supports and disease management among older Chinese adults in different stages of cognitive impairment
Lin Z, Chen X. Long-term services and supports and disease management among older Chinese adults in different stages of cognitive impairment. The Journal Of The Economics Of Ageing 2022, 23: 100405. DOI: 10.1016/j.jeoa.2022.100405.Peer-Reviewed Original ResearchCognitive impairmentOlder adultsDisease managementDisease preventionPreventive care utilizationNon-communicable diseasesDisease management behaviorsOlder Chinese adultsLong-term care servicesHome-based servicesHypertension awarenessHypertension managementCare utilizationSevere stagesChinese adultsCare servicesAdultsDifferential effectsModest effectDiseaseImpairmentPreventionDifferent stagesLTSSRepresentative data
2021
Prevalence of Memory-Related Diagnoses Among U.S. Older Adults With Early Symptoms of Cognitive Impairment
Qian Y, Chen X, Tang D, Kelley AS, Li J. Prevalence of Memory-Related Diagnoses Among U.S. Older Adults With Early Symptoms of Cognitive Impairment. The Journals Of Gerontology Series A 2021, 76: 1846-1853. PMID: 33575783, PMCID: PMC8436977, DOI: 10.1093/gerona/glab043.Peer-Reviewed Original Research
2018
Smog, Cognition and Real-World Decision-Making
Chen X. Smog, Cognition and Real-World Decision-Making. International Journal Of Health Policy And Management 2018, 8: 76-80. PMID: 30980620, PMCID: PMC6462201, DOI: 10.15171/ijhpm.2018.105.Peer-Reviewed Original ResearchConceptsCognitive test performanceHigh-stakes marketsCognition performanceCognitive functioningPsychological pathwaysCognitive testsTest performanceCognitive impairmentCognitionComplex decisionsDecision-making processDaily lifeEducational attainmentRich implicationsWindow of exposureEnvironmental stressorsFunctioningStressorsImpairmentSocial costsImplicationsAttainmentPerformanceGenderDecisions