2025
Exposure to School Racial Segregation and Late-Life Cognitive Outcomes
Lin Z, Wang Y, Gill T, Chen X. Exposure to School Racial Segregation and Late-Life Cognitive Outcomes. JAMA Network Open 2025, 8: e2452713. PMID: 39752159, PMCID: PMC11699536, DOI: 10.1001/jamanetworkopen.2024.52713.Peer-Reviewed Original ResearchConceptsCross-sectional studyCognitive scoresOlder adultsTelephone Interview for Cognitive StatusBlack participantsLate-life cognitive outcomesWhite participantsSchool racial segregationCognitive impairmentHealth and Retirement StudyNon-Hispanic whitePrevalence of cognitive impairmentAssociated with late-life cognitionEducational attainmentUS older adultsLikelihood of cognitive impairmentNon-Hispanic blacksLate-life cognitionCognitive outcomesNationally Representative SampleLater-life cognitionMultilevel regression analysisStudy of BlackDementia occurrenceHealth inequalities
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 adultsPlace of Birth and Cognitive Function Among Older Americans: Findings From the Harmonized Cognitive Assessment Protocol
Lin Z, Chen X. Place of Birth and Cognitive Function Among Older Americans: Findings From the Harmonized Cognitive Assessment Protocol. The Journals Of Gerontology Series B 2024, 79: gbae126. PMID: 39037282, PMCID: PMC11322604, DOI: 10.1093/geronb/gbae126.Peer-Reviewed Original ResearchHealth and Retirement StudyLife courseGeographic disparitiesHarmonized Cognitive Assessment ProtocolCognitive functionPlace-based policiesPromote health equityLater-life cognitive functionForeign-born individualsLater-life outcomesUS southern statesState of birthCognitive Assessment ProtocolNationally Representative SampleLater-life cognitionHealth equityShapley decompositionOlder AmericansRetirement StudyGeneral cognitive functionHealth factorsAssessed cognitive domainsBirth dataRepresentative sampleSouthern statesAssociation 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 factorsAssociation between experiencing low healthcare quality and developing dementia
Aravena J, Chen X, Levy B. Association between experiencing low healthcare quality and developing dementia. Journal Of The American Geriatrics Society 2024, 72: 2126-2132. PMID: 38415796, PMCID: PMC11226361, DOI: 10.1111/jgs.18842.Peer-Reviewed Original ResearchAssociated with increased dementia riskHealthcare qualityDementia riskHealthcare discriminationAssociated with greater dementia riskHazard ratioHealth and Retirement StudyDeterminants of dementiaCases of dementiaDementia prevalenceReducing dementiaPhysician diagnosisRetirement StudyHealthcare servicesOlder personsOlder adultsSocioeconomic factorsDementiaHealthcareImplement structural changesCognitive scoresCox regressionParticipantsHealthIndividual-level behavior
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