A Longitudinal Study of Changes in Cognition Among Older Thais: Studying From the Kanchanaburi Demographic Surveillance System
Objectives: To examine the impacts of changes in social determinants of health (SDH) toward changes in cognition. Methods: Longitudinal data came from the Kanchanaburi Demographic Surveillance System (KDSS) collected in 2007 and 2011. Cognitive impairment was measured by category fluency and delayed...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-07-01
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| Series: | Gerontology and Geriatric Medicine |
| Online Access: | https://doi.org/10.1177/2333721419862885 |
| _version_ | 1819066154335862784 |
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| author | Natchaphon Auampradit MSC Patama Vapattanawong PhD Sureeporn Punpuing PhD Malee Sunpuwan PhD Tawanchai Jirapramukpitak MD, PhD |
| author_facet | Natchaphon Auampradit MSC Patama Vapattanawong PhD Sureeporn Punpuing PhD Malee Sunpuwan PhD Tawanchai Jirapramukpitak MD, PhD |
| author_sort | Natchaphon Auampradit MSC |
| collection | DOAJ |
| description | Objectives: To examine the impacts of changes in social determinants of health (SDH) toward changes in cognition. Methods: Longitudinal data came from the Kanchanaburi Demographic Surveillance System (KDSS) collected in 2007 and 2011. Cognitive impairment was measured by category fluency and delayed recall. Generalized estimating equation (GEE) was used to investigate changes in cognition by taking SDH and other variables including age, gender, marital status, education, and depression into the model. Results: GEE revealed longitudinal effects of wealth index and working status against cognition. Older Thais living with richest wealth index (odds ratio [OR] = 0.54; 95% confidence interval [CI] = 0.31-0.94) and still being employed (OR = 0.65; 95% CI = 0.47-0.89) were less likely to have cognitive impairment. Discussion: Poorer wealth index and being unemployed were served as a risk factor for cognitive impairment over time. Increasing age was still the major risk for cognitive impairment. |
| first_indexed | 2024-12-21T15:57:51Z |
| format | Article |
| id | doaj.art-1e5c7a6c989641b4ac6e16d9f4008910 |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-12-21T15:57:51Z |
| publishDate | 2019-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-1e5c7a6c989641b4ac6e16d9f40089102022-12-21T18:58:02ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142019-07-01510.1177/2333721419862885A Longitudinal Study of Changes in Cognition Among Older Thais: Studying From the Kanchanaburi Demographic Surveillance SystemNatchaphon Auampradit MSC0Patama Vapattanawong PhD1Sureeporn Punpuing PhD2Malee Sunpuwan PhD3Tawanchai Jirapramukpitak MD, PhD4Institute for Population and Social Research, Mahidol University, Bangkok, ThailandInstitute for Population and Social Research, Mahidol University, Bangkok, ThailandInstitute for Population and Social Research, Mahidol University, Bangkok, ThailandInstitute for Population and Social Research, Mahidol University, Bangkok, ThailandInstitute for Population and Social Research, Mahidol University, Bangkok, ThailandObjectives: To examine the impacts of changes in social determinants of health (SDH) toward changes in cognition. Methods: Longitudinal data came from the Kanchanaburi Demographic Surveillance System (KDSS) collected in 2007 and 2011. Cognitive impairment was measured by category fluency and delayed recall. Generalized estimating equation (GEE) was used to investigate changes in cognition by taking SDH and other variables including age, gender, marital status, education, and depression into the model. Results: GEE revealed longitudinal effects of wealth index and working status against cognition. Older Thais living with richest wealth index (odds ratio [OR] = 0.54; 95% confidence interval [CI] = 0.31-0.94) and still being employed (OR = 0.65; 95% CI = 0.47-0.89) were less likely to have cognitive impairment. Discussion: Poorer wealth index and being unemployed were served as a risk factor for cognitive impairment over time. Increasing age was still the major risk for cognitive impairment.https://doi.org/10.1177/2333721419862885 |
| spellingShingle | Natchaphon Auampradit MSC Patama Vapattanawong PhD Sureeporn Punpuing PhD Malee Sunpuwan PhD Tawanchai Jirapramukpitak MD, PhD A Longitudinal Study of Changes in Cognition Among Older Thais: Studying From the Kanchanaburi Demographic Surveillance System Gerontology and Geriatric Medicine |
| title | A Longitudinal Study of Changes in Cognition Among Older Thais: Studying From the Kanchanaburi Demographic Surveillance System |
| title_full | A Longitudinal Study of Changes in Cognition Among Older Thais: Studying From the Kanchanaburi Demographic Surveillance System |
| title_fullStr | A Longitudinal Study of Changes in Cognition Among Older Thais: Studying From the Kanchanaburi Demographic Surveillance System |
| title_full_unstemmed | A Longitudinal Study of Changes in Cognition Among Older Thais: Studying From the Kanchanaburi Demographic Surveillance System |
| title_short | A Longitudinal Study of Changes in Cognition Among Older Thais: Studying From the Kanchanaburi Demographic Surveillance System |
| title_sort | longitudinal study of changes in cognition among older thais studying from the kanchanaburi demographic surveillance system |
| url | https://doi.org/10.1177/2333721419862885 |
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