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Role of sex in the association between childhood socioeconomic position and cognitive ageing in later life
Charles Univ Prague, Fac Med 3, Dept Psychiat & Med Psychol, Ruska 87, Prague 10000 10, Czech Republic.;Natl Inst Mental Hlth, Topolova 748, Klecany 25067, Czech Republic..
Charles Univ Prague, Fac Med 3, Dept Psychiat & Med Psychol, Ruska 87, Prague 10000 10, Czech Republic.;Natl Inst Mental Hlth, Topolova 748, Klecany 25067, Czech Republic.;Charles Univ Prague, Fac Sci, Dept Philosophy & Hist Sci, Vinicna 7, Prague 12800, Czech Republic..ORCID iD: 0000-0002-5800-1597
Charles Univ Prague, Fac Med 3, Dept Psychiat & Med Psychol, Ruska 87, Prague 10000 10, Czech Republic.;Natl Inst Mental Hlth, Topolova 748, Klecany 25067, Czech Republic..
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jonkoping Univ, Sch Hlth & Welf, Inst Gerontol, Aging Res Network Jonkoping ARN J, Jonkoping, Sweden.;Karolinska Inst, Aging Res Ctr, Stockholm, Sweden.;Stockholm Univ, Stockholm, Sweden..ORCID iD: 0000-0002-8617-0355
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2021 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 11, no 1, article id 4647Article in journal (Refereed) Published
Abstract [en]

We aimed to explore sex differences in the association of childhood socioeconomic position (SEP) with the level of cognitive performance and the rate of cognitive decline. We studied 84,059 individuals (55% women; mean age 64 years) from the Survey on Health, Ageing and Retirement in Europe. Sex differences in the association of childhood SEP (household characteristics at age 10) with the level of cognitive performance (verbal fluency, immediate recall, delayed recall) were analysed using multilevel linear regression. Structural equation modelling tested education, depressive symptoms and physical state as mediators. The relationship between childhood socioeconomic advantage and disadvantage and the rate of cognitive decline was assessed using linear mixed-effects models. Higher childhood SEP was associated with a higher level of cognitive performance to a greater extent in women (B=0.122; 95% CI 0.092-0.151) than in men (B=0.109; 95% CI 0.084-0.135). The strongest mediator was education. Childhood socioeconomic disadvantage was related to a higher rate of decline in delayed recall in both sexes, with a greater association in women. Strategies to prevent impaired late-life cognitive functioning, such as reducing childhood socioeconomic disadvantages and improving education, might have a greater benefit for women.

Place, publisher, year, edition, pages
Springer Nature, 2021. Vol. 11, no 1, article id 4647
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:hj:diva-52239DOI: 10.1038/s41598-021-84022-1ISI: 000626621800007PubMedID: 33633200Scopus ID: 2-s2.0-85101776796Local ID: HOA;intsam;735375OAI: oai:DiVA.org:hj-52239DiVA, id: diva2:1544965
Funder
EU Sixth Framework Programme for Research, SHARE-I3: RII-CT-2006-062193 COMPARE: CIT5-CT-2005-028857 SHARELIFE: CIT4-CT-2006-028812EU, FP7, Seventh Framework Programme, 211909, 227822, 261982EU, Horizon 2020, 676536, 654221Available from: 2021-04-16 Created: 2021-04-16 Last updated: 2025-02-20Bibliographically approved

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Kåreholt, Ingemar

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