Racial/Ethnic Differences in Trajectories of Cognitive Function in Older Adults

J Aging Health. 2016 Dec;28(8):1382-1402. doi: 10.1177/0898264315620589. Epub 2016 Jul 8.

Abstract

Objective: The objective of this study is to (a) examine racial/ethnic differences in trajectories of cognitive function and (b) evaluate the role of education and health behaviors (physical activity [PA] and smoking) as mediators of racial/ethnic differences in the rate of decline in cognitive function in older adults.

Method: Data for this study came from the Health and Retirement Study ( n = 3,424). Hierarchical linear models were used to define the trajectory of cognitive function between 2002 and 2008. Participants were classified based on PA as non-vigorously active, intermittent vigorously active, and consistently vigorously active.

Results: After adding education, the Hispanic's and Black's disparities in cognitive performance were slightly attenuated (Hispanics, β = -1.049, p < .001; Blacks, β = -3.397, p < .001) but were still different from Whites. Smoking was not associated with the cognition intercept or rate of decline.

Discussion: We found education had a partial mediating effect on racial differences in levels of cognition but not on the rate of change over time.

Keywords: cognition; education; ethnicity; physical activity; race; smoking.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Black People
  • Cognition Disorders / ethnology*
  • Cognition*
  • Female
  • Health Behavior*
  • Hispanic or Latino
  • Humans
  • Male
  • White People