Publication:
Ethnic-Specific Sociodemographic Factors as Determinants of Cognitive Performance: Cross-Sectional Analysis of the Malaysian Elders Longitudinal Research Study

Simple item page
dc.contributor.authorNur Fazidah Asmujeen_US
dc.contributor.authorSumaiyah Maten_US
dc.contributor.authorPhyo Kyaw Myinten_US
dc.contributor.authorMaw Pin Tanen_US
dc.date.accessioned2024-05-29T02:25:55Z
dc.date.available2024-05-29T02:25:55Z
dc.date.issued2022
dc.date.submitted2022-12-22
dc.descriptionVolume 51, Issue 5en_US
dc.description.abstractIntroduction: Despite cognitive impairment being a major health issue within the older population, limited information is available on factors associated with cognitive function among Asian ethnic groups. The objective of this study was to identify ethnic-specific sociodemographic risk factors which are associated with cognitive performance. Methods: Cross-sectional analysis of the Malaysian Elders Longitudinal Research (MELoR) study involving community-dwelling individuals aged >55 years was conducted. Information on sociodemographic factors, medical history, and lifestyle were obtained by computer-assisted interviews in participants’ homes. Cognitive performance was assessed with the Montreal Cognitive Assessment (MoCA) tool during subsequent hospital-based health checks. Hierarchical multiple linear regression analyses were conducted with continuous MoCA scores as the dependent variable. Results: Data were available for 1,140 participants, mean (standard deviation [SD]) = 68.48 (7.23) years, comprising 377 (33.1%) ethnic Malays, 414 (36.3%) Chinese, and 349 (30.6%) Indians. Mean (SD) MoCA scores were 20.44 (4.92), 23.97 (4.03), and 22.04 (4.83) for Malays, Chinese, and Indians, respectively (p = 0.01). Age >75 years, <12 years of education, and low functional ability were common risk factors for low cognitive performance across all three ethnic groups. Cognitive performance was positively associated with social engagement among the ethnic Chinese (β [95% CI] = 0.06 [0.01, 0.11]) and Indians (β [95% CI] = 0.16 [0.09, 0.23]) and with lower depression scores (β [(95% CI] = −0.08 [−0.15, −0.01]) among the ethnic Indians. Conclusion: Common factors associated with cognitive performance include age, education, and functional ability, and ethnic-specific factors were social engagement and depression. Interethnic comparisons of risk factors may form the basis for identification of ethnic-specific modifiable risk factors for cognitive decline and provision of culturally acceptable prevention measures.en_US
dc.identifier.doi10.1159/000526904
dc.identifier.epage17
dc.identifier.issn1420-8008
dc.identifier.issue5
dc.identifier.spage1
dc.identifier.urihttps://www.scopus.com/record/display.uri?eid=2-s2.0-85144410010&origin=resultslist&sort=plf-f&src=s&sid=787ff5f48816794fdfd4fb69897b72d9&sot=b&sdt=b&s=TITLE-ABS-KEY%28Ethnic-specific+Sociodemographic+Factors+As+Determinants+Of+Cognitive+Performance%29&sl=92&sessionSearchId=787ff5f48816794fdfd4fb69897b72d9
dc.identifier.urihttps://karger.com/dem/article-abstract/51/5/396/841873/Ethnic-Specific-Sociodemographic-Factors-as?redirectedFrom=fulltext
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/10536
dc.identifier.volume51
dc.language.isoen_USen_US
dc.publisherKargeren_US
dc.relation.ispartofDementia and Geriatric Cognitive Disordersen_US
dc.subjectCognition, Ethnic-specific factors, Malaysia, Sociodemographic factors, Ethnicity, Aged, Dementiaen_US
dc.titleEthnic-Specific Sociodemographic Factors as Determinants of Cognitive Performance: Cross-Sectional Analysis of the Malaysian Elders Longitudinal Research Studyen_US
dc.typeArticleen_US
dspace.entity.typePublication

Files

Collections

Scopus