Effect of Aging on Educational Differences in the Risk of Cognitive Impairment: A Gender-Specific Analysis Using Korean Longitudinal Study of Aging (2006-2016)

被引：6
作者：
Kim, Roeul [1 ]
Chung, Woojin [2 ,3 ]
机构：
[1] Korea Workers Compensat & Welf Serv, Labor Welf Res Inst, Seoul 07254, South Korea
[2] Yonsei Univ, Grad Sch Publ Hlth, Dept Hlth Policy & Management, Seoul 03722, South Korea
[3] Yonsei Univ, Inst Hlth Serv Res, Seoul 03722, South Korea
来源：
HEALTHCARE | 2022年 / 10卷 / 06期
关键词：
cognitive impairment; education; aging; gender; longitudinal study; mixed logistic regression; Korean Longitudinal Study of Aging (KLoSA) survey; South Korea; MENTAL-STATE-EXAMINATION; SEX-DIFFERENCES; ALZHEIMER-DISEASE; OLDER-ADULTS; DECLINE; DEMENTIA; AGE; RESERVE; DEPRESSION; STABILITY;
D O I：
10.3390/healthcare10061062
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
This study examined the effect of aging on gender-specific educational differences in the risk of cognitive impairment using a nationally representative sample of 4278 men and 5495 women aged 45 years and older from the dataset of the Korean Longitudinal Study of Aging. Sociodemographics, lifestyle, and medical conditions were included as covariates in the mixed logistic regression analysis models. The prevalence of cognitive impairment was higher in women than in men at baseline. The risk of cognitive impairment in each age group decreased with education in both men and women. The risk by educational rank was worse at lower levels and increased with age, more so for women than men. Aging appears to widen the impact of educational differences on the risk of cognitive impairment and is more unfavorable for women than for men. Public health policies regarding population aging need to consider this and identify the target population to reduce both the level of and the difference in the risk of cognitive impairment.
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页数：14
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