Evidence map›Paper›PMID 32815603›Full record

ArticleJournal of the American Geriatrics Society2020

Sex Differences in Cognitive Health Among Older Adults in India.

Marco Angrisani, Urvashi Jain, Jinkook Lee

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 29 citations in OpenAlex.

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  11. Consideration of sex and gender in Alzheimer's disease and related disorders from a global perspective.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022
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  13. Carers' needs assessment for patients with dementia in Ghana.African journal of primary health care & family medicine · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Marco AngrisaniCenter for Economic and Social Research, University of Southern California, Los Angeles, California, USA.
Urvashi JainCenter for Economic and Social Research, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-3455-3346
Jinkook LeeCenter for Economic and Social Research, University of Southern California, Los Angeles, California, USA.
University of Southern California · US

Funding

Leveraging a natural experiment to estimate the causal impact of blood sugar on dementia and cognition in IndiaR01AG051125 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Jinkook Lee · 2015 to 2026
$26.8M
Modifiable Protective and Risk Factors of Late-Life Cognitive Health and DementiaRF1AG055273 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LANGA, KENNETH M, LEE, JINKOOK · 2017 to 2017
$4.0M
NIA NIH HHS R01 AG051125NIA NIH HHS RF1 AG055273
6 · The paper itself

Abstract

objectivesTo document sex differences in late-life cognitive function and identify their early-life determinants among older Indian adults.

designHarmonized Diagnostic Assessment of Dementia for Longitudinal Aging Study in India (LASI-DAD).

settingIndividual cognitive testing in hospital or household setting across 14 states of India.

participantsIndividuals aged 60 years and older from LASI-DAD (2017-2019) (N = 2,704; 53.5% female). MEASUREMENTS: Given the low levels of literacy and numeracy among older Indian adults, we consider two composite cognitive scores as outcome variables. Score I is based on tests that do not require literacy or numeracy, whereas score II is based on tests that require such skills. Ordinary least squares is used to estimate models featuring a progressively increasing number of covariates. We add to the baseline specification, including a sex dummy, age, and state indicators, measures of early-life socioeconomic status (SES), early-life nutrition, as proxied by knee height, and education.

resultsAcross most cognitive domains, women perform significantly worse than for men: -0.4 standard deviations (SD) for score I and -0.8 SD for score II. Early-life SES, health, and education explain 90% of the gap for score I and 55% for score II. Results are similar across hospital-based and home testing.

conclusionIn India, lower levels of early-life human capital investments in nutrition and education among women compared with men are associated with a female disadvantage in late-life cognitive health. This has important implications for public health policy, aiming at reducing the risk of cognitive decline and dementia-a nascent concern in India. J Am Geriatr Soc 68:S20-S28, 2020.

Indexed as

Educational StatusAgedAgingCognitionFemaleHumansIndiaLongitudinal StudiesMaleMiddle AgedNeuropsychological TestsSex FactorsSocial ClasscognitionIndiasex

Identifiers

PMID32815603
PMCPMC7521343
OpenAlexW3081485231

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.