Evidence map›Paper›PMID 37771429›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

Education and cognitive function among older adults in Brazil and Mexico.

Natalia Gomes Gonçalves, Jaqueline Contrera Avila, Laiss Bertola, Alejandra Michaels Obregón, Cleusa Pinheiro Ferri, Rebeca Wong, Claudia Kimie Suemoto

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. The Cog-Aging: a 15-year cohort study of cognition in Brazilian older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. A multilevel conceptual framework for dementia: from life-course mechanisms to public health strategies.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Neighborhood Social and Physical Environment and Cognitive Function Among Brazilian Adults Aged 50.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Natalia Gomes GonçalvesDivision of Geriatrics University of São Paulo Medical School São Paulo São Paulo Brazil.
Jaqueline Contrera AvilaDepartment of Gerontology University of Massachusetts Boston Boston Massachusetts USA.
Laiss BertolaDepartment of Psychiatry Federal University of São Paulo, São Paolo São Paulo Brazil.
Alejandra Michaels ObregónSealy Center on Aging University of Texas Medical Branch Galveston Texas USA.
Cleusa Pinheiro FerriDepartment of Psychiatry Federal University of São Paulo, São Paolo São Paulo Brazil.
Rebeca WongSealy Center on Aging University of Texas Medical Branch Galveston Texas USA.
Claudia Kimie SuemotoDivision of Geriatrics University of São Paulo Medical School São Paulo São Paulo Brazil.
The University of Texas Medical Branch at Galveston · USUniversidade de São Paulo · BRUniversidade Federal de São Paulo · BRUniversity of Massachusetts Boston · US

Funding

The Mexican Health and Aging Study - IIR01AG018016 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Rebeca Wong · 1999 to 2026
$22.6M
NIA NIH HHS R01 AG018016
6 · The paper itself

Abstract

Education is protective against cognitive impairment. We used nationally representative data from Mexico and Brazil to assess the association between education and cognitive function. The sample included adults ≥ 50 years from the Brazilian Longitudinal Study of Aging (ELSI) and the Mexican Health and Aging Study (MHAS). Participants were classified as cognitively impaired or not impaired. We used logistic regression models to estimate the association between education and cognitive function. Education level was higher in MHAS than in ELSI. Participants with at least 1 year of education were less likely to have cognitive impairment than those with no formal education in both cohorts. Men in ELSI had higher odds for cognitive impairment compared to men in MHAS. In both cohorts, higher educational level was associated with lower odds of cognitive impairment compared to no formal education. Sex was an effect modifier in MHAS but not in ELSI. HIGHLIGHTS: Cognitive test batteries were harmonized using a regression-based approach.Even very low levels of education were associated with reduced odds of cognitive impairment compared to no formal education.Brazilians were more likely to have cognitive impairment than Mexicans given the same education level.The differences in the association of education with cognition between Brazil and Mexico were only observed among men.

Indexed as

cognitionELSIharmonizationMHASsex differences

Identifiers

PMID37771429
PMCPMC10523452
OpenAlexW4387108764

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.