Evidence map›Paper›PMID 39673803›Full record

ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2025

Impact of Childhood Adversity on Late-Life Cognition in Older Puerto Rican Adults.

James Lian, Michael Crowe, Kaarin J Anstey, Kim M Kiely, Ana Luisa Dávila, Ross Andel

Abstract read
In one paragraph

Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

James LianSchool of Psychology, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0002-9758-0472
Michael CroweDepartment of Psychology, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0001-7736-4441
Kaarin J AnsteySchool of Psychology, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0002-9706-9316
Kim M KielySchool of Psychology, University of New South Wales, Sydney, New South Wales, Australia.
Ana Luisa DávilaSchool of Public Health, University of Puerto Rico, Río Piedras, Puerto Rico.
Ross AndelEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, USA.

Funding

Aging in Puerto Rico: Longitudinal Follow-Up of the PREHCO StudyR01AG064769 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CROWE, MICHAEL GABRIEL · 2019 to 2023
$3.5M
ARC Laureate Fellowship FL190100011Australian Research Council Centre of Excellence in Population Ageing Research CE170100005NIA NIH HHS R01 AG064769
6 · The paper itself

Abstract

objectivesThis study examined the association between childhood adversity and late-life cognitive outcomes among older Puerto Rican adults.

methodsData were from the Puerto Rican Elder: Health Conditions study, a population-based cohort of 3,713 older Puerto Rican adults (mean age 72.5 years; 60% female). Adverse childhood experiences were categorized into four factors: economic hardship, parental illiteracy, childhood illness, and neighborhood disadvantage. Cognition was assessed with the Mini-Mental Cabán (MMC). For our analyses, cognitive impairment was defined as scoring 1.5 standard deviations below the expected score, adjusted for age, sex, education, and reading ability. Ordinal logistic regression (baseline) and generalized linear mixed models (all 3 waves) analyzed MMC scores; generalized estimating equations assessed incident cognitive impairment (Waves 2 and 3).

resultsAll four adversity factors were associated with poorer MMC scores at baseline. Parental illiteracy (β = -0.35, p < .001) and neighborhood disadvantage (β = -0.27, p < .001) showed stronger associations than economic hardship (β = -0.10, p = .003) and childhood illness (β = -0.21, p < .001). No factors were significantly related to changes in cognitive scores over time. Depressive symptoms and self-rated health partially mediated cross-sectional relationships, with depressive symptoms showing a stronger effect. All adversity factors except economic hardship were linked to baseline cognitive impairment (OR = 1.42 parent illiteracy, OR = 1.24 childhood illness, OR = 1.82 neighborhood disadvantage, p < .05). Only neighborhood disadvantage was associated with incident cognitive impairment (OR = 1.19, p = .003). DISCUSSION: This study highlights the lasting effect of childhood adversity on late-life cognitive health among older Puerto Ricans, suggesting that addressing early adversity may promote cognitive health later in life.

Indexed as

Adverse Childhood ExperiencesCognitive DysfunctionHispanic or LatinoAgedAged, 80 and overCognitionFemaleHumansMaleNeighborhood CharacteristicsPovertyPuerto RicoAdverse childhood experiencesCognitive declineEarly adversity and agingMental health in later lifeOlder Hispanic adults

Identifiers

PMID39673803
PMCPMC11949379

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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.