Adverse childhood experiences and domain-specific cognitive function in a population-based study of older adults in rural South Africa.
Journal
Psychology and aging
ISSN: 1939-1498
Titre abrégé: Psychol Aging
Pays: United States
ID NLM: 8904079
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
pubmed:
24
7
2020
medline:
21
10
2020
entrez:
24
7
2020
Statut:
ppublish
Résumé
Research on early life adversity and later-life cognitive function is conflicting, with little evidence from low-income settings. We investigated associations between adverse childhood experiences and cognitive function in an older population who grew up under racial segregation during South African apartheid. Data were from 1,871 adults aged 40-79 in the population-representative "Health and Ageing in Africa: A Longitudinal Study of an INDEPTH Community in South Africa" in 2015. The adverse childhood experiences were having a parent unemployed for > 6 months; having parents who argued or fought often; having a parent who drank excessively, used drugs, or had mental health problems; and physical abuse from parents. Executive function, language, visuospatial ability, and memory were assessed with the Oxford Cognitive Screen-Plus, a validated cognitive assessment designed for low-income, low-literacy settings. We estimated associations between adverse childhood experiences and latent cognitive domain z-scores using multiple-indicator, multiple-cause structural equation models. Childhood adversities were reported by 15% (parental unemployment for > 6 months), 25% (parents argued or fought often), 25% (a parent drank excessively, used drugs, or had mental health problems), and 35% (physical abuse from parent) of respondents. They were not associated with cognition, except that having a parent who drank excessively, used drugs, or had mental health problems was associated with lower memory z-scores (-0.07; 95% CI [-0.13, -0.01]). This is one of the first investigations into later-life cognitive outcomes associated with early adversity in a population with a historical context of pervasive trauma, and suggests that later-life memory may be vulnerable to early adversity. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Identifiants
pubmed: 32700929
pii: 2020-53938-001
doi: 10.1037/pag0000552
pmc: PMC8300534
mid: NIHMS1639834
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
818-830Subventions
Organisme : NIA NIH HHS
ID : R01 AG051144
Pays : United States
Organisme : Australian National University
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : South African Medical Research Council
Organisme : NIA NIH HHS
ID : P01 AG041710
Pays : United States
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