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American Journal of Epidemiology Vol. 128, No. 5: 1084-1101
Copyright © 1988 by The Johns Hopkins University School of Hygiene and Public Health

research-article

CORRELATES OF COGNITIVE FUNCTION IN AN ELDERLY COMMUNITY POPULATION

PAUL A. SCHERR1,, MARILYN S. ALBERT2, H. HARRIS FUNKENSTEIN3, NANCY R. COOK1, CHARLES H. HENNEKENS1,4, LAURENCE G. BRANCH5, LON R. WHITE6, JAMES O. TAYLOR1 and DENIS A. EVANS1

1Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School Boston, MA
2Department of Psychiatry and Neurology, Massachusetts General Hospital, and Harvard Medical School Boston, MA
3Division of Neurology, Brigham and Women's Hospital and Department of Neurology, Harvard Medical School Boston, MA
4Department of Preventive Medicine and Clinical Epidemiology, Harvard Medical School Boston, MA
5Health Services Section, School of Public Health, Boston University School of Medicine Boston, MA
6Epidemiology, Biometry, and Demography Branch, National Institute of Aging Bethesda, MD

Reprint requests to Dr. Paul A. Scherr, Channing Laboratory, 180 Longwood Avenue, Boston, MA 02115

In 1982 and 1983, brief, structured performance tests of selected areas of cognitive function were administered to 3,682 (82.1 per cent) of the residents aged 65 years and older of the geographically defined community of East Boston, Massachusetts, a center of the Established Populations for Epidemiologic Studies of the Elderly program. There was a strong inverse relation between age and performance on all four cognitive tests in analyses adjusted for sex only as well as in those adjusted for the effects of other variables. Similarly, fewer years of formal education, increasing level of disability on the modified Katz Activities of Daily Living Scale, and less prestigious occupations, as measured by the modified Duncan Socioeconomic Index, were each independently related to lower performance on all four tests.

aged; cognition; cognitive disorders; dementia; population surveillance; regression analysis


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