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Updated: May 22, 2026

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Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
Published on: January 24, 2020
Perceived discrimination and cognition in older African Americans
L L Barnes1, T T Lewis, C T Begeny
1Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois 60612, USA. lbarnes1@rush.edu
Summary
Perceived discrimination is linked to worse cognitive function, especially memory and processing speed, in older African Americans. This association is influenced by depressive symptoms and neuroticism.
Area of Science:
- Neuroscience
- Psychology
- Public Health
Background:
- Psychosocial stress is linked to cognitive impairment in older adults.
- Perceived discrimination is a significant stressor for African Americans, impacting health.
- The relationship between discrimination and cognitive function in older African Americans remains understudied.
Purpose of the Study:
- To investigate the association between perceived discrimination and cognitive performance in older African Americans.
- To examine the influence of demographic factors, vascular risks, depressive symptoms, and neuroticism on this association.
Main Methods:
- A cohort of 407 older African Americans without dementia was studied (mean age = 72.9).
- Cognitive function was assessed using tests for episodic memory and perceptual speed.
- Statistical analyses were performed to determine the relationship between perceived discrimination and cognitive outcomes, adjusting for covariates.
Main Results:
- Higher levels of perceived discrimination correlated with poorer performance in episodic memory and perceptual speed.
- These associations remained significant after adjusting for demographics and vascular risk factors.
- The link between discrimination and cognition was attenuated by depressive symptoms and modified by neuroticism.
Conclusions:
- Perceived discrimination may be associated with diminished cognitive function in older African Americans.
- The association appears to be mediated or confounded by depressive symptoms.
- Neuroticism may play a role in modifying the impact of discrimination on cognitive domains.
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