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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Public Health.

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  • 1University of Kansas Medical Center, Kansas City, KS, USA.

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Summary
This summary is machine-generated.

Socioeconomic deprivation is linked to poorer cognitive function in older adults, even when controlling for blood pressure and other factors. This highlights the need to address social determinants of health in hypertension management.

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Area of Science:

  • Gerontology
  • Public Health
  • Neuroscience

Background:

  • Uncontrolled hypertension in older adults elevates cognitive impairment risk.
  • Social determinants of health (SDOH) significantly impact hypertension management.
  • Disadvantaged SDOH conditions correlate with higher risks of uncontrolled hypertension.

Purpose of the Study:

  • To investigate the relationship between individual health factors (BP, cognitive function) and population-level environmental factors.
  • To examine how socioeconomic status, measured by the Area Deprivation Index (ADI), affects cognitive function in hypertensive patients.

Main Methods:

  • Utilized data from a large, multicenter trial including 1000 patients.
  • Assessed baseline blood pressure and cognitive function using the Telephone Cognitive Assessment (Tcog).
  • Analyzed the association between cognitive function and ADI using multiple regression, controlling for age, sex, race, and systolic BP.

Main Results:

  • Higher ADI scores (greater socioeconomic deprivation) were significantly associated with lower global cognitive function.
  • Deprivation correlated with diminished performance in memory, attention, and language domains.
  • The association remained significant after adjusting for age, sex, race, and systolic BP.

Conclusions:

  • Socioeconomic deprivation is independently linked to cognitive decline across multiple domains in hypertensive older adults.
  • Findings underscore the critical role of SDOH in cognitive health and hypertension management.
  • Future research should explore targeted interventions, like remote management, to mitigate disparities.