Journal article
Association of Global Cognitive Function with Psychological Distress and Adherence to Public Health Recommendations during the COVID-19 Pandemic: The Women’s Health Initiative
The journals of gerontology. Series A, Biological sciences and medical sciences
02 Mar 2022
PMID: 35235646
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Abstract
Background
The association of cognitive function with symptoms of psychological distress during the coronavirus 2019 (COVID-19) pandemic or adherence to COVID-19 protective health behaviors is not well understood.
Methods
We examined 2,890 older women from the Women’s Health Initiative cohort. Pre-pandemic (i.e., within 12 months prior to pandemic onset) and peri-pandemic global cognitive function scores were assessed with the modified Telephone Interview for Cognitive Status (TICS-m). Anxiety, stress, and depressive symptom severity during the pandemic were assessed using validated questionnaires. We examined adherence to protective behaviors that included safe hygiene, social distancing, mask wearing, and staying home. Multivariable models were adjusted for age, race, ethnicity, education, region of residence, alcohol intake, and comorbidities.
Results
Every five-point lower pre-pandemic TICS-m score was associated with 0.33-point mean higher (95% CI, 0.20,0.45) perceived stress, and 0.20-point mean higher (95% CI, 0.07,0.32) depressive symptom severity during the pandemic. Higher depressive symptom severity, but not anxiety or perceived stress, was associated with a 0.69-point (95% CI, -1.13, -0.25) mean decline in TICS-m from the pre- to peri-pandemic period. Every five-point lower peri-pandemic TICS-m score was associated with 12% lower odds (OR, 0.88; 95% CI, 0.80,0.97) of practicing safe hygiene.
Conclusions
Among older women, we observed that: 1) lower pre-pandemic global cognitive function was associated with higher stress and depressive symptom severity during the pandemic; 2) higher depressive symptom severity during the pandemic was associated with cognitive decline; and 3) lower global cognitive function during the pandemic was associated with lower odds of practicing safe hygiene.
Metrics
Details
- Title
- Association of Global Cognitive Function with Psychological Distress and Adherence to Public Health Recommendations during the COVID-19 Pandemic: The Women’s Health Initiative
- Creators
- Aladdin H Shadyab - Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, USAJoseph C Larson - Fred Hutchinson Cancer Research Center, Seattle, WA, USAStephen R Rapp - Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USASally A Shumaker - Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USACandyce H Kroenke - Division of Research, Kaiser Permanente Northern California, Oakland, CA, USAJaymie Meliker - Program in Public Health, Department of Family, Population and Preventive Medicine, Stony Brook University, Stony Brook, NY, USANazmus Saquib - College of Medicine, Sulaiman AlRajhi University, Al Buakyriyah, Saudia ArabiaFarha Ikramuddin - Division of Physical Medicine and Rehabilitation, Department of Rehabilitation Medicine, University of Minnesota School of Medicine, Minneapolis, MN, USAYvonne L Michael - Drexel UniversityJoseph S Goveas - Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI, USALorena Garcia - Department of Public Health Sciences, School of Medicine, University of California, Davis, CA, USAJean Wactawski-Wende - Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, State University of New York (SUNY) at Buffalo, Buffalo, NY, USAJuhua Luo - Department of Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington, IN, USAKathleen M Hayden - Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USAJiu-Chiuan Chen - Department of Population and Public Health Sciences and Neurology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USAJulie Weitlauf - Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, and Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USALaura D Baker - Department of Internal Medicine-Geriatrics, Wake Forest School of Medicine, Winston-Salem, NC, USA
- Publication Details
- The journals of gerontology. Series A, Biological sciences and medical sciences
- Publisher
- Oxford University Press
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000897627500005
- Scopus ID
- 2-s2.0-85133327333
- Other Identifier
- 991019205532504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology