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2023, Número 1

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Salud Mental 2023; 46 (1)


Association of loneliness, social isolation, and daily cognitive function in Mexican older adults living in community during the first wave of COVID-19 pandemic

Durón-Reyes DE, Mimenza-Alvarado AJ, Gutiérrez-Gutiérrez L, Suing-Ortega MJ, Quiroz YT, Aguilar-Navarro SG

Idioma: Ingles.
Referencias bibliográficas: 33
Paginas: 19-26
Archivo PDF: 231.70 Kb.


RESUMEN

Introducción. La soledad y el aislamiento social son factores de riesgo conocidos para el deterioro cognitivo; su efecto en las personas mayores (PM) después del confinamiento por COVID-19 está emergiendo. Objetivo. Establecer una asociación entre la soledad y el aislamiento social, con la función cognitiva diaria en PM mexicanas durante la primera ola de la pandemia por COVID-19. Método. Estudio transversal derivado de la cohorte “The impact of COVID 19 on well-being, cognition, and discrimination among older adults in the United States and Latin America”, incluyó 308 AM reclutados de marzo-agosto 2020, la función cognitiva diaria fue evaluada con Everyday Cognition Scale (E-Cog) con un punto de corte 1.31 (cognición normal); la soledad y el aislamiento social fueron variables binomiales. Resultados. La media de edad fue 65.4 ± 7.9 años, 75.7% mujeres. E-Cog promedio fue 57.4 (DE = ± 19.1), 49.1 % tenía una puntuación ‹ 1.31 (cognición normal), 50.9% › 1.31 (deterioro cognitivo). Ochenta y cuatro por ciento de los participantes reportaron soledad, 79.9% aislamiento social. El modelo de regresión multivariado mostró una asociación negativa y estadísticamente significativa entre aislamiento social y soledad con E-Cog (β = -.046, IC 95% = [-.8, -.013], p = .007; β = -.16, IC 95% = [-.08, -.018], p = .003), y una asociación positiva con queja de memoria subjetiva (β = .81, IC 95% = [-.16, -.11], p = ‹ .001) ajustado a edad, sexo y escolaridad. Discusión y conclusión. estos datos sugieren la necesidad de una mayor vigilancia de quienes presentan soledad y aislamiento social debido a su potencial efecto deletéreo sobre la función cognitiva.


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