Associations of individual and structural socioeconomic status with cognition and mental distress in pharmacoresistant focal epilepsy

Hohmann, Louisa; Holtkamp, Martin; Oltmanns, Frank; Bengner, Thomas

doi:10.1016/j.yebeh.2020.107726

Cited by 9 publications

(10 citation statements)

References 26 publications

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“…That notwithstanding, it should be noted that this study evaluated a large number of potential explanatory variables and that some factors (medical variables such as chronic diseases) explained even lower variance to cognitive functioning and were mostly not significant. When interpreting test results in clinical practice, neuropsychologists examine several medical and demographical factors [ 91 , 92 ]. The purpose of this study was to provide insights into social factors that could influence cognitive deficiencies, so clinicians will not limit their investigation to only neurological and pharmacological considerations when assessing cognitive functioning.…”

Section: Discussionmentioning

confidence: 99%

Examining the impact of socioeconomic status, demographic characteristics, lifestyle and other risk factors on adults' cognitive functioning in developing countries: an analysis of five selected WHO SAGE Wave 1 Countries

Larnyo

Dai

Nutakor

et al. 2022

Int J Equity Health

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Background Though extensive studies have been conducted on assessing the predictors of cognitive functioning among older adults in small community-based samples, very few studies have focused on understanding the impact of socioeconomic status (SES), demographic characteristics and other risk factors such as lifestyle and chronic diseases on the cognitive functioning among adults of all ages in a nationally representative population-based sample across low- and middle-income countries. This study, therefore, seeks to evaluate the impact of SES, demographic characteristics and risk factors on the cognitive functioning of adults across all ages in five selected developing countries. Methods Data from 12,430 observations obtained from the WHO Study on Global AGEing and Adult Health (SAGE) Wave 1; consisting of 2,486 observations each for China, Ghana, India, the Russian Federation, and South Africa, were used for the study. A meta-regression and a five-step hierarchical linear regression were used to analyze the data, with cognitive functioning as the dependent variable. Independent variables used in this study include SES; assessed by household income and education, demographic characteristics, other risk factors such as lifestyle, self-reported memory difficulty and chronic diseases. Results This study found that SES and lifestyle significantly predicted cognitive functioning in all the five selected countries as obtained by the pooled results of the meta-regression analysis. The hierarchical linear regression results also revealed that demographic characteristics such as age, type of residency, and self-reported memory difficulty significantly impact cognitive functioning in China, Ghana, Russia, and South Africa. Conclusion The findings in this study provide new insights for policymakers, caregivers, parents, and individuals, especially those in developing countries, to implement policies and actions targeted at improving SES and eliminating risk factors associated with cognitive decline, as these measures could help improve the cognitive functioning among their populations.

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Section: Discussionmentioning

confidence: 99%

Examining the impact of socioeconomic status, demographic characteristics, lifestyle and other risk factors on adults' cognitive functioning in developing countries: an analysis of five selected WHO SAGE Wave 1 Countries

Larnyo

Dai

Nutakor

et al. 2022

Int J Equity Health

View full text Add to dashboard Cite

show abstract

“…Based on past literature, each SD variable chosen is a relevant social determinant of health. [29][30][31][32][33][34][35][36][42][43][44][45][46][47][48] For caregiver education level and household income, those families below the mean for the sample were assigned a score of 1, whereas those families at or above the mean were assigned a score of 0. The distribution of income for this sample was nearly identical to national income statistics at the time of recruitment.…”

Section: Sd Scorementioning

confidence: 99%

“…behavior, emotional behavior, epilepsy disadvantage index, neurobehavioral outcomes, pediatric, seizures A growing general health status literature has demonstrated the significant role of several demographic factors, including race, caregiver (usually mother's) education level, marital status of the caregiver, neighborhood characteristics, and household income. [29][30][31][32][33] Within the field of pediatrics, the role of SD in health care outcomes has been well established among disorders such as asthma, diabetes, COVID-19, sleep health, and autism. [34][35][36][37][38][39][40][41] In the field of epilepsy, there has been growing awareness of the impact of socioeconomic and neighborhood disadvantage on health and health-related factors in epilepsy.…”

Section: Introductionmentioning

confidence: 99%

Impact of sociodemographic disadvantage on neurobehavioral outcomes in children with newly diagnosed seizures and their unaffected siblings over 36 months

et al. 2023

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ObjectiveThis study was undertaken to determine the short‐term and longer term impact of sociodemographic disadvantage on the emotional–behavioral status of youths with new onset epilepsy and their unaffected siblings at the time of diagnosis and the subsequent 3 years.MethodsThree hundred twelve youths with newly diagnosed epilepsies and 223 unaffected siblings, aged 6–16 years, were independently assessed regarding their emotional and behavioral status by their parents and teachers at baseline, and at 18 at 36 months later; youths with seizures also completed self‐report measures of depression, anxiety, and hostility at those three time points. A sociodemographic disadvantage score was computed for each family (children with newly diagnosed seizures and their siblings), and families were separated into four categories from most disadvantaged to least disadvantaged.ResultsIn both children and siblings, the least disadvantaged group exhibited the lowest level of neurobehavioral problems, whereas the most disadvantaged group showed a higher level of neurobehavioral problems across all the same behavior metrics. Findings remained stable and significant across all informants (parent, teacher, child) and across all time periods (throughout the 3‐year period). Furthermore, both corrected and uncorrected linear regression analyses indicated that disadvantage was a more constant and stable predictor of behavioral and emotional problems over time compared to clinical seizure characteristics and abnormalities in magnetic resonance imaging and electroencephalographic testing.SignificanceSociodemographic disadvantage bears a strong relationship to youths with emotional and behavioral problems both at the time of diagnosis as well as prospectively. The relationship is robust and reflected in reports from multiple informants (parent, teacher, child self‐report), evident in siblings as well, and possibly more explanatory than traditional clinical seizure variables. Future studies will be needed to determine whether this disadvantage factor is modifiable with early intervention.

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“…Compared with the general population, they are less likely to be employed, 1 have lower educational levels, 2 lower rates of marriage, 3 and live more frequently in socially deprived areas. 2 Furthermore, many PWE suffer from lifestyle limitations, experience relationship issues and social interaction problems, or participate less often in leisure time activities. 4,5 Reasons for reduced everyday functioning may be multifactorial.…”

Section: Introductionmentioning

confidence: 97%

“…People with epilepsy (PWE) often suffer from reduced everyday functioning, such as restrictions of daily activities and psychosocial problems. Compared with the general population, they are less likely to be employed, 1 have lower educational levels, 2 lower rates of marriage, 3 and live more frequently in socially deprived areas 2 . Furthermore, many PWE suffer from lifestyle limitations, experience relationship issues and social interaction problems, or participate less often in leisure time activities 4,5 .…”

Section: Introductionmentioning

confidence: 99%

Subjective cognition is linked to everyday functioning in epilepsy

et al. 2023

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Associations of individual and structural socioeconomic status with cognition and mental distress in pharmacoresistant focal epilepsy

Cited by 9 publications

References 26 publications

Examining the impact of socioeconomic status, demographic characteristics, lifestyle and other risk factors on adults' cognitive functioning in developing countries: an analysis of five selected WHO SAGE Wave 1 Countries

Examining the impact of socioeconomic status, demographic characteristics, lifestyle and other risk factors on adults' cognitive functioning in developing countries: an analysis of five selected WHO SAGE Wave 1 Countries

Impact of sociodemographic disadvantage on neurobehavioral outcomes in children with newly diagnosed seizures and their unaffected siblings over 36 months

Subjective cognition is linked to everyday functioning in epilepsy

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