TY - JOUR
T1 - The impact of COVID-19 on the well-being and cognition of older adults living in the United States and Latin America
AU - Babulal, Ganesh M.
AU - Torres, Valeria L.
AU - Acosta, Daisy
AU - Agüero, Cinthya
AU - Aguilar-Navarro, Sara
AU - Amariglio, Rebecca
AU - Ussui, Juliana Aya
AU - Baena, Ana
AU - Bocanegra, Yamile
AU - Brucki, Sonia Maria Dozzi
AU - Bustin, Julian
AU - Cabrera, Diego M.
AU - Custodio, Nilton
AU - Diaz, Monica M.
AU - Peñailillo, Lissette Duque
AU - Franco, Idalid
AU - Gatchel, Jennifer R.
AU - Garza-Naveda, Ana Paola
AU - González Lara, Mariana
AU - Gutiérrez-Gutiérrez, Lidia
AU - Guzmán-Vélez, Edmarie
AU - Hanseeuw, Bernard J.
AU - Jimenez-Velazquez, Ivonne Z.
AU - Rodríguez, Tomás León
AU - Llibre-Guerra, Jorge
AU - Marquine, María J.
AU - Martinez, Jairo
AU - Medina, Luis D.
AU - Miranda-Castillo, Claudia
AU - Morlett Paredes, Alejandra
AU - Munera, Diana
AU - Nuñez-Herrera, Alberto
AU - de Oliveira, Maira Okada
AU - Palmer-Cancel, Santiago J.
AU - Pardilla-Delgado, Enmanuelle
AU - Perales-Puchalt, Jaime
AU - Pluim, Celina
AU - Ramirez-Gomez, Liliana
AU - Rentz, Dorene M.
AU - Rivera-Fernández, Claudia
AU - Rosselli, Monica
AU - Serrano, Cecilia M.
AU - Suing-Ortega, Maria Jose
AU - Slachevsky, Andrea
AU - Soto-Añari, Marcio
AU - Sperling, Reisa A.
AU - Torrente, Fernando
AU - Thumala, Daniela
AU - Vannini, Patrizia
AU - Vila-Castelar, Clara
AU - Yañez-Escalante, Tatiana
AU - Quiroz, Yakeel T.
N1 - Funding Information:
GMB was supported by the NIH National Institute on Aging- NIA ( R01AG056466 , R01AG067428 , R01AG068183 ), DT was supported by ANID/FONDAP/15150012, CV-C is supported by a grant from the Alzheimer's Association ( 2019A005859 ), EG-V was supported by the NIA K23AG061276, YTQ was supported by grants from the NIH NIA ( R01 AG054671 ), the Alzheimer's Association, and Massachusetts General Hospital ECOR.
Publisher Copyright:
© 2021 The Authors
PY - 2021/5
Y1 - 2021/5
N2 - Background: In the COVID-19 pandemic, older adults from vulnerable ethnoracial groups are at high risk of infection, hospitalization, and death. We aimed to explore the pandemic's impact on the well-being and cognition of older adults living in the United States (US), Argentina, Chile, Mexico, and Peru. Methods: 1,608 (646 White, 852 Latino, 77 Black, 33 Asian; 72% female) individuals from the US and four Latin American countries aged ≥ 55 years completed an online survey regarding well-being and cognition during the pandemic between May and September 2020. Outcome variables (pandemic impact, discrimination, loneliness, purpose of life, subjective cognitive concerns) were compared across four US ethnoracial groups and older adults living in Argentina, Chile, Mexico, and Peru. Findings: Mean age for all participants was 66.7 (SD = 7.7) years and mean education was 15.4 (SD = 2.7) years. Compared to Whites, Latinos living in the US reported greater economic impact (p < .001, ηp2 = 0.031); while Blacks reported experiencing discrimination more often (p < .001, ηp2 = 0.050). Blacks and Latinos reported more positive coping (p < .001, ηp2 = 0.040). Compared to Latinos living in the US, Latinos in Chile, Mexico, and Peru reported greater pandemic impact, Latinos in Mexico and Peru reported more positive coping, Latinos in Argentina, Mexico, and Peru had greater economic impact, and Latinos in Argentina, Chile, and Peru reported less discrimination. Interpretation: The COVID-19 pandemic has differentially impacted the well-being of older ethnically diverse individuals in the US and Latin America. Future studies should examine how mediators like income and coping skills modify the pandemic's impact. Funding: Massachusetts General Hospital Department of Psychiatry.
AB - Background: In the COVID-19 pandemic, older adults from vulnerable ethnoracial groups are at high risk of infection, hospitalization, and death. We aimed to explore the pandemic's impact on the well-being and cognition of older adults living in the United States (US), Argentina, Chile, Mexico, and Peru. Methods: 1,608 (646 White, 852 Latino, 77 Black, 33 Asian; 72% female) individuals from the US and four Latin American countries aged ≥ 55 years completed an online survey regarding well-being and cognition during the pandemic between May and September 2020. Outcome variables (pandemic impact, discrimination, loneliness, purpose of life, subjective cognitive concerns) were compared across four US ethnoracial groups and older adults living in Argentina, Chile, Mexico, and Peru. Findings: Mean age for all participants was 66.7 (SD = 7.7) years and mean education was 15.4 (SD = 2.7) years. Compared to Whites, Latinos living in the US reported greater economic impact (p < .001, ηp2 = 0.031); while Blacks reported experiencing discrimination more often (p < .001, ηp2 = 0.050). Blacks and Latinos reported more positive coping (p < .001, ηp2 = 0.040). Compared to Latinos living in the US, Latinos in Chile, Mexico, and Peru reported greater pandemic impact, Latinos in Mexico and Peru reported more positive coping, Latinos in Argentina, Mexico, and Peru had greater economic impact, and Latinos in Argentina, Chile, and Peru reported less discrimination. Interpretation: The COVID-19 pandemic has differentially impacted the well-being of older ethnically diverse individuals in the US and Latin America. Future studies should examine how mediators like income and coping skills modify the pandemic's impact. Funding: Massachusetts General Hospital Department of Psychiatry.
KW - COVID-19
KW - Cognition
KW - Diversity
KW - Latin America
KW - Older adults
KW - US
KW - Well-being
UR - http://www.scopus.com/inward/record.url?scp=85103930665&partnerID=8YFLogxK
U2 - 10.1016/j.eclinm.2021.100848
DO - 10.1016/j.eclinm.2021.100848
M3 - Article
C2 - 33997742
AN - SCOPUS:85103930665
SN - 2589-5370
VL - 35
JO - EClinicalMedicine
JF - EClinicalMedicine
M1 - 100848
ER -