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1.
Br J Sociol ; 2024 Oct 09.
Article in English | MEDLINE | ID: mdl-39382002

ABSTRACT

This study employs latent class analysis (LCA) as a novel methodology to investigate the multidimensional nature of meritocratic beliefs, addressing the limitations of traditional unidimensional approaches. Using data from the International Social Survey Program 2009 for the United States, Finland, and China, this study demonstrates several advantages of this multidimensional approach. First, LCA effectively identifies dual consciousness, where individuals simultaneously endorse meritocratic and structuralist explanations of social stratification. The analysis reveals three distinct narratives explaining social stratification: purely meritocratic beliefs, predominantly meritocratic beliefs, and dual consciousness. While all three subtypes consider merits highly important, they differ in their perceived importance of structural factors. Second, LCA facilitates cross-national comparisons, unveiling qualitative typological variations in meritocratic beliefs across countries. Unique country-specific subtypes or patterns emerge: Finland exhibits purely meritocratic beliefs, the United States shows predominantly meritocratic beliefs, and China demonstrates a dominance of dual consciousness. Although dual consciousness exists in all three countries, its prevalence varies significantly-dominant in China, moderate in the United States, and least in Finland. Third, this study reveals that the effect of education on meritocratic beliefs varies across the three countries. Education strengthens individual meritocratic beliefs in the United States, weakens them in Finland, and shows no significant effect in China. These findings highlight both within-country and across-country heterogeneity of meritocratic beliefs, underscoring the importance of a multidimensional approach.

2.
Longit Life Course Stud ; 15(4): 506-525, 2024 Aug 08.
Article in English | MEDLINE | ID: mdl-39370996

ABSTRACT

At the onset of the COVID-19 pandemic, the Survey of Health, Ageing, and Retirement in Europe (SHARE) was in a unique position to respond to the need for high quality survey data on people's changing living situations. Implemented as two telephone interviews in the summer of 2020 and 2021 in 27 European countries and Israel, the SHARE Corona Surveys present a great advantage by their integration into the longitudinal, multidisciplinary and ex-ante harmonised design of the SHARE study. This allows researchers to trace changes from the pre-pandemic period, through the different stages of the pandemic, and the post-pandemic situation. This article lays out the research aims and how the two Corona Surveys fit in the general design of SHARE. It presents the main design features of the SHARE Corona Surveys following the survey life cycle. It starts with information on procurement, contracting, funding, ethics, and data protection and sampling, followed by information on instrument design, translations, questionnaire content and interviewer training. Last, fieldwork, panel care and data processing are described. Focused on topics of health behaviour, health care, economics and social relationships, the balanced panel sample of the two SHARE Corona Surveys comprises more than 48,000 interviews and provides valuable information on how the 50+ population coped with the COVID-19 pandemic. The experience of implementing the SHARE Corona Surveys also offers insights into use of agile project management methods for large survey infrastructures and moving towards a multi-mode design in an ongoing panel data collection project.


Subject(s)
COVID-19 , SARS-CoV-2 , Humans , COVID-19/epidemiology , Europe/epidemiology , Aged , Middle Aged , Pandemics , Retirement/statistics & numerical data , Female , Male , Health Surveys , Aging/psychology , Longitudinal Studies , Surveys and Questionnaires , Health Behavior
3.
Int J Psychol ; 2024 Sep 10.
Article in English | MEDLINE | ID: mdl-39256926

ABSTRACT

Research has indicated a link between the moral circle and an individual's prosocial behaviour. However, it remains uncertain whether this relationship holds across a broader range of countries and is influenced by sociocultural contexts. Drawing from an international dataset encompassing 49,540 participants from 57 countries, this study examined the impact of the moral circle on an individual's generosity and the moderating role of cultural religiosity. The results revealed a significant positive association between moral circle and generosity in a cross-national context. Notably, in religious cultures, the connection between the moral circle and generosity was found to be weaker. Three robustness checks further affirmed that these findings are robust. The research confirmed a positive relationship between the moral circle and generosity in a multinational context but also highlighted the moderating role of cultural religiosity. This finding suggested that future research should further investigate how cultural and religious frameworks influence ethical behaviour.

4.
Sci Eng Ethics ; 30(5): 41, 2024 Sep 11.
Article in English | MEDLINE | ID: mdl-39259368

ABSTRACT

This research explores the perspectives of academic physicists from three national contexts concerning their roles and responsibilities within the realm of science. Using a dataset comprised of 211 interviews with scientists working in China, the United States, and the United Kingdom, the study seeks to explain whether and in what manner physicists conceptualize scientific ethics within a global or national framework. The empirical findings bring to light disparities across nations in the physicists' perceptions of what constitutes responsible mentorship and engagement in public service. These cross-national variations underscore the moral agency of physicists as they navigate the ethical standards embraced by the global scientific community vis-à-vis those that are specific to their respective national contexts. The study's empirical insights may carry significant implications for both policymakers and ethicists, underscoring the imperative of soliciting and acknowledging the perspectives of academic scientists working and living in disparate national contexts when formulating comprehensive science ethics frameworks. Such inclusive and context-aware approaches to shaping ethics in science can contribute to the cultivation of a more robust and universally relevant ethical foundation for the scientific community.


Subject(s)
Ethics, Research , China , Humans , United States , United Kingdom , Science/ethics , Mentors , Research Personnel/ethics , Morals , Social Responsibility , Attitude , Cross-Cultural Comparison
5.
J Health Psychol ; : 13591053241278473, 2024 Sep 18.
Article in English | MEDLINE | ID: mdl-39292006

ABSTRACT

The present study analysed changes in loneliness between 2006 and 2015 and associated factors using publicly available data (N = 128,718) from the European Social Survey from 17 countries. The study protocol was pre-registered on the Open Science Framework (https://osf.io/eq63j/). Loneliness-weighted prevalence (and mean) decreased from 30% to 27% over time. The decreasing trend was significant for both sexes. Young and old age groups reported a decline in loneliness over time while other age groups did not. Loneliness did not demonstrate a significant decline - but rather a stable trend - in persons with disability and first- and second-generation immigrants. Sociodemographic characteristics, social factors, well-being and psychological distress were associated with loneliness. These findings update those from previous studies indicating that loneliness trends and differences between European regions might be better explained by differences in psychological distress.

6.
Schizophr Res ; 274: 171-177, 2024 Sep 23.
Article in English | MEDLINE | ID: mdl-39317120

ABSTRACT

BACKGROUND: Though people with schizophrenia have been habitually stigmatized in the media, the past two decades have seen a substantial rise in public awareness and anti-stigma intervention plans. AIMS: In this comprehensive cross-national study, we examine the portrayal of people with schizophrenia in the news media across four countries: the U.S., the U.K., Russia, and Israel. METHODS: We employed thematic content analysis to analyze 80 articles from four prominent middle-market and tabloid news media outlets. RESULTS: Findings suggest people with schizophrenia were routinely depicted in the news media as violent and dangerous perpetrators who were typically young adult white males. CONCLUSIONS: Though some differences existed between venues in different countries, this study suggests that despite the rise in public awareness and anti-stigma intervention plans, the media overall - regardless of country origin - mostly failed to deliver the desired anti-stigma results.

7.
J Interpers Violence ; : 8862605241270016, 2024 Aug 13.
Article in English | MEDLINE | ID: mdl-39135482

ABSTRACT

Previous research has shown a robust association between different childhood and adolescent vulnerabilities and youth offending. However, these investigations have primarily focused on youths from high-income Western countries. Consequently, the generalizability of these findings to better inform global justice policies remains uncertain. This study aimed to address this gap by examining the relationship between individual, familial, and contextual vulnerabilities and criminal versatility during young adulthood, accounting for sociodemographic factors and cross-national differences. Data were derived from a diverse sample of 4,182 young adults (67% female; mean age = 18.96; SD = 0.81) residing in 10 countries across 5 continents who participated in the International Study of Pro/Antisocial Behavior in Young Adults. The Psychosocial and Family Vulnerability Questionnaire and the Adverse Childhood Experiences questionnaire were used to assess social and family adversity, and past-year criminal diversity was measured with the Criminal Variety Index. Results indicate that child maltreatment, substance abuse, and delinquent peers are global risk factors for criminal variety. Moreover, they are independent across males and females and among youths living in countries that are ranked differently on the Human Development Index (HDI). In addition, some childhood vulnerabilities showed different predictive ability across sexes (e.g., school failure), and across countries ranked differently on the HDI (e.g., family dysfunction). These findings suggest that certain childhood factors contribute to criminal behavior through transcultural mechanisms. Moreover, they highlight the importance of developing evidence-based policies that focus on transcultural risk factors to globally prevent criminal behavior.

8.
J Aging Health ; : 8982643241276270, 2024 Aug 24.
Article in English | MEDLINE | ID: mdl-39180518

ABSTRACT

OBJECTIVES: This study compared the United States and China in examining the predictors of community-based residential relocation and its associated mortality risk. METHODS: Data from the 2010 to 2018 US Health and Retirement Study and from 2011 to 2018 China Health and Retirement Longitudinal Study were used (NUS = 20,292 and NChina = 11,694). Community-dwelling respondents (aged 50+) reported whether they had relocated and were followed up until 2018. Log-binomial regression and Cox survival analysis were used. RESULTS: In both countries, younger age, higher education, urban residence, and being a renter were associated with higher likelihood of relocation. Community-based relocation was associated with a lower mortality risk (US: HR = 0.63, 95% CI = 0.57, 0.70; China: HR = 0.40, 95% CI = 0.31, 0.50), and this association was significantly stronger in China compared to the United States. DISCUSSION: Common predictors of community-based relocation were found in the United States and China. The relocation-related survival advantages may be attributed to a better post-move adaptation and living environment.

9.
Br J Soc Psychol ; 2024 Aug 10.
Article in English | MEDLINE | ID: mdl-39126275

ABSTRACT

State apologies for human rights violations are often seen as a key mechanism in reconciliation processes. Nevertheless, they are often contested as well and have not been embraced equally by countries around the world. This raises questions about their universal value and potential to address or redress past harmdoing by countries. In a study across 33 countries (n = 11,023), we found that people around the world consider apologies by states for human rights violations to be reasonably important but tend to be less supportive of the idea that their own country should apologize for past harmdoing. We found that this discrepancy was amplified in countries with stronger honour norms and a stronger collective sense of victim- rather than perpetratorhood. Moving beyond the decontextualized approach that has prevailed in previous psychological research on this topic, our findings show that people's attitudes towards apologies by their country do not exist in a cultural and social vacuum but depend on the extent to which the broader context affords a critical reflection on past harmdoing. As such, they help explain why some countries have been reluctant to offer apologies, and why such gestures may also be more controversial in some contexts than in others.

10.
Soc Sci Res ; 122: 103051, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39216915

ABSTRACT

Women are under-represented in political leadership roles, comprising only a quarter of national parliament members across the world. This is surprising, given women's comparatively high level of education and labor force participation. Why has women's political leadership lagged behind other indicators of gender equality? In this study, we revisit the importance of gender attitudes and examine the extent to which they shape women's share of parliament. Prior studies either examine gender attitudes by relying on cross-sectional research designs with small samples or adopt proxy measures that serve as crude indicators of gender ideology. We overcome these limitations by directly measuring gender attitudes from the World Values Survey and European Values Study, while adopting a panel design with a larger sample of countries and a more comprehensive set of controls. Drawing from our dataset of 275 observations across 101 countries during the 1995-2021 period, we find that our attitudinal measure, gender egalitarianism, wipes away most of the observed differences in women's share of parliament between world regions. Moreover, when we add two-way fixed effects, we find that a one-unit increase in a country's gender egalitarianism score is associated with an increase in women's parliament share by about four or five percentage points. Finally, we address concerns about endogeneity by replicating our results using two-stage least squares models with fixed effects. Overall, our findings suggest that gender ideology helps account for the growing success and persistent obstacles faced by women political candidates across the world.

12.
J Environ Manage ; 367: 121851, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39067342

ABSTRACT

A significant body of research has documented the profound changes in global atmospheric conditions during the COVID-19 pandemic. However, there is still an inadequate comprehensive comparison and assessment of countries before, during, and after the pandemic. Variations in restriction policies, human behaviors, and national traits lead to significant differences in how restriction policies affect atmospheric pollution. This study focuses on NO2, a pollutant with high temporal sensitivity, and utilizes the Oxford COVID-19 policy stringency index along with demographic information. Through spatial-temporal mapping, we analyzed NO2 emission fluctuations and calculated the emission changes in each country. Drawing from this analysis, we explored the relationships among these factors and found that over the span of 2019-2022, across 193 countries, global NO2 emissions displayed a distinct trajectory: initially decreasing, subsequently rebounding, and eventually fluctuating. Most countries exhibited seasonal variations in NO2 emissions. Additionally, the study uncovered a correlation between the stringency of COVID-19 policies and the reduction in NO2 emissions: as policies became stricter, emissions significantly decreased in most countries. In contrast, in countries with lower population densities, stricter policies paradoxically led to an increase in emissions. These findings underscore the importance of considering demographic factors and geographical context in the formulation and implementation of environmental policies.


Subject(s)
COVID-19 , Environmental Monitoring , Nitrogen Dioxide , Nitrogen Dioxide/analysis , Humans , Environmental Monitoring/methods , Air Pollution/analysis , Air Pollutants/analysis , SARS-CoV-2 , Remote Sensing Technology , Pandemics , Environmental Policy
13.
Psychiatry Res ; 339: 116072, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39002501

ABSTRACT

BACKGROUND: Psychotic-like experiences (PLEs) are subtle, subclinical perturbations of perceptions and thoughts and are common in the general population. Their characterisation and unidimensionality are still debated. METHODS: This study was conducted by the Electronic-halluCinations-Like Experiences Cross-culTural International Consortium (E-CLECTIC) and aimed at measuring the Community Assessment of Psychic Experiences (CAPE) factorial structure across five European countries (Belgium; Czech Republic, Germany; Greece, and Spain) and testing the adequacy of the unidimensional polytomous Rasch model of the tool via Partial Credit Model (PCM) of the CAPE to detect people with a high risk for developing psychosis. RESULTS: The sample included 1461 participants from the general population. The factorial analysis confirmed the best fit for the bifactor implementation of the three-factor model, including the positive, negative and depressive dimensions and a general factor. Moreover, the unidimensional polytomous Rasch analysis confirmed that CAPE responses reflected one underlying psychosis proneness. CONCLUSIONS: The study proved that the CAPE measures a single latent dimension of psychosis-proneness. The CAPE might help locate and estimate psychosis risk and can be used as a screening tool in primary care settings/education settings.


Subject(s)
Psychometrics , Psychotic Disorders , Humans , Psychotic Disorders/diagnosis , Psychotic Disorders/psychology , Male , Female , Psychometrics/standards , Adult , Young Adult , Middle Aged , Cross-Cultural Comparison , Germany , Europe , Greece , Belgium , Czech Republic , Spain , Psychiatric Status Rating Scales/standards , Hallucinations/diagnosis , Adolescent , Factor Analysis, Statistical
14.
Soc Sci Res ; 121: 103038, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38871431

ABSTRACT

Working time and the environment are two important issues of our time and have attracted wide attention from both academia and the public. An emerging body of literature connects these two fields and discusses the environmental impacts of long working hours, yet little is known about how working time is related to the underlying pro-environmental attitude change. Drawing upon literature in worktime studies and environmental sociology, this study examines the extent to which working hours are associated with environmental concern, and how this relationship is contingent on the level of national economic development and cohort replacement. Cross-national intercohort analyses of four waves of ISSP data show that consistent with the political economic theories and degrowth perspective, working hours are negatively related to environmental concern. Furthermore, this association is more salient in high-income countries and intensifies among younger cohorts. This study highlights the importance of examining environmental concern in a dynamic social structure as well as the possibility of constructing a socio-ecological sustainable society.

15.
J Am Geriatr Soc ; 72(9): 2656-2666, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38872608

ABSTRACT

BACKGROUND: Identifying risk factors associated with the Motoric Cognitive Risk (MCR) syndrome (a pre-dementia syndrome) can assist in developing risk reduction strategies and interventions to delay progression to dementia. Tailored interventions require comparisons of high- and middle-income countries to determine if the same or different risk factors should be targeted. We examined risk factors associated with MCR in seven Health and Retirement Studies with harmonized measures. METHODS: Data from adults aged ≥65 years (n = 20,036, mean age 71.2(SD 6.2)-80.1(SD 4.1)) from the U.S. Health and Retirement Study, English Longitudinal Study of Aging, Survey of Health, Aging and Retirement in Europe, China Health and Retirement Longitudinal Study, Harmonized Diagnostic Assessment of Dementia for Longitudinal Aging Study in India, Mexican Health and Aging Study, and Brazilian Longitudinal Study of Aging was included. MCR was defined as the presence of cognitive complaints and slow gait (no mobility disability and dementia). Associations of demographic [education], medical [hypertension, diabetes, heart disease, obesity, stroke, Parkinson's, falls], psychological [depressive symptoms, psychiatric problems], sensorimotor [grip strength, hearing], and behavioral factors [smoking, sedentariness, sleep], with prevalent MCR were examined using age- and sex-adjusted logistic regression models. A meta-analysis was performed to compare risk factors for MCR in high- versus middle-income countries. RESULTS: Except for depressive symptoms and weak grip strength, different risk factor clusters were associated with individual studies. Poor sleep, hearing, weak grip, and multiple falls emerged as novel associations with MCR. When grouped by income, some risk factors (i.e., education) were associated with MCR in high- and middle-income countries. Others (i.e., obesity) were specific to high-income countries. CONCLUSIONS: This cross-sectional, cross-national study identified new, shared, and specific risk factors associated with MCR in high- and middle-income countries, providing insights to develop public health approaches and interventions to forestall the onset of dementia in those with MCR.


Subject(s)
Cognitive Dysfunction , Humans , Risk Factors , Aged , Male , Female , Aged, 80 and over , Cognitive Dysfunction/epidemiology , Longitudinal Studies , United States/epidemiology , Syndrome , Dementia/epidemiology , Cross-Sectional Studies
16.
Heliyon ; 10(10): e31457, 2024 May 30.
Article in English | MEDLINE | ID: mdl-38813179

ABSTRACT

This study underscores the effectiveness of Qualitative Comparative Analysis (QCA) when compared to conventional regression analysis (CRA) in the investigation of complex human systems. Utilizing historical secondary cross-national data from Lipset & Man (1960) spanning 18 countries, where CRA may be impractical, the research emphasizes the superior performance of QCA, specifically utilizing both crisp set QCA and fuzzy set QCA. The dataset includes variables such as democracy survival and its precursors, such as gross national product per capita, urbanization, literacy rate, and industrial labor force. In contrast to conventional regression results indicating an insignificant relationship between democracy survival and its antecedents, crisp set QCA identifies two distinct combinations of antecedents associated with high levels of democracy survival, albeit with limited solution coverage. Meanwhile, fuzzy set qualitative comparative analysis (fsQCA) reveals five combinations of antecedents linked to robust democracy survival, providing adequate solution coverage and consistency. These findings suggest that fsQCA excels in capturing the intricacies of real-life scenarios in human complex systems, offering more robust empirical solutions compared to crisp set QCA and conventional regression. As a result, researchers may find value in integrating fsQCA into their new projects focused on human complex systems.

17.
J Aging Soc Policy ; : 1-19, 2024 May 05.
Article in English | MEDLINE | ID: mdl-38704670

ABSTRACT

Previous research has shown that providing intensive informal care can have a negative effect on an individual's mental health. However, few studies have been able to draw a precise comparison between the experiences of in-home and out-of-home caregivers. This study used data from 16 countries collected from 2011-2019 as part of the Survey of Health, Ageing and Retirement in Europe (SHARE) to conduct asymmetric panel fixed-effects models that examined within-person variation in depression scores after a respondent started providing daily or almost daily personal care either inside or outside of their home. The results substantiated previous findings that in-home caregivers experience more pronounced increases to their reported depressive symptoms after starting to provide daily personal care than do out-of-home caregivers. In addition, in-home caregivers in countries with greater governmental responsibility for long-term care provision (The Northern and Central Clusters) reported fewer increases to their depressive symptoms after starting to provide care than caregivers in countries where long-term care responsibility predominantly rests on families (The Southern and Eastern Cluster). Further, Northern Cluster countries most successfully shrank the pool of out-of-home care providers. Together, these findings underscore the context-specific nature of caregiver wellbeing.

18.
Arch Orthop Trauma Surg ; 144(6): 2731-2743, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38761235

ABSTRACT

OBJECTIVE: To describe the disease burden of knee osteoarthritis (KOA) globally, regionally, and in 204 countries by age, sex, and sociodemographic index (SDI) from 1990 to 2019, and to explore cross-national inequalities across SDI. METHODS: The Global Burden of Disease (GBD) 2019 database collected data on KOA worldwide from 1990 to 2019, including prevalence, incidence, years lived with disability (YLDs). The average annual percentage change (AAPC) was used to measure temporal trends. In addition, the inequality slope index and the health concentration index were calculated to quantify the unequal distribution of the burden of KOA across 204 countries worldwide. RESULTS: In 2019, the global age-standardized prevalence rate increased by 7.5% compared with 1990, and the age-standardized incidence rate increased by about 6.2%; The age-standardized YLDs rate increased by about 7.8%. In addition to the Republic of Korea and the United States of America, the disease burden of KOA has increased year by year in other countries around the world. The incidence of KOA was highest at ages 50-59, while the prevalence and rates of YLDs were highest at ages 75-84. The burden of KOA was higher in women than in men. Cross-country inequality suggests that the inequality in the burden of KOA between high SDI and low SDI countries becomes greater, and that countries with high SDI bear a disproportionately high burden. CONCLUSION: The global KOA burden has risen steadily between 1990 and 2019, and cross-national inequality gaps remain large. Targeted measures must therefore be taken to address this inequality and the increasing global KOA disease burden.


Subject(s)
Global Burden of Disease , Global Health , Osteoarthritis, Knee , Humans , Osteoarthritis, Knee/epidemiology , Male , Female , Middle Aged , Aged , Global Health/statistics & numerical data , Global Burden of Disease/trends , Prevalence , Aged, 80 and over , Adult , Incidence , Cost of Illness , Health Status Disparities , Socioeconomic Factors
19.
Article in English | MEDLINE | ID: mdl-38814952

ABSTRACT

OBJECTIVES: We examine cross-national variation in (a) loneliness trajectories and (b) the association between common social risk factors and chronic loneliness in middle and older adulthood. METHODS: Using longitudinal data, we assess the country-level prevalence of loneliness trajectories (chronic, transitory, and no loneliness) and the extent of common social risk factors for loneliness (living alone, widowhood, divorce, no grandchildren, having chronic conditions, and never working) among adults 50 and older in 20 countries covering 47% of the global population in this age bracket. Additionally, we compare how the associations between social risk factors and chronic loneliness vary across countries. RESULTS: We find considerable variation in the prevalence of chronic loneliness cross-nationally, ranging between 4% (Denmark) and 15% (Greece) of adults 50 and older. Living arrangements have the most consistent association with the likelihood of chronic loneliness across countries, with those ever living alone having an 8% higher likelihood of chronic loneliness on average across countries, with a range of 2%-25%. Additionally, those who never report working and those with chronic conditions have a higher likelihood of chronic loneliness across more than a third of the countries. DISCUSSION: These results suggest that policies and interventions targeted to middle age and older adults living alone and with limited work histories or with chronic conditions are critical in reducing the public health challenges of chronic loneliness.


Subject(s)
Loneliness , Humans , Loneliness/psychology , Aged , Male , Female , Middle Aged , Longitudinal Studies , Risk Factors , Chronic Disease/epidemiology , Chronic Disease/psychology , Prevalence , Global Health/statistics & numerical data , Residence Characteristics/statistics & numerical data , Aged, 80 and over , Cross-Cultural Comparison
20.
Alzheimers Dement ; 20(7): 4635-4648, 2024 07.
Article in English | MEDLINE | ID: mdl-38805356

ABSTRACT

INTRODUCTION: Informant reports are a critical component of dementia diagnoses, but the comparability of informant reports across countries is not well understood. METHODS: We compared the performance of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) using population-representative surveys in the United States (N = 3183), England (N = 1050), and India (N = 4047). RESULTS: Analyses of regression splines and comparisons of model fit showed strong associations between IQCODE and objective cognition at low cognitive functioning in the United States and England; in India, the association was weaker but consistent over the range of cognition. Associations between IQCODE score and informant generation (analysis of variance [ANOVA] p = 0.001), caregiver status (p < 0.001), and years known by the informant (p = 0.015) were different across countries after adjusting for objective cognition. DISCUSSION: In India, the IQCODE was less sensitive to impairments at the lowest levels of cognitive functioning. Country-specific adjustments to IQCODE scoring based on informant characteristics may improve cross-national comparisons. HIGHLIGHTS: Associations between IQCODE and cognitive testing were similar in the United States and England but differed in India. In India, the IQCODE may be less sensitive to impairments among those with low cognition and no education. Informant characteristics may differentially impact informant reports of decline across countries. Adjustments or culturally sensitive adaptations may improve cross-national comparability.


Subject(s)
Cognitive Dysfunction , Dementia , Humans , Male , Female , Dementia/diagnosis , Dementia/epidemiology , Aged , Surveys and Questionnaires , Cognitive Dysfunction/diagnosis , United States , India , England , Cognitive Aging/physiology , Cross-Cultural Comparison , Caregivers/psychology , Caregivers/statistics & numerical data , Neuropsychological Tests/statistics & numerical data , Aged, 80 and over
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