The impact of COVID-19 on the well-being and cognition of older adults living in the United States and Latin America

Ganesh M. Babulal; Valeria L. Torres; Daisy Acosta; Cinthya Agüero; Sara Aguilar-Navarro; Rebecca Amariglio; Juliana Aya Ussui; Ana Baena; Yamile Bocanegra; Sonia Maria Dozzi Brucki; Julian Bustin; Diego M. Cabrera; Nilton Custodio; Monica M. Diaz; Lissette Duque Peñailillo; Idalid Franco; Jennifer R. Gatchel; Ana Paola Garza-Naveda; Mariana González Lara; Lidia Gutiérrez-Gutiérrez; Edmarie Guzmán-Vélez; Bernard J. Hanseeuw; Ivonne Z. Jimenez-Velazquez; Tomás León Rodríguez; Jorge Llibre-Guerra; María J. Marquine; Jairo Martinez; Luis D. Medina; Claudia Miranda-Castillo; Alejandra Morlett Paredes; Diana Munera; Alberto Nuñez-Herrera; Maira Okada de Oliveira; Santiago J. Palmer-Cancel; Enmanuelle Pardilla-Delgado; Jaime Perales-Puchalt; Celina Pluim; Liliana Ramirez-Gomez; Dorene M. Rentz; Claudia Rivera-Fernández; Monica Rosselli; Cecilia M. Serrano; Maria Jose Suing-Ortega; Andrea Slachevsky; Marcio  Fernando Soto Añari; Reisa A. Sperling; Fernando Torrente; Daniela Thumala; Patrizia Vannini; Clara Vila-Castelar; Tatiana Yañez-Escalante; Yakeel T. Quiroz

doi:10.1016/j.eclinm.2021.100848

The impact of COVID-19 on the well-being and cognition of older adults living in the United States and Latin America

Ganesh M. Babulal, Valeria L. Torres, Daisy Acosta, Cinthya Agüero, Sara Aguilar-Navarro, Rebecca Amariglio, Juliana Aya Ussui, Ana Baena, Yamile Bocanegra, Sonia Maria Dozzi Brucki, Julian Bustin, Diego M. Cabrera, Nilton Custodio, Monica M. Diaz, Lissette Duque Peñailillo, Idalid Franco, Jennifer R. Gatchel, Ana Paola Garza-Naveda, Mariana González Lara, Lidia Gutiérrez-GutiérrezEdmarie Guzmán-Vélez, Bernard J. Hanseeuw, Ivonne Z. Jimenez-Velazquez, Tomás León Rodríguez, Jorge Llibre-Guerra, María J. Marquine, Jairo Martinez, Luis D. Medina, Claudia Miranda-Castillo, Alejandra Morlett Paredes, Diana Munera, Alberto Nuñez-Herrera, Maira Okada de Oliveira, Santiago J. Palmer-Cancel, Enmanuelle Pardilla-Delgado, Jaime Perales-Puchalt, Celina Pluim, Liliana Ramirez-Gomez, Dorene M. Rentz, Claudia Rivera-Fernández, Monica Rosselli, Cecilia M. Serrano, Maria Jose Suing-Ortega, Andrea Slachevsky, Marcio Fernando Soto Añari, Reisa A. Sperling, Fernando Torrente, Daniela Thumala, Patrizia Vannini, Clara Vila-Castelar, Tatiana Yañez-Escalante, Yakeel T. Quiroz

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Abstract

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, η_p² = 0.031); while Blacks reported experiencing discrimination more often (p < .001, η_p² = 0.050). Blacks and Latinos reported more positive coping (p < .001, η_p² = 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.

Original language	English
Article number	100848
Journal	EClinicalMedicine
Volume	35
DOIs	https://doi.org/10.1016/j.eclinm.2021.100848
State	Published - May 2021
Externally published	Yes

Bibliographical note

Funding Information:
Dr. Thumala reports personal fees from National Agency for Research and Development, during the conduct of the study. Dr. Miranda-Castillo reports grants and personal fees from National Agency for Research and Development, during the conduct of the study. Dr. Gatchel reports grants from NIH/NIA, grants from Alzheimer's Association, and served as a one-time consultant with Huron Consulting, outside the submitted work. Dr. Sperling reports personal fees from Roche, Takeda Pharmaceuticals, Eisai, Biogen, AC Immune, Neurocentria, Janssen, Neuraly, Alnylam Pharmaceuticals, Renew, JOMDD, Acumen, Prothena, Cytox, Oligomerix, Inc., and Genentech; grants from Eisai, Eli Lilly, Janssen, NIA, and Alzheimer's Association; personal fees and honorarium (consulting) for Dr. Sperling's spouse (Dr. Keith Johnson) from Novartis, AC Immune, Janssen, and Cerveau, outside the submitted work. Dr. Rentz reports consulting from Digital Cognition Technologies, Neurotrack, and Biogen Idec, outside the submitted work. All other authors have nothing to declare.

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

Keywords

COVID-19
Cognition
Diversity
Latin America
Older adults
US
Well-being

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10.1016/j.eclinm.2021.100848

Cite this

Babulal, G. M., Torres, V. L., Acosta, D., Agüero, C., Aguilar-Navarro, S., Amariglio, R., Ussui, J. A., Baena, A., Bocanegra, Y., Brucki, S. M. D., Bustin, J., Cabrera, D. M., Custodio, N., Diaz, M. M., Peñailillo, L. D., Franco, I., Gatchel, J. R., Garza-Naveda, A. P., González Lara, M., ... Quiroz, Y. T. (2021). The impact of COVID-19 on the well-being and cognition of older adults living in the United States and Latin America. EClinicalMedicine, 35, [100848]. https://doi.org/10.1016/j.eclinm.2021.100848

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title = "The impact of COVID-19 on the well-being and cognition of older adults living in the United States and Latin America",

abstract = "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.",

keywords = "COVID-19, Cognition, Diversity, Latin America, Older adults, US, Well-being",

author = "Babulal, {Ganesh M.} and Torres, {Valeria L.} and Daisy Acosta and Cinthya Ag{\"u}ero and Sara Aguilar-Navarro and Rebecca Amariglio and Ussui, {Juliana Aya} and Ana Baena and Yamile Bocanegra and Brucki, {Sonia Maria Dozzi} and Julian Bustin and Cabrera, {Diego M.} and Nilton Custodio and Diaz, {Monica M.} and Pe{\~n}ailillo, {Lissette Duque} and Idalid Franco and Gatchel, {Jennifer R.} and Garza-Naveda, {Ana Paola} and {Gonz{\'a}lez Lara}, Mariana and Lidia Guti{\'e}rrez-Guti{\'e}rrez and Edmarie Guzm{\'a}n-V{\'e}lez and Hanseeuw, {Bernard J.} and Jimenez-Velazquez, {Ivonne Z.} and Rodr{\'i}guez, {Tom{\'a}s Le{\'o}n} and Jorge Llibre-Guerra and Marquine, {Mar{\'i}a J.} and Jairo Martinez and Medina, {Luis D.} and Claudia Miranda-Castillo and {Morlett Paredes}, Alejandra and Diana Munera and Alberto Nu{\~n}ez-Herrera and {de Oliveira}, {Maira Okada} and Palmer-Cancel, {Santiago J.} and Enmanuelle Pardilla-Delgado and Jaime Perales-Puchalt and Celina Pluim and Liliana Ramirez-Gomez and Rentz, {Dorene M.} and Claudia Rivera-Fern{\'a}ndez and Monica Rosselli and Serrano, {Cecilia M.} and Suing-Ortega, {Maria Jose} and Andrea Slachevsky and {Soto A{\~n}ari}, {Marcio Fernando} and Sperling, {Reisa A.} and Fernando Torrente and Daniela Thumala and Patrizia Vannini and Clara Vila-Castelar and Tatiana Ya{\~n}ez-Escalante and Quiroz, {Yakeel T.}",

note = "Publisher Copyright: {\textcopyright} 2021 The Authors",

year = "2021",

month = may,

doi = "10.1016/j.eclinm.2021.100848",

language = "Ingl{\'e}s",

volume = "35",

journal = "EClinicalMedicine",

issn = "2589-5370",

publisher = "Lancet Publishing Group",

}

Babulal, GM, Torres, VL, Acosta, D, Agüero, C, Aguilar-Navarro, S, Amariglio, R, Ussui, JA, Baena, A, Bocanegra, Y, Brucki, SMD, Bustin, J, Cabrera, DM, Custodio, N, Diaz, MM, Peñailillo, LD, Franco, I, Gatchel, JR, Garza-Naveda, AP, González Lara, M, Gutiérrez-Gutiérrez, L, Guzmán-Vélez, E, Hanseeuw, BJ, Jimenez-Velazquez, IZ, Rodríguez, TL, Llibre-Guerra, J, Marquine, MJ, Martinez, J, Medina, LD, Miranda-Castillo, C, Morlett Paredes, A, Munera, D, Nuñez-Herrera, A, de Oliveira, MO, Palmer-Cancel, SJ, Pardilla-Delgado, E, Perales-Puchalt, J, Pluim, C, Ramirez-Gomez, L, Rentz, DM, Rivera-Fernández, C, Rosselli, M, Serrano, CM, Suing-Ortega, MJ, Slachevsky, A, Soto Añari, MF, Sperling, RA, Torrente, F, Thumala, D, Vannini, P, Vila-Castelar, C, Yañez-Escalante, T & Quiroz, YT 2021, 'The impact of COVID-19 on the well-being and cognition of older adults living in the United States and Latin America', EClinicalMedicine, vol. 35, 100848. https://doi.org/10.1016/j.eclinm.2021.100848

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 Fernando

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.

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 - Artículo

AN - SCOPUS:85103930665

VL - 35

JO - EClinicalMedicine

JF - EClinicalMedicine

SN - 2589-5370

M1 - 100848

ER -

The impact of COVID-19 on the well-being and cognition of older adults living in the United States and Latin America

Abstract

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