Evaluating Social Determinants of Health Domains and Their Predictive Validity Within Black/African American and White Older Adults From the ACTIVE Trial

Olivio J Clay; Karlene K Ball; Katie M Wheeler; Michael Crowe; Michael Marsiske; Lorraine T Dean; Roland J Thorpe; Richard Jones; Joshua H Owens; George W Rebok; Sherry L Willis

doi:10.1177/08982643221111205

Evaluating Social Determinants of Health Domains and Their Predictive Validity Within Black/African American and White Older Adults From the ACTIVE Trial

J Aging Health. 2023 Oct;35(9_suppl):11S-18S. doi: 10.1177/08982643221111205. Epub 2022 Dec 2.

Authors

Olivio J Clay^{1

2

3}, Karlene K Ball^{1

2}, Katie M Wheeler¹, Michael Crowe^{1

2}, Michael Marsiske⁴, Lorraine T Dean^{5

6}, Roland J Thorpe^{6

7}, Richard Jones⁸, Joshua H Owens⁴, George W Rebok^{7

9

10}, Sherry L Willis¹¹

Affiliations

¹ Department of Psychology, University of Alabama at Birmingham (UAB), Birmingham, Al, USA.
² Deep South Resource Center for Minority Aging Research, Birmingham, Al, USA.
³ UAB Alzheimer's Disease Research Center, Birmingham, Al, USA.
⁴ Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.
⁵ Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
⁶ Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
⁷ Johns Hopkins Alzheimer's Disease Resource Center for Minority Aging Research, Baltimore, MD, USA.
⁸ Department of Psychiatry and Human Behavioral, Brown University, Providence, RI, USA.
⁹ Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
¹⁰ Johns Hopkins Center on Aging and Health, Baltimore, MD, USA.
¹¹ Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.

PMID: 35758171
DOI: 10.1177/08982643221111205

Abstract

Objective: To assess domains of social determinants of health (SDoH) and their associations with cognition and quality of life.

Method: This investigation uses baseline data from individuals participating in the ACTIVE trial (n = 2505) to reproduce the SDoH domains described in Healthy People 2030 (economic stability, health care, education, neighborhood and built environment, and social and community context). Results: Results support using data from the ACTIVE trial to assess all five SDoH domains, and the ability of the composites to predict baseline performance on measures of cognition and self-reported quality of life within a sample of older adults. Additionally, higher SDoH domain scores were associated with better functioning on composite measures of cognition and higher scores for mental and general health-related quality of life with Access to Healthcare associated with all outcomes. Discussion: These findings can inform investigators interested in assessing multiple domains of SDoH and highlight the importance of access to health care within older Black/African American and White older adults.

Keywords: cognition; health disparities; older adults; quality of life; social determinants of health.

Publication types

Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural

MeSH terms

Aged
Black or African American
Cognition*
Health Status
Humans
Quality of Life*
Randomized Controlled Trials as Topic
Social Determinants of Health*
White

Abstract

Publication types

MeSH terms

Grants and funding