Discrimination and Cognition in Midlife Black Women: The Roles of Social Support and Spirituality

Overview

Journal J Gerontol B Psychol Sci Soc Sci

Specialties Geriatrics
Psychology
Social Sciences

Date 2024 Jan 2

PMID 38165061

Authors

Jasmine S Dixon

Dongwei Wang

Rebecca E Ready

Affiliations

Soon will be listed here.

Abstract

Objectives: Black women are at high risk for discrimination and cognitive impairment in late life. It is not known if discrimination is a risk factor for cognitive decline in Black women and if so, what factors are protective against the adverse cognitive effects of discrimination. Using the biopsychosocial model of gendered racism, we determined if discrimination is associated with poorer cognition in midlife Black women and if social support and/or spirituality would protect against the deleterious effects of discrimination on cognition.

Methods: Participants were midlife Black women (N = 669) from the Study of Women's Health Across the Nation. Discrimination was measured by the Everyday Discrimination scale. Cognitive outcomes included episodic memory, processing speed, and working memory. Total social support, emotional support, instrumental support, and spirituality were assessed as protective factors.

Results: Contrary to expectations, structural equation modeling indicated that discrimination was associated with better immediate recall. For women with more emotional support, greater discrimination was associated with better immediate recall than for women with lower emotional support. Spirituality was not a significant moderator in the association between discrimination and cognition.

Discussion: Discrimination had unexpected positive associations with learning and attention-based cognitive skills for midlife Black women. Discrimination might enhance vigilance, which could be facilitated by higher levels of emotional support. There is an opportunity for clinical and public health interventions for cognitive health and discrimination focused on Black women to better incorporate emotional support as a coping resource.

References

Warm J, Parasuraman R, Matthews G . Vigilance requires hard mental work and is stressful. Hum Factors. 2008; 50(3):433-41. DOI: 10.1518/001872008X312152. View

Simons R, Ong M, Beach S, Lei M, Philibert R, Mielke M . Direct and Indirect Effects of Socioeconomic Status and Discrimination on Subjective Cognitive Decline: A Longitudinal Study of African American Women. J Gerontol B Psychol Sci Soc Sci. 2023; 78(5):799-808. PMC: 10195880. DOI: 10.1093/geronb/gbad029. View

Han S, Lamar M, Fleischman D, Kim N, Bennett D, Lewis T . Self-reported experiences of discrimination in older black adults are associated with insula functional connectivity. Brain Imaging Behav. 2020; 15(4):1718-1727. PMC: 7854830. DOI: 10.1007/s11682-020-00365-9. View

Whitfield K, Allaire J, BeLue R, Edwards C . Are comparisons the answer to understanding behavioral aspects of aging in racial and ethnic groups?. J Gerontol B Psychol Sci Soc Sci. 2008; 63(5):P301-8. PMC: 3663459. DOI: 10.1093/geronb/63.5.p301. View

Harlow S, Burnett-Bowie S, Greendale G, Avis N, Reeves A, Richards T . Disparities in Reproductive Aging and Midlife Health between Black and White women: The Study of Women's Health Across the Nation (SWAN). Womens Midlife Health. 2022; 8(1):3. PMC: 8822825. DOI: 10.1186/s40695-022-00073-y. View

Henderson A, Walsemann K, Ailshire J . Religious Involvement and Cognitive Functioning at the Intersection of Race-Ethnicity and Gender Among Midlife and Older Adults. J Gerontol B Psychol Sci Soc Sci. 2021; 77(1):237-248. PMC: 8923294. DOI: 10.1093/geronb/gbab034. View

McDonough I, Byrd D, Choi S . Resilience resources may buffer some middle-aged and older Black Americans from memory decline despite experiencing discrimination. Soc Sci Med. 2022; 316:114998. DOI: 10.1016/j.socscimed.2022.114998. View

Johnson K, Sol K, Sprague B, Cadet T, Munoz E, Webster N . The impact of region and urbanicity on the discrimination-cognitive health link among older Blacks. Res Hum Dev. 2020; 17(1):4-19. PMC: 7544149. DOI: 10.1080/15427609.2020.1746614. View

Lewis J . Contributions of Black psychology scholars to models of racism and health: Applying intersectionality to center Black women. Am Psychol. 2023; 78(4):576-588. DOI: 10.1037/amp0001141. View

10.

Avila J, Vonk J, Verney S, Witkiewitz K, Arce Renteria M, Schupf N . Sex/gender differences in cognitive trajectories vary as a function of race/ethnicity. Alzheimers Dement. 2019; 15(12):1516-1523. PMC: 6925640. DOI: 10.1016/j.jalz.2019.04.006. View

11.

Oshri A, Cui Z, Owens M, Carvalho C, Sweet L . Low-to-moderate level of perceived stress strengthens working memory: Testing the hormesis hypothesis through neural activation. Neuropsychologia. 2022; 176:108354. DOI: 10.1016/j.neuropsychologia.2022.108354. View

12.

Zahodne L, Morris E, Sharifian N, Zaheed A, Kraal A, Sol K . Everyday discrimination and subsequent cognitive abilities across five domains. Neuropsychology. 2020; . PMC: 8006470. DOI: 10.1037/neu0000693. View

13.

Lewis T, Yang F, Jacobs E, Fitchett G . Racial/ethnic differences in responses to the everyday discrimination scale: a differential item functioning analysis. Am J Epidemiol. 2012; 175(5):391-401. PMC: 3282874. DOI: 10.1093/aje/kwr287. View

14.

Sheridan L, Fitzgerald H, Adams K, Nigg J, Martel M, Puttler L . Normative Symbol Digit Modalities Test performance in a community-based sample. Arch Clin Neuropsychol. 2005; 21(1):23-8. DOI: 10.1016/j.acn.2005.07.003. View

15.

John S, Evans S, Hanfelt J, Loring D, Goldstein F . Subjective Memory Complaints in White and African American Participants. J Geriatr Psychiatry Neurol. 2019; 33(3):135-143. PMC: 7015770. DOI: 10.1177/0891988719868305. View

16.

Fani N, Carter S, Harnett N, Ressler K, Bradley B . Association of Racial Discrimination With Neural Response to Threat in Black Women in the US Exposed to Trauma. JAMA Psychiatry. 2021; 78(9):1005-1012. PMC: 8319825. DOI: 10.1001/jamapsychiatry.2021.1480. View

17.

Barnes L, Lewis T, Begeny C, Yu L, Bennett D, Wilson R . Perceived discrimination and cognition in older African Americans. J Int Neuropsychol Soc. 2012; 18(5):856-65. PMC: 3432700. DOI: 10.1017/S1355617712000628. View

18.

Webb E, Bird C, deRoon-Cassini T, Weis C, Huggins A, Fitzgerald J . Racial Discrimination and Resting-State Functional Connectivity of Salience Network Nodes in Trauma-Exposed Black Adults in the United States. JAMA Netw Open. 2022; 5(1):e2144759. PMC: 8787596. DOI: 10.1001/jamanetworkopen.2021.44759. View

19.

Sims R, Levy S, Mwendwa D, Callender C, Campbell Jr A . The influence of functional social support on executive functioning in middle-aged African Americans. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2011; 18(4):414-31. PMC: 3423330. DOI: 10.1080/13825585.2011.567325. View

20.

Seeman T, McEwen B, Rowe J, Singer B . Allostatic load as a marker of cumulative biological risk: MacArthur studies of successful aging. Proc Natl Acad Sci U S A. 2001; 98(8):4770-5. PMC: 31909. DOI: 10.1073/pnas.081072698. View