Abstract：
UNASSIGNED: The study aims to identify factors associated with health care and financial decision-making among older Black adults without dementia.
UNASSIGNED: Participants (N = 326) underwent assessments of decision-making and completed measurements of factors from four categories: cognitive, contextual, psychosocial, and personality. We performed separate linear regression models to examine the association between each factor and decision-making and created a fully adjusted model.
UNASSIGNED: Higher global cognition (estimate = 1.92, SE = 0.21, p < .0001) was associated with better decision-making. Contextual factors including higher current annual income (estimate = 0.23, SE = 0.05, p < .0001), higher childhood socioeconomic status (estimate = 0.48, SE = 0.18, p = .006), higher health and financial literacy (estimate = 0.08, SE = 0.01, p < .0001), and lower financial stress (estimate = -0.19, SE = 0.07, p = .01) were associated with better decision-making. More psychological well-being (estimate = 0.07, SE = 0.22, p = .001), a psychosocial factor, and less neuroticism (estimate = -0.06, SE = 0.02, p = .002), a personality factor, were associated with better decision-making. In the fully adjusted model, two factors, higher global cognition and higher literacy (health and financial), remained associated with better decision-making.
UNASSIGNED: Cognitive and contextual factors serve as drivers of decision-making among older Black adults.
UNASSIGNED: Clinicians may implement strategies to bolster cognition and improve health and financial literacy to facilitate optimal decision-making among older Black adults.
UNASSIGNED: Participants (N = 326) underwent assessments of decision-making and completed measurements of factors from four categories: cognitive, contextual, psychosocial, and personality. We performed separate linear regression models to examine the association between each factor and decision-making and created a fully adjusted model.
UNASSIGNED: Higher global cognition (estimate = 1.92, SE = 0.21, p < .0001) was associated with better decision-making. Contextual factors including higher current annual income (estimate = 0.23, SE = 0.05, p < .0001), higher childhood socioeconomic status (estimate = 0.48, SE = 0.18, p = .006), higher health and financial literacy (estimate = 0.08, SE = 0.01, p < .0001), and lower financial stress (estimate = -0.19, SE = 0.07, p = .01) were associated with better decision-making. More psychological well-being (estimate = 0.07, SE = 0.22, p = .001), a psychosocial factor, and less neuroticism (estimate = -0.06, SE = 0.02, p = .002), a personality factor, were associated with better decision-making. In the fully adjusted model, two factors, higher global cognition and higher literacy (health and financial), remained associated with better decision-making.
UNASSIGNED: Cognitive and contextual factors serve as drivers of decision-making among older Black adults.
UNASSIGNED: Clinicians may implement strategies to bolster cognition and improve health and financial literacy to facilitate optimal decision-making among older Black adults.
摘要：
■该研究旨在确定与没有痴呆症的老年黑人成年人的医疗保健和财务决策相关的因素。
■参与者（N=326）接受了决策评估，并完成了四类因素的测量：认知，上下文,社会心理,和个性。我们进行了单独的线性回归模型，以检查每个因素与决策之间的关联，并创建了一个完全调整的模型。
■较高的全球认知（估计值=1.92，SE=0.21，p<.0001）与更好的决策相关。背景因素包括较高的当前年收入(估计值=0.23，SE=0.05，p<0.0001)，较高的儿童社会经济地位(估计值=0.48，SE=0.18，p=0.006)，更高的健康和金融素养(估计值=0.08，SE=0.01，p<0.0001)，较低的财务压力(估计值=-0.19，SE=0.07，p=0.01)与更好的决策相关。更多的心理幸福感(估计值=0.07，SE=0.22，p=.001)，心理社会因素，和较少的神经质（估计=-0.06，SE=0.02，p=0.002），个性因素,与更好的决策相关。在完全调整的模型中，两个因素,更高的全球认知和更高的素养(健康和金融)，与更好的决策联系在一起。
■认知和情境因素是老年黑人成年人决策的驱动因素。
■临床医生可能会实施策略来增强认知能力，改善健康和金融素养，以促进老年黑人成年人的最佳决策。
■参与者（N=326）接受了决策评估，并完成了四类因素的测量：认知，上下文,社会心理,和个性。我们进行了单独的线性回归模型，以检查每个因素与决策之间的关联，并创建了一个完全调整的模型。
■较高的全球认知（估计值=1.92，SE=0.21，p<.0001）与更好的决策相关。背景因素包括较高的当前年收入(估计值=0.23，SE=0.05，p<0.0001)，较高的儿童社会经济地位(估计值=0.48，SE=0.18，p=0.006)，更高的健康和金融素养(估计值=0.08，SE=0.01，p<0.0001)，较低的财务压力(估计值=-0.19，SE=0.07，p=0.01)与更好的决策相关。更多的心理幸福感(估计值=0.07，SE=0.22，p=.001)，心理社会因素，和较少的神经质（估计=-0.06，SE=0.02，p=0.002），个性因素,与更好的决策相关。在完全调整的模型中，两个因素,更高的全球认知和更高的素养(健康和金融)，与更好的决策联系在一起。
■认知和情境因素是老年黑人成年人决策的驱动因素。
■临床医生可能会实施策略来增强认知能力，改善健康和金融素养，以促进老年黑人成年人的最佳决策。
