{Reference Type}: Journal Article
{Title}: Factors Associated With Healthcare and Financial Decision Making Among Older Black Adults Without Dementia.
{Author}: Glover CM;Yu L;Lichtenberg PA;Han SD;Lamar M;Stewart CC;Bennett DA;Barnes LL;Boyle PA;
{Journal}: Clin Gerontol
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jul 11
{Factor}: 2.871
{DOI}: 10.1080/07317115.2024.2375326
{Abstract}: <B>UNASSIGNED: </B>The study aims to identify factors associated with health care and financial decision-making among older Black adults without dementia.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>Cognitive and contextual factors serve as drivers of decision-making among older Black adults.<BR><B>UNASSIGNED: </B>Clinicians may implement strategies to bolster cognition and improve health and financial literacy to facilitate optimal decision-making among older Black adults.