The Role of Education in the Relationship Between Age of Migration to the United States and Risk of Cognitive Impairment Among Older Mexican Americans.
The Role of Education in the Relationship Between Age of Migration to the United States and Risk of Cognitive Impairment Among Older Mexican Americans.
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DOI：
10.1177/0164027517701447
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发表时间：
2018-06
影响因子：
2.6
通讯作者：
Wong R
中科院分区：
文献类型：
--
作者：
Downer B;Garcia MA;Saenz J;Markides KS;Wong R
先前的研究表明，移民年龄与老年墨西哥裔美国人的认知健康结果有关;然而，解释这种关系的因素尚不清楚。这项研究使用了来自西班牙裔老年人流行病学研究人群的八个波，通过出生、移民年龄和性别来研究教育在认知障碍（CI）风险中的作用。外国出生的妇女患CI的风险高于美国-出生的妇女，不论移徙年龄。在调整教育因素后，只有晚年移民妇女的这种风险仍然很大（风险比[RR] = 1.28）。与美国相比，50岁以上移民的外国出生男性患CI的风险显著更高。出生男性（RR = 1.33），但调整教育后不显著。分解分析的结果表明，教育显着介导的移民年龄和CI之间的关联。这项研究强调了教育在解释移民年龄与CI之间的关联方面的重要性。
Prior research indicates age of migration is associated with cognitive health outcomes among older Mexican Americans; however, factors that explain this relationship are unclear. This study used eight waves from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine the role of education in the risk for cognitive impairment (CI) by nativity, age of migration, and gender. Foreign-born women had a higher risk for CI than U.S.-born women, regardless of age of migration. After adjusting for education, this risk remained significant only for late-life migrant women (risk ratio [RR] = 1.28). Foreign-born men who migrated at >50 had significantly higher risk for CI compared to U.S.-born men (RR = 1.33) but not significant after adjusting for education. Findings from a decomposition analysis showed education significantly mediated the association between age of migration and CI. This study highlights the importance of education in explaining the association between age of migration and CI.
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