Associations Between Country where Education is Obtained and Cognitive Functioning Among South American and Caribbean Older Adults Living in the U.S.

Associations Between Country where Education is Obtained and Cognitive Functioning Among South American and Caribbean Older Adults Living in the U.S.
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DOI:
10.1007/s10823-022-09456-0
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发表时间:
2022-09
影响因子:
2
通讯作者:
--
中科院分区:
其他
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--
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拉美裔美国人中阿尔茨海默病的患病率越来越高,需要研究影响拉美裔老年人认知功能和阿尔茨海默病风险的因素。目前的这项研究调查了居住在南美和加勒比海两个拉美裔地区的美国老年拉美裔成年人的认知功能与受教育国家的关系。参与者(n=139)根据西班牙裔教育地区和诊断类别被分成两组:认知正常组和遗忘性MCI组(AMCI)。皮尔逊相关性的结果表明,在一般的拉美裔美国人中,受教育的国家与时序测试、口头测试和词表测试的表现之间存在显著的正相关。当按地区和诊断分开检查时,只有认知正常(CN)的南美人在这些地区的教育国家和认知功能之间显示出显著的关系。对教育进行控制的一般线性模型的结果表明,不同组之间的神经心理表现存在差异,在每个地区内,CN组的表现好于aMCI组。总体而言,很明显,在这两个不同的西班牙语地区,在美国以外接受的多年教育与认知功能之间的关系并不相似。这是第一次对来自不同地区、具有不同文化的国家的个人进行教育的国家进行的研究,这些文化可能会影响他们一生的教育和认知发展。这些发现有助于跨文化神经心理学文献了解有患阿尔茨海默病风险的西班牙裔老年人特有的因素。
The increasing prevalence of AD among Hispanics calls for a need for examining factors that affect cognitive functioning and risk of AD among Hispanic older adults. The current study examined cognitive functioning among older Hispanic adults living in the U.S. from two Hispanic regions, South America and the Caribbean, in relation to the country where education was obtained. Participants (n = 139) were stratified into groups based on Hispanic education region and diagnostic categories: cognitively normal and amnestic MCI (aMCI). Results of Pearson correlations showed that among Hispanic Americans in general, there were significant positive correlations between the country of education to performance on measures of episodic, verbal, and word list tests. When examined separately by region and diagnosis, only cognitively normal (CN) South Americans showed significant relationships between country of education and cognitive functioning in these areas. Results of general linear models controlling for education identified differences in neuropsychological performance between groups with the CN groups demonstrating better performance than the aMCI groups within each region. Overall, it was evident that relationships between years of education obtained outside of the U.S. and cognitive functioning were not similar among individuals from these two disparate Spanish speaking regions. This is the first study to examine the country where education was obtained among individuals from countries located in different regions with different cultures that may influence their education and cognitive development throughout life. Findings contribute to the cross-cultural neuropsychological literature in understanding factors that are unique to Hispanic older adults at risk for developing AD.
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