Cognitive Disability Among Arab Americans by Nativity Status and Arrival Year: Lack of Evidence for the Healthy Migrant Effect.
Cognitive Disability Among Arab Americans by Nativity Status and Arrival Year: Lack of Evidence for the Healthy Migrant Effect.
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DOI：
10.1007/s40615-021-01144-y
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发表时间：
2022-10
影响因子：
3.9
通讯作者：
Zahodne LB
中科院分区：
文献类型：
--
作者：
Kindratt TB;Dallo FJ;Zahodne LB
关于阿拉伯裔美国人认知障碍的研究有限，特别是在外国出生的人中与到达年份有关的研究。本研究的目的是通过（1）出生状态和（2）到达年份（1991年之前，1991-2000年，2001-2013年和2014-2018年）估计年龄和性别调整的认知障碍患病率和相关性。我们分析了来自美国社区调查（ACS）公共使用微数据样本（加权n = 264，086;年龄≥ 45岁）的11年（2008-2018）数据。计算加权平均值、百分比、年龄和性别校正的患病率估计值和logistic回归结果（粗值和校正值）。在所有阿拉伯裔美国人中，经年龄和性别调整的认知障碍患病率为6.5%。美国出生的患病率（4.0%）低于外国出生的患病率（6.0%）（p值< 0.0001）。在logistic回归结果中，在调整年龄和性别后，外国出生的阿拉伯裔美国人比美国出生的阿拉伯裔美国人更有可能患有认知障碍（OR = 1.41; 95% CI = 1.24，1.61）。在外国出生的人中，2014年或以后抵达的阿拉伯裔美国人的认知障碍患病率较低（3.4%），而其他所有抵达年份的认知障碍患病率约为4.7%。以1991年之前到达的人作为参考类别，1991年至2000年之间到达的人更有可能报告认知障碍（OR = 1.05; 95% CI = 1.00，1.08）。然而，那些在2014年至2018年之间抵达的人报告认知障碍的可能性较小（OR = 0.81; 95% CI = 0.73，0.88）。这些发现挑战了“健康移民效应”的普遍性，并强调了阿拉伯裔美国人认知健康的社会经济差异的相关性。
Limited research exists on cognitive disabilities among Arab Americans, especially as it relates to arrival year among the foreign-born. The objectives of this study were to estimate the age- and sex-adjusted prevalence and associations of cognitive disability by (1) nativity status and (2) arrival year (pre-1991, 1991–2000, 2001–2013, and 2014–2018). We analyzed 11 years (2008–2018) of data from the American Community Survey (ACS) Public Use Microdata Samples (weighted n = 264,086; ages ≥ 45 years). Weighted means, percentages, age- and sex-adjusted prevalence estimates, and logistic regression results (crude and adjusted) were calculated. Among all Arab Americans, the age- and sex-adjusted prevalence of cognitive disability was 6.5%. The prevalence was lower for US-born (4.0%) compared to foreign-born (6.0%) (p-value < 0.0001). In logistic regression results, foreign-born Arab Americans were more likely to have a cognitive disability compared to US-born Arab Americans after adjusting for age and sex (OR = 1.41; 95% CI = 1.24, 1.61). Among foreign-born, Arab Americans arriving in 2014 or later had a lower prevalence of cognitive disability (3.4%) compared to all other arrival years at approximately 4.7%. With those arriving prior to 1991 as the reference category, those arriving between 1991 and 2000 were more likely to report a cognitive disability (OR = 1.05; 95% CI = 1.00, 1.08). However, those arriving between 2014 and 2018 were less likely to report a cognitive disability (OR = 0.81; 95% CI = 0.73, 0.88). These findings challenge the universality of the “healthy migrant effect” and highlight the relevance of socioeconomic disparities for Arab American cognitive health.
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