Financial capacity of older African Americans with amnestic mild cognitive impairment.
Financial capacity of older African Americans with amnestic mild cognitive impairment.
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DOI：
10.1097/wad.0b013e3181e7cb05
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发表时间：
2010-10
影响因子：
2.1
通讯作者：
Marson DC
中科院分区：
文献类型：
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作者：
Triebel KL;Okonkwo OC;Martin R;Griffith HR;Crowther M;Marson DC
本研究使用财务能力量表(FCI)调查了154名轻度认知障碍(MCI)患者(高加索人116人，非裔美国人38人)的经济能力。在一系列线性回归模型中，我们检验了种族对FCI表现的影响，并确定了初步预测变量，这些变量中介了观察到的种族差异对FCI的影响。先前/发病前的能力被识别出来。模型中考察的预测变量包括种族和其他人口统计因素(年龄、教育程度、性别)、在全球认知测量中的表现(MMSE、DRS-2总分)、心血管疾病史(高血压、糖尿病、高胆固醇血症)以及教育成就衡量标准(WRAT-3算法)。患有MCI的非裔美国人在所检查的七个FCI领域中的六个以及FCI总分上的表现低于高加索MCI患者。WRAT-3算法在FCI上成为组差异的部分中介，解释了54%的差异。相比之下，在全球认知测量和心血管疾病病史上的表现分别只占差异的14%和2%。遗忘型MCI患者的经济能力似乎存在种族差异。与教育机会和教育质量相关的基本学术数学技能在经济表现方面的群体差异中占很大比例。
This study investigated financial abilities of 154 patients with mild cognitive impairment (MCI) (116 Caucasian, 38 African American) using the Financial Capacity Instrument (FCI). In a series of linear regression models, we examined the effect of race on FCI performance and identified preliminary predictor variables that mediated observed racial differences on the FCI. Prior/premorbid abilities were identified. Predictor variables examined in the models included race and other demographic factors (age, education, gender), performance on global cognitive measures (MMSE, DRS-2 Total Score), history of cardiovascular disease (hypertension, diabetes, hypercholesterolemia), and a measure of educational achievement (WRAT-3 Arithmetic). African American patients with MCI performed below Caucasian patients with MCI on six of the seven FCI domains examined and on the FCI total score. WRAT-3 Arithmetic emerged as a partial mediator of group differences on the FCI, accounting for 54% of variance. In contrast, performance on global cognitive measures and history of cardiovascular disease only accounted for 14% and 2%, respectively, of the variance. Racial disparities in financial capacity appear to exist among patients with amnestic MCI. Basic academic math skills related to educational opportunity and quality of education account for a substantial proportion of the group difference in financial performance.