Cognitive performance in community-dwelling English- and Spanish-speaking seniors
Cognitive performance in community-dwelling English- and Spanish-speaking seniors
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DOI：
10.1093/ageing/afp127
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发表时间：
2009-11-01
期刊：
影响因子：
6.7
通讯作者：
Sano, Mary
中科院分区：
文献类型：
--
作者：
Federman, Alex D.;Cole, Helen;Sano, Mary
设计图：cross-sectional.Setting:研究对象：420名60岁以上独立生活的成年人（平均73.8岁），方法：参与者完成简易精神状态检查（MMSE）、动物命名测试（ANT）和韦氏记忆量表III（WMS）故事A即时和延迟子测试。根据语言、年龄或教育程度以及MMSE的不同阈值对评分进行了检查。我们测试的语言和认知测试performance使用多变量线性regression.Results的关联：百分之二十一的主题接受了采访，在西班牙语和16.2%的报告较差，公平的英语水平。英语组和西班牙语组的平均WMS评分无统计学差异（即刻回忆，9.9 vs 9.5，P = 0.44;延迟回忆，8.0 vs 7.6，P = 0.36），而ANT评分确实存在差异（16.6 vs 14.3，P < 0.0001）。这些关联在MMSE阈值上是一致的。关联的语言和ANT分数是不显着的教育后accounting for education.Conclusions：我们发现，从WMS的故事A子测试的性能差异不大，这表明该测试可用于英语和西班牙语的人口。结果表明，ANT性能的变化可能是占调整教育水平。这些结果对不同老年人群中考试成绩的普遍性具有重要意义。
Design: cross-sectional.Setting: community-based settings in New York City, including senior centres and residential complexes.Subjects: four hundred and twenty independently living adults aged 60 or older (mean 73.8 years).Methods: participants completed the Mini-Mental State Exam (MMSE), animal naming test (ANT) and Wechsler Memory Scale III (WMS) Story A immediate and delayed subtests. Scores were examined by strata of language, age or education and for different thresholds of the MMSE. We tested the association of language and cognitive test performance using multivariable linear regression.Results: twenty-one per cent of subjects were interviewed in Spanish and 16.2% reported poor-fair English proficiency. The mean WMS scores were not statistically different between English and Spanish groups (immediate recall, 9.9 vs 9.5, P = 0.44; delayed recall, 8.0 vs 7.6, P = 0.36, respectively), whereas ANT scores did differ (16.6 vs 14.3, P < 0.0001). These associations were consistent across MMSE thresholds. The association of language and ANT score was not significant after accounting for education.Conclusions: we found little difference in performance on the Story A subtests from the WMS suggesting that this test may be used for both English- and Spanish-speaking populations. Results suggest that variations in ANT performance may be accounted for by adjusting for the level of education. These results have important implications for the generalisability of test scores among diverse older populations.