The influence of noncognitive factors on the mini-mental state examination in older Mexican-Americans: Findings from the Hispanic EPESE
The influence of noncognitive factors on the mini-mental state examination in older Mexican-Americans: Findings from the Hispanic EPESE
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DOI：
10.1016/s0895-4356(99)00100-6
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发表时间：
1999-11-01
影响因子：
7.2
通讯作者：
Markides, KS
中科院分区：
文献类型：
--
作者：
Black, SA;Espino, DV;Markides, KS
用于老年流行病学研究基线调查的西班牙裔人口的迷你精神状态检查数据是一项基于65岁及以上社区居住的墨西哥裔美国人的人口研究，用于检查认知障碍、社会人口统计学和健康相关特征之间的关系。在这组美籍墨西哥裔人中，使用传统的MMSE的23/24分割点，发现认知障碍的比率为36.7%。使用更保守的切点17/18表明严重认知障碍的总体发生率为6.7%。损伤率因年龄、受教育程度、文化程度、婚姻状况、访谈语言和移民身份而有显著差异，并与重度和中度抑郁症状和中风史相关。重要的是，尽管教育程度与认知能力低下密切相关，但它并不是严重认知障碍的重要预测因素。多变量分析进一步表明，作为美籍墨西哥裔美国人认知障碍的筛查，MMSE受到这些非认知因素的强烈影响。分数可能反映了测试偏差，其次是文化差异或该人群的教育水平。临床流行病学[j]；11:1095 - 1102, 1999。(C) 1999 Elsevier Science Inc.；版权所有。
Mini-Mental State Examination data from the Hispanic Established Population for the Epidemiologic Study of the Elderly baseline survey, a population-based study of community dwelling Mexican Americans aged 65 and older, were used to examine the relationship between cognitive impairment, sociodemographics, and health-related characteristics. The rate of cognitive impairment found in this group of order Mexican Americans, using the conventional cut point of 23/24 on the MMSE, was 36.7%. Using a more conservative cut point of 17/18 indicated an overall rate of severe cognitive impairment of 6.7%. Rates of impairment varied significantly with age, education, literacy, marital status, language of interview, and immigrant status and were associated with high and moderate levels of depressive symptoms, and history of stroke. Importantly, although education was strongly related to poor cognitive performance, it was not a significant predictor of severe cognitive impairment. Multivariate analyses further indicated that as a screen for cognitive impairment in order Mexican Americans, the MMSE is strongly influenced by these noncognitive factors. Scores may reflect test bias, secondary to cultural differences or the level of education in this population. I CLIN EPIDEMIOL 52;11:1095-1102, 1999. (C) 1999 Elsevier Science Inc. All rights reserved.