Measurement and structural invariance of a neuropsychological battery among Middle Eastern/North African, Black, and White older adults.
Measurement and structural invariance of a neuropsychological battery among Middle Eastern/North African, Black, and White older adults.
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中东/北非、黑人和白人老年人神经心理电池的测量和结构不变性。
DOI：
10.1037/neu0000902
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发表时间：
2023
期刊：
影响因子：
2.4
通讯作者：
Ajrouch,KristineJ
中科院分区：
文献类型：
--
作者：
Zahodne,LauraB;Brauer,Simon;Tarraf,Wassim;Morris,EmilyP;Antonucci,ToniC;Ajrouch,KristineJ
在美国，阿拉伯语使用者和中东/北非人（MENA）之间缺乏共同神经心理学措施的指导。本研究评估测量和结构不变性的神经心理电池跨种族/民族（MENA，黑人，白色）和语言（阿拉伯语，英语）。MethodSixhund 6老年人（128 MENA-英语，74 MENA-阿拉伯语，207黑人，197白色）从底特律地区健康网络通过电话进行了评估。多组验证性因素分析检查了与不同认知领域相对应的四个指标：情景记忆（Consortium to Establish a Registry for Alzheimer's Disease [CERAD] Word List），语言（动物流畅），注意（蒙特利尔认知评估[莫卡]向前数字跨度），和工作记忆结果测量不变性分析揭示了跨语言组的完全标量不变性和跨种族/民族的部分标量不变性。种族群体表明白色测试优势的动物流畅性，但这种不变性不符合先验标准的显着影响。占测量noninvariance，结构不变性分析显示，中东北非参与者在英语测试表现出较低的认知健康比白人和黑人，中东北非参与者在阿拉伯语测试表现出较低的认知健康比所有其他groups.ConclusionsMeasurement不变性结果支持使用一个严格翻译的神经心理电池，以评估全球认知健康的中东北非/黑人/白色和阿拉伯语/英语组。结构不变性的结果揭示了认知差异。将MENA老年人与其他非拉丁裔白人分开将推进认知健康公平性的研究。未来的研究应该注意中东和北非地区人口的异质性，因为阿拉伯语与英语测试的选择可能反映了与认知老化相关的移民，教育和社会经济经历。（PsycInfo数据库记录（c）2024阿帕，保留所有权利）
ObjectiveThere is a lack of guidance on common neuropsychological measures among Arabic speakers and individuals who identify as Middle Eastern/North African (MENA) in the United States. This study evaluated measurement and structural invariance of a neuropsychological battery across race/ethnicity (MENA, Black, White) and language (Arabic, English).MethodSix hundred six older adults (128 MENA-English, 74 MENA-Arabic, 207 Black, 197 White) from the Detroit Area Wellness Network were assessed via telephone. Multiple-group confirmatory factor analyses examined four indicators corresponding to distinct cognitive domains: episodic memory (Consortium to Establish a Registry for Alzheimer’s Disease [CERAD] Word List), language (Animal Fluency), attention (Montreal Cognitive Assessment [MoCA] forward digit span), and working memory (MoCA backward digit span).ResultsMeasurement invariance analyses revealed full scalar invariance across language groups and partial scalar invariance across racial/ethnic groups suggesting a White testing advantage on Animal Fluency; yet this noninvariance did not meet a priori criteria for salient impact. Accounting for measurement noninvariance, structural invariance analyses revealed that MENA participants tested in English demonstrated lower cognitive health than Whites and Blacks, and MENA participants tested in Arabic demonstrated lower cognitive health than all other groups.ConclusionsMeasurement invariance results support the use of a rigorously translated neuropsychological battery to assess global cognitive health across MENA/Black/White and Arabic/English groups. Structural invariance results reveal underrecognized cognitive disparities. Disaggregating MENA older adults from other non-Latinx Whites will advance research on cognitive health equity. Future research should attend to heterogeneity within the MENA population, as the choice to be tested in Arabic versus English may reflect immigrant, educational, and socioeconomic experiences relevant to cognitive aging.(PsycInfo Database Record (c) 2024 APA, all rights reserved)