Age of Migration and the Incidence of Cognitive Impairment: A Cohort Study of Elder Mexican-Americans.
Age of Migration and the Incidence of Cognitive Impairment: A Cohort Study of Elder Mexican-Americans.
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DOI：
10.1093/geroni/igx037
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发表时间：
2017-11
影响因子：
7
通讯作者：
Raji M
中科院分区：
文献类型：
--
作者：
Garcia MA;Reyes AM;Downer B;Saenz JL;Samper-Ternent RA;Raji M
探讨出生和移民年龄在老年墨西哥裔美国人认知障碍发病率方面的差异。我们采用最大似然离散时间风险模型来估计2，708名65岁及以上的墨西哥裔美国人样本中认知障碍的风险比，这些人在基线时认知健康，随访时间长达20年。与美国相比，晚期移民女性患认知障碍的风险高出46%。墨西哥裔美国女性相反，中年移民男性患认知障碍的风险比美国低29%。墨西哥裔美国人认知障碍的发生率在早期和中年移民妇女中与美国妇女相比没有差异。出生的女性或早期和晚期移民男性与美国相比，天生的男人美国和美国之间认知障碍风险的差异出生和外国出生的墨西哥裔美国人亚群体之间的差异可能部分是由于健康选择性。认知障碍在移民群体中更为普遍，这可能导致家庭成员负担加重和/或对公共资源的高度依赖。我们需要一些项目，可以在早期阶段发现衰退，并降低老年移民进入生命最后几十年的认知障碍风险。
To explore nativity and age of migration differentials in the incidence of cognitive impairment among older Mexican-Americans. We employ maximum-likelihood discrete time hazard models to estimate risk ratios of cognitive impairment in a sample of 2,708 Mexican-Americans 65 and older who were cognitively healthy at baseline over a follow-up period of up to 20 years. Late-life immigrant women have a 46% higher risk of cognitive impairment compared to U.S.-born Mexican-American women. Conversely, midlife immigrant men have a 29% lower risk of cognitive impairment compared to U.S.-born Mexican-American men. The incidence of cognitive impairment did not differ for early-life and midlife immigrant women relative to U.S.-born women or for early- and late-life immigrant men compared to U.S.-born men. Differences in cognitive impairment risk between U.S.-born and foreign-born Mexican-American subgroups may be partly due to health selectivity. Cognitive impairment is more prevalent among immigrant groups which may result in a higher burden on family members and/or high dependency on public resources. Programs are needed that can detect decline at earlier stages and reduce the risk for cognitive impairment among older immigrants entering their last decades of life.
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影响因子：
6.3
作者：
Downer B;Kumar A;Veeranki SP;Mehta HB;Raji M;Markides KS
通讯作者：
Markides KS
影响因子：
2.6
作者：
Downer B;Garcia MA;Saenz J;Markides KS;Wong R
通讯作者：
Wong R
影响因子：
4.1
作者：
Barnes-Mauthe, Michele;Arita, Shawn;Leung, PingSun
通讯作者：
Leung, PingSun
影响因子：
168.9
作者：
Fratiglioni, L;Wang, HX;Winblad, B
通讯作者：
Winblad, B
DOI：
10.1093/geronb/gbu049
发表时间：
2015-03-01
影响因子：
6.2
作者：
Gubernskaya, Zoya
通讯作者：
Gubernskaya, Zoya