The effect of acculturation on cognitive performance among older Hispanics in the United States

Mendoza, Lisandra; Garcia, Patrícia Azevedo; Duara, Ranjan; Rosselli, Mónica; Loewenstein, David; Greig‐Custo, Maria T.; Barker, Warren W.; Dahlin, P; Rodriguez, Miriam J.

doi:10.1080/23279095.2020.1725888

Cited by 16 publications

(6 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Years living in the United States may be a proxy for acculturation because it assumes that more time in the United States equals more U.S. cultural knowledge. The findings are consistent with previous studies reporting a relationship between acculturation status and cognition function, with high levels of acculturation relating to better cognitive performance (Mendoza et al, 2022; Wang et al, 2019). In addition, there is an incidental finding of higher education associated with a higher likelihood of being in the dementia group compared to the normal control group.…”

Section: Discussionsupporting

confidence: 92%

The utility of word list and story recall for identifying older U.S. Chinese immigrants with cognitive impairment.

Li¹,

Hong²,

Wang³

et al. 2023

Neuropsychology

View full text Add to dashboard Cite

Objective: This study examined the utility of the Chinese-language translations of the word list memory test (Philadelphia Verbal Learning Test) and story memory test (Logical Memory subtest of the Wechsler Memory Scale) for differentiating cognitive diagnosis in older U.S. Chinese immigrants. Method: Participants were ≥60 years old, with Chinese language proficiency to complete a diagnostic workup at the Mount Sinai’s Alzheimer’s Disease Research Center. The workup included an evaluation by a geriatric psychiatrist and cognitive testing with a psychometrician. Diagnosis of normal, mild cognitive impairment (MCI), and dementia was made independent of the cognitive tests at consensus led by a dementia expert physician. Multivariable logistic regression models were used to assess the sensitivity of story and word list memory tests for distinguishing between groups. Receiver operating characteristic (ROC area/area under the curve [AUC]) was used to compare the predictive accuracy of the two tests. Results: The sample included 71 participants with normal cognition, 42 with MCI, and 24 with dementia. The MCI group was older and less educated than normal controls but younger and more educated than the dementia group. Delayed recall of both memory tests, but not immediate recall of either test, predicted diagnosis. While composite memory score of word list (AUC = 0.90) predicted diagnosis slightly better than that of stories (AUC = 0.85), the difference was not significant in this small sample (p = .14). Conclusions: Chinese-language translations of verbal memory tests, in particular delayed recall scores, were equally sensitive for classifying cognitive diagnosis in older U.S. Chinese immigrants.

show abstract

Section: Discussionsupporting

confidence: 92%

The utility of word list and story recall for identifying older U.S. Chinese immigrants with cognitive impairment.

Li¹,

Hong²,

Wang³

et al. 2023

Neuropsychology

View full text Add to dashboard Cite

show abstract

“…This may provide a more nuanced, longitudinal counterpoint to previous cross‐sectional findings that demonstrated high (not low) levels of acculturation were associated with better working memory performance more generally. 52 Thus, maintaining higher levels of cardiovascular health may protect against working memory declines in older Latino adults reporting lower levels of US‐based acculturation‐related behaviors. This may be due, in part, to the fact that the acculturation‐relatedbehaviors queried in this study may predispose one toward lived experience that bolsters health more generally 53 yet requires the combination with cardiovascular health to exert an effect on a cardiovascular‐reliant cognitive domain like working memory.…”

Section: Discussionmentioning

confidence: 99%

A Longitudinal Study of Acculturation in Context and Cardiovascular Health and Their Effects on Cognition Among Older Latino Adults

Lamar

Estrella

Capuano

et al. 2023

JAHA

View full text Add to dashboard Cite

Background We previously outlined the importance of considering acculturation within the context of older Latino adults' lived experience (ie, acculturation in context) to better capture contributors to cognitive aging. We now examine this conceptual framework as related to level of and change in cardiovascular health, and whether cardiovascular health modifies previously documented associations of acculturation in context with cognition. Methods and Results Acculturation in context data from 192 Latino participants without dementia at baseline (age ~70 years) were compiled into 3 separate composite scores: acculturation‐related (nativity, language‐, and social‐based preferences), contextually related socioenvironmental (experiences of discrimination, social isolation, social networks), and familism‐related (Latino‐centric family ethos). A modified American Heart Association's Life's Simple 7 (mLS7; ie, smoking, physical activity, body mass index, blood pressure, total cholesterol, blood glucose) was used to measure cardiovascular health. Mixed effects regressions simultaneously tested the association of all 3 composite scores with total mLS7 adjusting for confounders. Separate models tested whether mLS7 modified associations of the 3 composite scores and cognition. The contextually related socioenvironmental composite score reflecting higher discrimination, higher social isolation, and smaller social networks (estimate=0.22, SE=0.10, P =0.02) and the familism score (estimate=0.16, SE=0.07, P =0.02) both significantly associated with change in total mLS7. The acculturation‐related composite was not significantly associated with change in mLS7. No composite was significantly associated with level of mLS7. Total mLS7, however, significantly modified associations between the acculturation‐related composite and change in working memory (estimate=−0.02, SE=0.01, P =0.043). Conclusions Acculturation within the context of older Latino adults' lived experience is important for maintaining cardiovascular health, relationships that also affect domain‐specific cognitive decline.

show abstract

“…In addition to cultural considerations, the present study motivates several additional areas for future investigation. For instance, the study did not include a formal measure of acculturation for the Hispanic participants, and research suggests that acculturation can impact neuropsychological performance (Mendoza et al, 2022;Alan et al, 2022;Rodríguez et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

The Perks of Being Bilingual: Autobiographical Memory and Aging Among Bilingual and Monolingual Hispanic Adults

Acevedo-Molina,

Hernandez,

Deffner

et al. 2023

Preprint

View full text Add to dashboard Cite

Significant gaps persist in our understanding of cognitive aging among Hispanic individuals, who constitute the largest and fastest-growing minority cohort in the United States (U.S.). This study investigated the impact of bilingualism and aging on autobiographical memory in a diverse sample of 150 cognitively unimpaired individuals, which included young and middle-aged/older adults from three ethnic groups: bilingual Hispanic, monolingual English-speaking Hispanic, and monolingual Non-Hispanic White. Utilizing the Autobiographical Interview (Levine et al., 2002), we found an age-related reduction in event specificity among Hispanic individuals, mirroring patterns observed in non-Hispanic White individuals. Notably, bilingual Hispanic individuals demonstrated a consistent advantage in event specificity, an outcome that was not significantly affected by age. These findings underscore the potential influence of bilingualism and cultural factors on autobiographical memory narration, and they shed new light on cognitive aging.

show abstract

The effect of acculturation on cognitive performance among older Hispanics in the United States

Cited by 16 publications

References 55 publications

The utility of word list and story recall for identifying older U.S. Chinese immigrants with cognitive impairment.

The utility of word list and story recall for identifying older U.S. Chinese immigrants with cognitive impairment.

A Longitudinal Study of Acculturation in Context and Cardiovascular Health and Their Effects on Cognition Among Older Latino Adults

The Perks of Being Bilingual: Autobiographical Memory and Aging Among Bilingual and Monolingual Hispanic Adults

Contact Info

Product

Resources

About