English Proficiency, Immigration Status, and Cognitive Assessment Variability in Older Adults
2024

English Proficiency and Cognitive Function in Older Adults

Sample size: 5628 publication Evidence: moderate

Author Information

Author(s): Katherine Kitchens

Primary Institution: The University of Texas Arlington

Hypothesis

Does English proficiency moderate the relationship between immigration status and cognitive function in older adults?

Conclusion

English proficiency significantly predicts better cognitive scores, suggesting that assessments may underestimate abilities in those with lower proficiency.

Supporting Evidence

  • Immigration status is a risk factor for dementia among older adults.
  • English proficiency moderates the relationship between immigration status and cognition.
  • Cognitive assessments may underestimate abilities due to language barriers.

Takeaway

If you speak English better, you might do better on tests that check how your brain is working, especially if you're older.

Methodology

The study used multi-group confirmatory factor analysis and multivariable linear regression models on NHATS data.

Potential Biases

Potential underestimation of cognitive abilities in individuals with lower English proficiency.

Limitations

The study may not account for all cultural and linguistic factors affecting cognitive assessments.

Participant Demographics

Medicare beneficiaries, with a focus on older adults from diverse immigration backgrounds.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2099

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