Socioeconomic Status and Cognitive Difficulty: Diminished Returns Among Older Bhutanese Refugees in the US
2024

Socioeconomic Status and Cognitive Difficulty Among Older Bhutanese Refugees

Sample size: 5666 publication Evidence: moderate

Author Information

Author(s): Katherine Kitchens, Jaclyn Kirsch

Primary Institution: The University of Texas Arlington

Hypothesis

How is socioeconomic status differentially associated with cognitive difficulties between older Bhutanese refugees and other refugee groups in the United States?

Conclusion

Higher income does not protect older Bhutanese refugees from cognitive difficulties, indicating a need for better resource conversion into cognitive health outcomes.

Supporting Evidence

  • Refugee populations report cognitive difficulties at a rate significantly higher than older immigrants and native-born U.S. adults.
  • High school completion was associated with a 43% decrease in the odds of cognitive difficulty among older refugees.
  • Educational attainment was not a significant protective factor for older Bhutanese refugees.
  • Living above 138% of the federal poverty level significantly increased the odds of reporting a cognitive difficulty.

Takeaway

Older Bhutanese refugees have a harder time with thinking and memory, even if they have more money or education.

Methodology

Binary logistic regression analyses were used to examine the association of income level and high school completion with self-reported cognitive difficulty.

Participant Demographics

Older Bhutanese refugees compared to other refugee groups in the United States.

Statistical Information

P-Value

p<.001

Confidence Interval

[0.43,0.75]

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1093/geroni/igae098.0769

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