Bilingualism, assessment language, and the Montreal Cognitive Assessment in Mexican Americans.
Aged
Aged, 80 and over
Cognitive Aging
/ psychology
Female
Humans
Independent Living
/ psychology
Language
Linear Models
Male
Mental Status and Dementia Tests
/ statistics & numerical data
Mexican Americans
/ psychology
Multilingualism
Population Surveillance
/ methods
Prospective Studies
Reproducibility of Results
Texas
Hispanic
Latinx
Mexican American
bilingualism
cognition
Journal
Journal of the American Geriatrics Society
ISSN: 1532-5415
Titre abrégé: J Am Geriatr Soc
Pays: United States
ID NLM: 7503062
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
19
03
2021
received:
11
01
2021
accepted:
11
04
2021
pubmed:
9
5
2021
medline:
12
10
2021
entrez:
8
5
2021
Statut:
ppublish
Résumé
Assessment of cognition in linguistically diverse aging populations is a growing need. Bilingualism may complicate cognitive measurement precision, and bilingualism may vary across Hispanic/Latinx sub-populations. We examined the association among bilingualism, assessment language, and cognitive screening performance in a primarily non-immigrant Mexican American community. Prospective, community-based cohort study: The Brain Attack Surveillance in Corpus Christi (BASIC)-Cognitive study. Nueces County, Texas. Community-dwelling Mexican Americans age 65+, recruited door-to-door using a two-stage area probability sampling procedure. Montreal Cognitive Assessment (MoCA); self-reported bilingualism scale. Participants were classified as monolingual, Spanish dominant bilingual, English dominant bilingual, or balanced bilingual based upon bilingualism scale responses. Linear regressions examined relationships among bilingualism, demographics, cognitive assessment language, and MoCA scores. The analytic sample included 547 Mexican American participants (60% female). Fifty-eight percent were classified as balanced bilingual, the majority (88.6%) of whom selected assessment in English. Balanced bilinguals that completed the MoCA in English performed better than balanced bilinguals that completed the MoCA in Spanish (b = -4.0, p < 0.05). Among balanced bilinguals that took the MoCA in Spanish, education outside of the United States was associated with better performance (b = 4.4, p < 0.001). Adjusting for demographics and education, we found no association between the degree of bilingualism and MoCA performance (p's > 0.10). Bilingualism is important to consider in cognitive aging studies in linguistically diverse communities. Future research should examine whether cognitive test language selection affects cognitive measurement precision in balanced bilinguals.
Sections du résumé
BACKGROUND/OBJECTIVES
Assessment of cognition in linguistically diverse aging populations is a growing need. Bilingualism may complicate cognitive measurement precision, and bilingualism may vary across Hispanic/Latinx sub-populations. We examined the association among bilingualism, assessment language, and cognitive screening performance in a primarily non-immigrant Mexican American community.
DESIGN
Prospective, community-based cohort study: The Brain Attack Surveillance in Corpus Christi (BASIC)-Cognitive study.
SETTING
Nueces County, Texas.
PARTICIPANTS
Community-dwelling Mexican Americans age 65+, recruited door-to-door using a two-stage area probability sampling procedure.
MEASUREMENTS
Montreal Cognitive Assessment (MoCA); self-reported bilingualism scale. Participants were classified as monolingual, Spanish dominant bilingual, English dominant bilingual, or balanced bilingual based upon bilingualism scale responses. Linear regressions examined relationships among bilingualism, demographics, cognitive assessment language, and MoCA scores.
RESULTS
The analytic sample included 547 Mexican American participants (60% female). Fifty-eight percent were classified as balanced bilingual, the majority (88.6%) of whom selected assessment in English. Balanced bilinguals that completed the MoCA in English performed better than balanced bilinguals that completed the MoCA in Spanish (b = -4.0, p < 0.05). Among balanced bilinguals that took the MoCA in Spanish, education outside of the United States was associated with better performance (b = 4.4, p < 0.001). Adjusting for demographics and education, we found no association between the degree of bilingualism and MoCA performance (p's > 0.10).
CONCLUSION
Bilingualism is important to consider in cognitive aging studies in linguistically diverse communities. Future research should examine whether cognitive test language selection affects cognitive measurement precision in balanced bilinguals.
Identifiants
pubmed: 33963535
doi: 10.1111/jgs.17209
pmc: PMC8273138
mid: NIHMS1706651
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1971-1981Subventions
Organisme : NIA NIH HHS
ID : P30 AG024824
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS100687
Pays : United States
Organisme : NIH HHS
ID : R01NS100687
Pays : United States
Informations de copyright
© 2021 The American Geriatrics Society.
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