Age of Migration Differentials in Life Expectancy With Cognitive Impairment: 20-Year Findings From the Hispanic-EPESE

García, Marc A.; Sáenz, Joseph; Downer, Brian; Chiu, Chi Tsun; Rote, Sunshine; Wong, Rebeca

doi:10.1093/geront/gnx062

Cited by 35 publications

(34 citation statements)

References 52 publications

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“…All models were stratified by gender to account for longer life expectancy contributing to Mexican-American women being more likely than men to experience cognitive impairment in late life ( Garcia, Saenz, et al, 2017 ). Furthermore, prior research has supported the notion of stronger health selectivity among male immigrants who are more likely to migrate for occupational opportunities ( Garcia & Reyes, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

“…The scores range from 0 to 30, with higher scores indicating better cognitive function. Following previous research on older Mexican-Americans in the H-EPESE, we dichotomized the MMSE score as <21 for cognitive impairment and ≥21 for normal cognition ( Garcia, Saenz, et al, 2017 ; Raji, Al Snih, Ray, Patel, & Markides, 2004 ; Samper-Ternent, Al Snih, Raji, Markides, & Ottenbacher, 2008 ). This cut point has been shown to accurately identify older adults with cognitive impairment in populations with low educational attainment ( Uhlmann & Larson, 1991 ).…”

Section: Methodsmentioning

confidence: 99%

“…Research has only recently begun to examine how cognitive functioning for older Hispanics may differ by nativity status ( Downer, Garcia, Saenz, Markides, & Wong, 2017 ; Garcia, Downer, et al, 2017 ; Garcia, Saenz, et al, 2017 ; Garcia et al, 2018 ; Hill, Angel, & Balistreri, 2012 ; Hill, Angel, Balistreri, & Herrera, 2012 ; Weden et al, 2017 ). An analysis of the Health and Retirement Study revealed that foreign-born Mexican-Americans had a 36% lower risk for incident cognitive impairment than non-Hispanic whites independent of age, gender, and socioeconomic characteristics.…”

mentioning

confidence: 99%

“…Research on cognitive function among older Mexican-Americans has found a robust relationship between age of migration, prevalence of cognitive impairment, cognitive life expectancies, and cognitive decline ( Downer et al, 2017 ; Garcia, Saenz, et al, 2017 ; Hill, Angel, & Balistreri, 2012 ; Hill, Angel, Balistreri, et al, 2012 ). However, less scholarship has focused on how age of migration is related to the risk of incident cognitive impairment.…”

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confidence: 99%

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Age of Migration and the Incidence of Cognitive Impairment: A Cohort Study of Elder Mexican-Americans

García¹,

Reyes

Downer

et al. 2017

Innovation in Aging

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Background and ObjectivesTo explore nativity and age of migration differentials in the incidence of cognitive impairment among older Mexican-Americans.Research Design and MethodsWe 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.ResultsLate-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.Discussion and ImplicationsDifferences 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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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Age of Migration and the Incidence of Cognitive Impairment: A Cohort Study of Elder Mexican-Americans

García¹,

Reyes

Downer

et al. 2017

Innovation in Aging

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show abstract

“…Despite the large mortality advantage of late-life migrant women, this advantage does not extend to other health domains. Research shows late-life migrant women spend a larger proportion of their late life years with functional limitations, and cognitive impairment compared to U.S.-born Mexican-Americans (Garcia, Saenz, et al, 2017;Garcia, Valderrama-Hinds, et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Gender and Age of Migration Differences in Mortality Among Older Mexican Americans

Reyes

García²

2019

The Journals of Gerontology: Series B

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Objectives: Using a gendered life course perspective, we examine whether the relationship between age of migration and mortality is moderated by gender among a cohort of older Mexican-Americans. Methods: Data from the Hispanic Established Populations for the Epidemiological Study of the Elderly and recently matched mortality data are used to estimate Cox proportional hazard models. Results: Our findings indicate the relationship between age of migration and mortality is moderated by gender suggesting a more nuanced perspective of the immigrant mortality paradox. Among men, midlife migrants exhibit an 18 percent digitalcommons.unl.edu

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Normative data for the Brief Spanish‐English Verbal Learning Test for representative and diverse Hispanics/Latinos: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Breton

Stickel

Tarraf

et al. 2021

Alz & Dem Diag Ass & Dis Mo

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Introduction Episodic learning and memory performance are crucial components of cognitive assessment. To meet the needs of a diverse Hispanic/Latino population, we aimed to provide normative data on the Brief Spanish‐English Verbal Learning Test (B‐SEVLT). Methods The target population for the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) included individuals 45+ years old from Central American, Cuban, Dominican, Mexican, Puerto Rican, and South American backgrounds. Average age was 56.5 years ± 9.92, 54.5% were female, and mean education was 11.0 years ± 5.6 (unweighted n = 9309). Participants were administered the B‐SEVLT in their preferred language (Spanish or English). Hispanic/Latino background adjusted B‐SEVLT scores and percentile cut‐points were created using survey‐adjusted regression models. Results Higher educational attainment, younger age, and being female were associated with higher learning and memory performance. Hispanic/Latino background groups differed in B‐SEVLT performance. Discussion Representative learning and memory norms for Hispanic/Latinos of diverse backgrounds will improve cognitive assessment and accuracy of neurocognitive disorder diagnosis.

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Age of Migration Differentials in Life Expectancy With Cognitive Impairment: 20-Year Findings From the Hispanic-EPESE

Cited by 35 publications

References 52 publications

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

Gender and Age of Migration Differences in Mortality Among Older Mexican Americans

Normative data for the Brief Spanish‐English Verbal Learning Test for representative and diverse Hispanics/Latinos: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

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