“…Several variables that may impact letter verbal fluency, which were not assessed in this study, could explain these differences in scores among countries. For instance, language-related competences (e.g., vocabulary level, reading, and writing) have been associated with better performance in letter verbal fluency (Kochhann, Holz, Beber, Chaves, & Fonseca, 2018; Olabarrieta-Landa, Rivera, et al, 2017; Olabarrieta-Landa, Torre, et al, 2017). In countries with bilingual population, such as Puerto Rico, bilingualism might be an important variable since it has been also related to letter verbal fluency, with no clear results: While some studies have reported that monolinguals outperform bilingual participants on letter verbal fluency (Bialystok, Craik, & Luk, 2008; Gollan, Montoya, & Werner, 2002), others have found that bilingual participants outperform monolinguals when vocabulary level is similar among both groups (Friesen, Luo, Luk, & Bialystok, 2015; Luo, Luk, & Bialystok, 2010).…”