The influence of noncognitive factors on the mini-mental state examination in older Mexican-Americans: Findings from the Hispanic EPESE

被引:119
作者
Black, SA
Espino, DV
Mahurin, R
Lichtenstein, MJ
Hazuda, HP
Fabrizio, D
Ray, LA
Markides, KS
机构
[1] Univ Texas, Med Branch, Ctr Aging, Galveston, TX 77550 USA
[2] Univ Texas, Med Branch, Dept Internal Med, Galveston, TX 77550 USA
[3] Univ Texas, Hlth Sci Ctr, Dept Family Practice, San Antonio, TX USA
[4] Battelle Inst, Seattle, WA USA
[5] Univ Texas, Hlth Sci Ctr, Dept Med, San Antonio, TX 78284 USA
[6] Univ Texas, Med Branch, Dept Prevent Med & Community Hlth, Galveston, TX 77550 USA
关键词
cognitive impairment; Mexican-Americans; older adults; Hispanics; MMSE;
D O I
10.1016/S0895-4356(99)00100-6
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Mini-Mental State Examination data from the Hispanic Established Population for the Epidemiologic Study of the Elderly baseline survey, a population-based study of community dwelling Mexican Americans aged 65 and older, were used to examine the relationship between cognitive impairment, sociodemographics, and health-related characteristics. The rate of cognitive impairment found in this group of order Mexican Americans, using the conventional cut point of 23/24 on the MMSE, was 36.7%. Using a more conservative cut point of 17/18 indicated an overall rate of severe cognitive impairment of 6.7%. Rates of impairment varied significantly with age, education, literacy, marital status, language of interview, and immigrant status and were associated with high and moderate levels of depressive symptoms, and history of stroke. Importantly, although education was strongly related to poor cognitive performance, it was not a significant predictor of severe cognitive impairment. Multivariate analyses further indicated that as a screen for cognitive impairment in order Mexican Americans, the MMSE is strongly influenced by these noncognitive factors. Scores may reflect test bias, secondary to cultural differences or the level of education in this population. I CLIN EPIDEMIOL 52;11:1095-1102, 1999. (C) 1999 Elsevier Science Inc. All rights reserved.
引用
收藏
页码:1095 / 1102
页数:8
相关论文
共 42 条
[1]   LIMITS OF THE MINI-MENTAL STATE AS A SCREENING-TEST FOR DEMENTIA AND DELIRIUM AMONG HOSPITAL PATIENTS [J].
ANTHONY, JC ;
LERESCHE, L ;
NIAZ, U ;
VONKORFF, MR ;
FOLSTEIN, MF .
PSYCHOLOGICAL MEDICINE, 1982, 12 (02) :397-408
[2]  
ANTHONY JC, 1992, HDB MENTAL HLTH AGIN, P28
[3]   THE MINI-MENTAL-STATE-EXAMINATION IN AN OUTPATIENT POPULATION - INFLUENCE OF LITERACY [J].
BERTOLUCCI, PHF ;
BRUCKI, SMD ;
CAMPACCI, SR ;
JULIANO, Y .
ARQUIVOS DE NEURO-PSIQUIATRIA, 1994, 52 (01) :1-7
[4]   USE OF THE MINI-MENTAL STATE EXAMINATION IN A PROBABILITY SAMPLE OF A HISPANIC POPULATION [J].
BIRD, HR ;
CANINO, G ;
STIPEC, MR ;
SHROUT, P .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1987, 175 (12) :731-737
[5]   The association between chronic diseases and depressive symptomatology in older Mexican Americans [J].
Black, SA ;
Goodwin, JS ;
Markides, KS .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1998, 53 (03) :M188-M194
[6]   AGE-SPECIFIC NORMS FOR THE MINI-MENTAL STATE EXAM [J].
BLEECKER, ML ;
BOLLAWILSON, K ;
KAWAS, C ;
AGNEW, J .
NEUROLOGY, 1988, 38 (10) :1565-1568
[7]   CORRELATES OF MINI-MENTAL STATUS EXAMINATION SCORES AMONG ELDERLY DEMENTED PATIENTS - THE INFLUENCE OF RACE-ETHNICITY [J].
BOHNSTEDT, M ;
FOX, PJ ;
KOHATSU, ND .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1994, 47 (12) :1381-1387
[8]  
BOYD JH, 1982, ARCH GEN PSYCHIAT, V39, P1195
[9]  
Bravo G, 1997, INT J GERIATR PSYCH, V12, P1008, DOI 10.1002/(SICI)1099-1166(199710)12:10<1008::AID-GPS676>3.0.CO
[10]  
2-A