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Bilingualism, assessment language, and the Montreal Cognitive Assessment in Mexican Americans

dc.contributor.authorBriceño, Emily M.
dc.contributor.authorMehdipanah, Roshanak
dc.contributor.authorGonzales, Xavier F.
dc.contributor.authorHeeringa, Steven G.
dc.contributor.authorLevine, Deborah A.
dc.contributor.authorLanga, Kenneth M.
dc.contributor.authorZahs, Daniel
dc.contributor.authorGarcia, Nelda
dc.contributor.authorLongoria, Ruth
dc.contributor.authorMorgenstern, Lewis B.
dc.date.accessioned2021-08-03T18:14:39Z
dc.date.available2022-08-03 14:14:38en
dc.date.available2021-08-03T18:14:39Z
dc.date.issued2021-07
dc.identifier.citationBriceño, Emily M. ; Mehdipanah, Roshanak; Gonzales, Xavier F.; Heeringa, Steven G.; Levine, Deborah A.; Langa, Kenneth M.; Zahs, Daniel; Garcia, Nelda; Longoria, Ruth; Morgenstern, Lewis B. (2021). "Bilingualism, assessment language, and the Montreal Cognitive Assessment in Mexican Americans." Journal of the American Geriatrics Society 69(7): 1971-1981.
dc.identifier.issn0002-8614
dc.identifier.issn1532-5415
dc.identifier.urihttps://hdl.handle.net/2027.42/168453
dc.description.abstractBackground/ObjectivesAssessment 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.DesignProspective, community‐based cohort study: The Brain Attack Surveillance in Corpus Christi (BASIC)‐Cognitive study.SettingNueces County, Texas.ParticipantsCommunity‐dwelling Mexican Americans age 65+, recruited door‐to‐door using a two‐stage area probability sampling procedure.MeasurementsMontreal 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.ResultsThe 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).ConclusionBilingualism 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.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otherLatinx
dc.subject.otherMexican American
dc.subject.otherbilingualism
dc.subject.othercognition
dc.subject.otherHispanic
dc.titleBilingualism, assessment language, and the Montreal Cognitive Assessment in Mexican Americans
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelGeriatrics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/168453/1/jgs17209.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/168453/2/jgs17209-sup-0001-supinfo.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/168453/3/jgs17209_am.pdf
dc.identifier.doi10.1111/jgs.17209
dc.identifier.sourceJournal of the American Geriatrics Society
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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