TY - JOUR
T1 - Moving Towards a More Comprehensive Investigation of Racial/Ethnic Differences in Cognitive Disability Among US Adults
AU - Benn, Emma K T
AU - Fox, Ashley
AU - Fei, Kezhen
AU - Roberts, Eric
AU - Boden-Albala, Bernadette
N1 - Funding Information:
We would like to thank Dr. Mary Sano for her thoughtful insight and extremely useful constructive criticism. The authors would also like to acknowledge the NIH Loan Repayment Program for Health Disparities Research.
Publisher Copyright:
© 2014, Springer Science+Business Media New York.
PY - 2015/8/23
Y1 - 2015/8/23
N2 - We examined racial/ethnic differences in cognitive disability and the contribution of sociodemographic factors to these differences. Using logistic regression, we measured the association between race/ethnicity and cognitive disability after adjustment for sociodemographic covariates, including agegroup, sex, education, nativity, region, marital status, and occupation among 2009 American Community Survey respondents (≥25 years). Effect modification was also explored. Cognitive disability was self-reported by 6 % of respondents. The proportion with cognitive disability was highest for Blacks and Native American/Pacific Islanders. Statistically significant effect modification was observed for all sociodemographic covariates, except sex. Although most sociodemographic modifiers revealed a more convoluted relationship between race/ethnicity and cognitive disability, the cognitive benefits of higher education, foreign born nativity, and top-tier occupations were observed among most racial/ethnic groups. The observed interplay between sociodemographics and race/ethnicity highlight a complex relationship between race/ethnicity and cognitive disability. Future research should examine mechanisms for this induced complexity.
AB - We examined racial/ethnic differences in cognitive disability and the contribution of sociodemographic factors to these differences. Using logistic regression, we measured the association between race/ethnicity and cognitive disability after adjustment for sociodemographic covariates, including agegroup, sex, education, nativity, region, marital status, and occupation among 2009 American Community Survey respondents (≥25 years). Effect modification was also explored. Cognitive disability was self-reported by 6 % of respondents. The proportion with cognitive disability was highest for Blacks and Native American/Pacific Islanders. Statistically significant effect modification was observed for all sociodemographic covariates, except sex. Although most sociodemographic modifiers revealed a more convoluted relationship between race/ethnicity and cognitive disability, the cognitive benefits of higher education, foreign born nativity, and top-tier occupations were observed among most racial/ethnic groups. The observed interplay between sociodemographics and race/ethnicity highlight a complex relationship between race/ethnicity and cognitive disability. Future research should examine mechanisms for this induced complexity.
KW - Cognition
KW - Disparities
KW - Epidemiology
KW - Nativity
KW - Race/ethnicity
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U2 - 10.1007/s10903-014-0073-0
DO - 10.1007/s10903-014-0073-0
M3 - Article
C2 - 25007889
AN - SCOPUS:84937514418
SN - 1557-1912
VL - 17
SP - 1105
EP - 1113
JO - Journal of Immigrant and Minority Health
JF - Journal of Immigrant and Minority Health
IS - 4
ER -