Volume 38 - Article 6 | Pages 155–168
The role of education in the association between race/ethnicity/nativity, cognitive impairment, and dementia among older adults in the United States
By Marc A. Garcia, Joseph Saenz, Brian Downer, Rebeca Wong
Abstract
Background: Older Black and Hispanic adults are more likely to be cognitively impaired than older White adults. Disadvantages in educational achievement for minority and immigrant populations may contribute to disparities in cognitive impairment.
Objective: Examine the role of education in racial/ethnic and nativity differences in cognitive impairment/no dementia (CIND) and dementia among older US adults.
Methods: Data comes from the 2012 Health and Retirement Study. A total of 19,099 participants aged >50 were included in the analysis. Participants were categorized as having normal cognition, CIND, or dementia based on the Telephone Interview for Cognitive Status (TICS) or questions from a proxy interview. We document age and educational differences in cognitive status among White, Black, US-born Hispanic, and foreign-born Hispanic adults by sex. Logistic regression is used to quantify the association between race/ethnicity/nativity, education, and cognitive status by sex.
Results: Among women, foreign-born Hispanics have higher odds of CIND and dementia than Whites. For men, Blacks have higher odds for CIND and dementia compared to Whites. The higher odds for CIND and dementia across race/ethnic and nativity groups was reduced after controlling for years of education but remained statistically significant for older Black and US-born Hispanic adults. Controlling for education reduces the odds for CIND (women and men) and dementia (men) among foreign-born Hispanics to nonsignificance.
Contribution: These results highlight the importance of education in CIND and dementia, particularly among foreign-born Hispanics. Addressing inequalities in education can contribute to reducing racial/ethnic/nativity disparities in CIND and dementia for older adults.
Author’s Affiliation
- Marc A. Garcia - University of Nebraska–Lincoln, United States of America EMAIL
- Joseph Saenz - University of Southern California, United States of America EMAIL
- Brian Downer - University of Texas Medical Branch, United States of America EMAIL
- Rebeca Wong - University of Texas Medical Branch, United States of America EMAIL
Other articles by the same author/authors in Demographic Research
Sociocultural variability in the Latino population: Age patterns and differences in morbidity among older US adults
Volume 38 - Article 52
Age at migration and disability-free life expectancy among the elder Mexican-origin population
Volume 35 - Article 51
Most recent similar articles in Demographic Research
Where do we go from here? Partnership-parenthood trajectories of cohabitation as first union during young adulthood in the United States
Volume 53 - Article 9
| Keywords:
cohabitation,
family inequality,
fertility,
marriage,
race/ethnicity,
transition to adulthood,
union formation,
United States of America
Education, religion, and male fertility in sub-Saharan Africa: A descriptive analysis
Volume 53 - Article 8
| Keywords:
education,
male fertility,
polygyny,
religion,
sub-Saharan Africa
The impact of population heterogeneity on the age trajectory of neonatal mortality: A study of US births 2008–2014
Volume 53 - Article 7
| Keywords:
frailty,
heterogeneity,
heterogeneity,
infant mortality,
mortality,
mortality selection,
mortality selection,
neonatal mortality,
United States of America
Examining the relationships between education, coresidential unions, and the fertility gap by simulating the reproductive life courses of Dutch women
Volume 52 - Article 24
| Keywords:
contraception,
education,
fertility,
GGS,
life course,
LISS,
microsimulation,
Netherlands,
physiology,
unions
Uncovering the underlying causes for the narrowing, stalling, and widening Black–White mortality gap from 2000 to 2022 in the United States
Volume 52 - Article 18
| Keywords:
cause of death,
decomposition,
mortality trends,
racial disparities,
United States of America,
years of life lost (YLL)
Cited References: 27
Download to Citation Manager
PubMed
Google Scholar