Immigration Experience and Cognitive Function Trajectories Among Older Chinese Immigrants

Overview

Journal J Gerontol B Psychol Sci Soc Sci

Specialties Geriatrics
Psychology
Social Sciences

Date 2022 Aug 21

PMID 35988160

Authors

Fengyan Tang

Ke Li

Mary E Rauktis

Tommy D Buckley

Iris Chi

Affiliations

Soon will be listed here.

Abstract

Objectives: Although a number of studies have documented cognitive health among older immigrants in the United States, little is known about how the life-course immigration experiences are associated with cognitive trajectories among older Chinese immigrants. We assess patterns of cognitive functioning and change over time and examine whether age at migration, reasons for migration, acculturation, perceived discrimination, and preferred dialects are related to cognitive trajectories.

Methods: The sample comprised 2,075 participants from the Population Study of Chinese Elderly (PINE), who completed a battery of cognitive tests at four time points (2011-2019). Latent class growth analysis and multinomial logistic regression were utilized.

Results: Three latent classes of cognitive trajectories were identified: the low functioning with the fastest decline (LCF, 12%), the moderate functioning with a medium decline rate (MCF, 39%), and the high functioning with the slowest decline (HCF, 48%). Perceiving more discrimination reduced, whereas speaking Taishanese increased the odds of being in the LCF and MCF. High acculturation only distinguished MCF from HCF after controlling for the known factors of cognitive health such as age, education, and social engagement.

Discussion: This study identifies a group of older Chinese immigrants who are especially vulnerable to cognitive impairment and indicates that the risk of cognitive decline appears to be elevated with lower levels of acculturation and unidentified racial discrimination. More research is needed to fully understand the underlying mechanisms that link the life-course immigration experiences to cognitive health outcomes in later life.

Citing Articles

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References

Glymour M, Manly J . Lifecourse social conditions and racial and ethnic patterns of cognitive aging. Neuropsychol Rev. 2008; 18(3):223-54. DOI: 10.1007/s11065-008-9064-z. View

Krieger N, Sidney S . Racial discrimination and blood pressure: the CARDIA Study of young black and white adults. Am J Public Health. 1996; 86(10):1370-8. PMC: 1380646. DOI: 10.2105/ajph.86.10.1370. View

Dong X . Addressing health and well-being of U.S. Chinese older adults through community-based participatory research: introduction to the PINE Study. J Gerontol A Biol Sci Med Sci. 2014; 69 Suppl 2:S1-6. DOI: 10.1093/gerona/glu112. View

Honkaniemi H, Juarez S, Katikireddi S, Rostila M . Psychological distress by age at migration and duration of residence in Sweden. Soc Sci Med. 2020; 250:112869. PMC: 8325349. DOI: 10.1016/j.socscimed.2020.112869. View

Franco Y, Choi E . The Relationship Between Immigrant Status and Undiagnosed Dementia: The Role of Limited English Proficiency. J Immigr Minor Health. 2020; 22(5):914-922. DOI: 10.1007/s10903-019-00963-w. View

Fox M, Thayer Z, Wadhwa P . Assessment of acculturation in minority health research. Soc Sci Med. 2017; 176:123-132. PMC: 5364029. DOI: 10.1016/j.socscimed.2017.01.029. View

Chang E, Dong X . A battery of tests for assessing cognitive function in U.S. Chinese older adults--findings from the PINE Study. J Gerontol A Biol Sci Med Sci. 2014; 69 Suppl 2:S23-30. PMC: 4453755. DOI: 10.1093/gerona/glu195. View

Garcia M, Reyes A . Physical Functioning and Disability Trajectories by Age of Migration Among Mexican Elders in the United States. J Gerontol B Psychol Sci Soc Sci. 2017; 73(7):1292-1302. PMC: 6146757. DOI: 10.1093/geronb/gbw167. View

Cole V, Apud J, Weinberger D, Dickinson D . Using latent class growth analysis to form trajectories of premorbid adjustment in schizophrenia. J Abnorm Psychol. 2012; 121(2):388-95. PMC: 3771364. DOI: 10.1037/a0026922. View

10.

Hill T, Angel J, Balistreri K, Herrera A . Immigrant status and cognitive functioning in late-life: an examination of gender variations in the healthy immigrant effect. Soc Sci Med. 2012; 75(12):2076-84. PMC: 4467985. DOI: 10.1016/j.socscimed.2012.04.005. View

11.

Li L, Dong X . Self-reported Discrimination and Depressive Symptoms Among Older Chinese Adults in Chicago. J Gerontol A Biol Sci Med Sci. 2017; 72(suppl_1):S119-S124. PMC: 5458428. DOI: 10.1093/gerona/glw174. View

12.

Krieger N, Smith K, Naishadham D, Hartman C, Barbeau E . Experiences of discrimination: validity and reliability of a self-report measure for population health research on racism and health. Soc Sci Med. 2005; 61(7):1576-96. DOI: 10.1016/j.socscimed.2005.03.006. View

13.

Gubernskaya Z . Age at migration and self-rated health trajectories after age 50: understanding the older immigrant health paradox. J Gerontol B Psychol Sci Soc Sci. 2014; 70(2):279-90. DOI: 10.1093/geronb/gbu049. View

14.

Xu H, Vorderstrasse A, McConnell E, Dupre M, Ostbye T, Wu B . Migration and cognitive function: a conceptual framework for Global Health Research. Glob Health Res Policy. 2018; 3:34. PMC: 6267896. DOI: 10.1186/s41256-018-0088-5. View

15.

Guo M, Li M, Xu H, Stensland M, Wu B, Dong X . Age at Migration and Cognitive Health Among Chinese Older Immigrants in the United States. J Aging Health. 2021; 33(9):709-720. PMC: 8667381. DOI: 10.1177/08982643211006612. View

16.

Ben-Shlomo Y, Cooper R, Kuh D . The last two decades of life course epidemiology, and its relevance for research on ageing. Int J Epidemiol. 2016; 45(4):973-988. PMC: 5841628. DOI: 10.1093/ije/dyw096. View

17.

Casanova M, Aguila E . Gender Differences in Cognitive Function among Older Mexican Immigrants. J Econ Ageing. 2020; 16. PMC: 7451197. DOI: 10.1016/j.jeoa.2019.100226. View

18.

Dong X, Bergren S, Chang E . Levels of Acculturation of Chinese Older Adults in the Greater Chicago Area - The Population Study of Chinese Elderly in Chicago. J Am Geriatr Soc. 2015; 63(9):1931-7. PMC: 9869289. DOI: 10.1111/jgs.13604. View

19.

de Haas H . A theory of migration: the aspirations-capabilities framework. Comp Migr Stud. 2021; 9(1):8. PMC: 7902564. DOI: 10.1186/s40878-020-00210-4. View

20.

Viruell-Fuentes E . Beyond acculturation: immigration, discrimination, and health research among Mexicans in the United States. Soc Sci Med. 2007; 65(7):1524-35. DOI: 10.1016/j.socscimed.2007.05.010. View