Evidence map›Paper›PMID 33963535›Full record

ArticleJournal of the American Geriatrics Society2021

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

Emily M Briceño, Roshanak Mehdipanah, Xavier F Gonzales, Steven G Heeringa, Deborah A Levine, Kenneth M Langa, Daniel Zahs, Nelda Garcia, Ruth Longoria, Lewis B Morgenstern

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03403257 (Brain Attack Surveillance in Corpus Christi--Cognitive), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03403257 completednot on this map

Brain Attack Surveillance in Corpus Christi--Cognitive (BASIC-Cognitive)

TypeobservationalSponsorUniversity of MichiganRan2018 to 2026Enrolled634ConditionsDementia, Dementia Alzheimers, Dementia, Vascular, Dementia, MixedArmsNo interventions
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  8. Ethnic Differences in the Association Between Cognitive Performance and Informant-rated Cognitive Decline.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
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  12. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Emily M BriceñoDepartment of Physical Medicine & Rehabilitation, University of Michigan Medical School, Ann Arbor, Michigan, USA.ORCID 0000-0002-9360-8917
Roshanak MehdipanahDepartment of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
Xavier F GonzalesDepartment of Life Sciences, Texas A&M University-Corpus Christi, Corpus Christi, Texas, USA.
Steven G HeeringaInstitute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Deborah A LevineInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA.
Kenneth M LangaInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA.
Daniel ZahsInstitute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Nelda GarciaDepartment of Neurology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Ruth LongoriaDepartment of Neurology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Lewis B MorgensternInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan, USA.

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
Cognitive impairment in Mexican Americans: a population-based studyR01NS100687 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MORGENSTERN, LEWIS B · 2017 to 2021
$7.4M
NIA NIH HHS P30 AG024824NIH HHS R01NS100687NINDS NIH HHS R01 NS100687
6 · The paper itself

Abstract

BACKGROUND/

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. MEASUREMENTS: Montreal 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.

Indexed as

MultilingualismAgedAged, 80 and overCognitive AgingFemaleHumansIndependent LivingLanguageLinear ModelsMaleMental Status and Dementia TestsMexican AmericansPopulation SurveillanceProspective StudiesReproducibility of ResultsTexasbilingualismcognitionHispanicLatinxMexican American

Identifiers

PMID33963535
PMCPMC8273138

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.