a Division of Rehabilitation Sciences , University of Texas Medical Branch , Galveston , TX , USA.
b School of Social Work, University of Colima , Colima , Mexico.
Ethn Health. 2018 Jan;23(1):57-71. doi: 10.1080/13557858.2016.1246430. Epub 2016 Oct 24.
The increased risk for poor physical and mental health outcomes for older parents in Mexico who have an adult child living in the United States may contribute to an increased risk for cognitive impairment in this population. The objective of this study was to examine if older adults in Mexico who have one or more adult children living in the United States are more or less likely to develop cognitive impairment over an 11-year period compared to older adults who do not have any adult children living in the United States.
Data for this study came from Wave I (2001) and Wave III (2012) of the Mexican Health and Aging Study. The final sample included 2609 participants aged 60 and over who were not cognitively impaired in 2001 and had one or more adult children (age ≥15). Participants were matched using a propensity score that was estimated with a multivariable logistic regression model that included sociodemographic characteristics and migration history of the older parents.
Having one or more adult children living in the United States is associated with lower socioeconomic status and higher number of depressive symptoms, but greater social engagement for older parents living in Mexico. No significant differences in the odds for developing cognitive impairment according to having one or more adult children living in the United States were detected.
In summary, having one or more adult children living in the United States was associated with characteristics that may increase and decrease the risk for cognitive impairment. This may contribute to the non-significant relationship between migration status of adult children and likelihood for cognitive impairment for older parents living in Mexico.
居住在美国的成年子女数量的增加可能会导致墨西哥老年父母的身心健康状况恶化，从而增加该人群认知障碍的风险。本研究的目的是检验与没有任何居住在美国的成年子女的老年墨西哥人相比，在 11 年期间内，有一个或多个居住在美国的成年子女的墨西哥老年成年人是否更有可能患上认知障碍。
本研究的数据来自墨西哥健康老龄化研究的第 I 波（2001 年）和第 III 波（2012 年）。最终样本包括 2609 名年龄在 60 岁及以上、2001 年无认知障碍且有一个或多个成年子女（年龄≥15 岁）的参与者。使用倾向评分匹配参与者，该评分是使用多变量逻辑回归模型估计的，该模型包括老年父母的社会人口统计学特征和移民史。
有一个或多个居住在美国的成年子女与较低的社会经济地位和更多的抑郁症状相关，但与居住在墨西哥的老年父母的社会参与度更高相关。根据有一个或多个居住在美国的成年子女，未发现发展认知障碍的几率有显著差异。
综上所述，有一个或多个居住在美国的成年子女与可能增加和降低认知障碍风险的特征相关。这可能导致居住在墨西哥的老年父母的成年子女移民状况与认知障碍可能性之间的非显著关系。
