The Role of Education and English Proficiency in Cognitive Health Among Older Refugee Populations in the United States.

Cognitive impairment is pronounced in forcibly displaced populations. This study examined how education and English proficiency are associated with cognitive difficulties between refugee and non-refugee older immigrants. Analyses assessed the moderating effect of refugee status on the association of education and English proficiency with cognitive difficulty. Results revealed that higher educational attainment and English proficiency were significantly associated with decreased odds of reporting cognitive difficulty. Further, refugees who had completed high school and were English proficient exhibited greater cognitive resilience. The implications emphasize the need for policies and focused interventions related to education and English language programs for resettled refugees.