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代际教育向上流动与认知表现:拉丁裔神经认知衰老研究(SOL-INCA)的结果

Intergenerational upward educational mobility and cognitive performance: results from the Study of Latinos-Investigation of Neurocognitive Aging (SOL-INCA).

作者信息

Meza Erika, Tarraf Wassim, Gallo Linda C, Isasi Carmen R, Perreira Krista M, Lamar Melissa, Estrella Mayra L, Daviglus Martha, Allen Isabel E, Glymour Medellena Maria, Torres Jacqueline M, González Hector M

机构信息

Center for Population and Development Studies, Harvard University, Cambridge, Massachusetts, USA.

Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA.

出版信息

Alzheimers Dement. 2025 May;21(5):e70214. doi: 10.1002/alz.70214.

Abstract

INTRODUCTION

Upward educational attainment is associated with better cognitive function; differences by Hispanic/Latino heritage are unclear.

METHODS

We analyzed data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) and its ancillary study SOL-Investigation of Neurocognitive Aging (SOL-INCA; n = 3300) to compare cognitive function and 7-year cognitive change between first-generation and multigenerational high school (HS) graduates (i.e., neither parent vs 1+ parent graduated HS) using survey-linear regression models, and assessing for heterogeneity by heritage and nativity.

RESULTS

First-generation Cuban, Mexican, and Puerto Rican HS graduates had significantly lower baseline cognitive scores than multigenerational graduates, while Dominican, Central, and South American graduates had similar cognitive scores. We found some evidence of heterogeneity by nativity. Cognitive change was similar across groups.

DISCUSSION

More studies of Latinos across the life course are needed to disentangle the role of educational mobility and cognitive health, particularly among US-born Hispanic/Latino adults.

HIGHLIGHTS

Intergenerational upward educational mobility has been linked with better late-life health. Despite significant educational gains, little is known about the association between educational mobility and cognitive function among Hispanic/Latino adults. First-generation HS graduates had significantly lower cognitive scores at baseline compared to their multigenerational counterparts, particularly among individuals of Cuban, Mexican, and Puerto Rican heritage. Disparities in cognitive scores between first-generation and multigenerational HS graduates were more pronounced in individuals born outside the United States. Cognitive change appeared similar across groups and did not vary by Hispanic/Latino heritage or nativity.

摘要

引言

教育程度的提高与更好的认知功能相关;西班牙裔/拉丁裔血统之间的差异尚不清楚。

方法

我们分析了西班牙裔社区健康研究/拉丁裔研究(HCHS/SOL)及其附属研究“拉丁裔神经认知衰老调查”(SOL-INCA;n = 3300)的数据,以使用调查线性回归模型比较第一代和多代高中毕业生(即父母均未毕业与父母一方及以上毕业)之间的认知功能和7年认知变化,并按血统和出生地评估异质性。

结果

第一代古巴、墨西哥和波多黎各高中毕业生的基线认知得分显著低于多代毕业生,而多米尼加、中美洲和南美洲毕业生的认知得分相似。我们发现了一些出生地导致异质性的证据。各群体的认知变化相似。

讨论

需要对拉丁裔进行更多的全生命周期研究,以厘清教育流动与认知健康的关系,尤其是在美国出生的西班牙裔/拉丁裔成年人中。

要点

代际教育向上流动与更好的晚年健康有关。尽管教育取得了显著进步,但对于西班牙裔/拉丁裔成年人中教育流动与认知功能之间的关联知之甚少。与多代毕业生相比,第一代高中毕业生在基线时的认知得分显著较低,尤其是在古巴、墨西哥和波多黎各血统的个体中。第一代和多代高中毕业生之间的认知得分差异在美国境外出生的个体中更为明显。各群体的认知变化似乎相似,且不因西班牙裔/拉丁裔血统或出生地而有所不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f59b/12060129/c55233df10b9/ALZ-21-e70214-g003.jpg

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