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Migration and Cognitive Health Disparities: The Arab American and Refugee Case
Tala Al-Rousan1,2, Lily Kamalyan3,4, Alissa Bernstein Sideman5,6
1Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, California, USA.
Foreign-born Arab Americans experience higher odds of cognitive difficulties, influenced by their year of arrival and birthplace. Migration history and origin significantly impact cognitive health disparities in later life.
Area of Science:
- Gerontology
- Public Health
- Sociology
Background:
- Arab Americans represent a diverse demographic with varying migration experiences.
- Cognitive health in later life is influenced by numerous factors, including socioeconomic and acculturation variables.
- Understanding disparities in cognitive function among migrant populations is crucial for targeted health interventions.
Purpose of the Study:
- To investigate the relationship between year of arrival to the U.S. and birthplace and postmigration cognitive difficulties.
- To examine cognitive disparities among foreign- and U.S.-born Arab Americans in later life.
- To identify factors associated with cognitive difficulty in this population.
Main Methods:
- Analysis of 19 years (2000-2019) of data from the American Community Survey Public Use Microdata Samples (N = 393,501; ages ≥ 50).
- Cognitive difficulty assessed via self-reported data.
- Weighted means, percentages, adjusted prevalence estimates, and odds ratios were calculated.
Main Results:
- Foreign-born Arab Americans reported higher odds of cognitive difficulty than U.S.-born individuals.
- Year of arrival influenced cognitive difficulty: arrival between 1991-2000 showed higher odds, while post-2001 arrivals showed lower odds.
- Lack of English proficiency was linked to higher odds, while U.S. citizenship was associated with lower odds. Iraqi-born migrants consistently reported the highest odds.
Conclusions:
- Migration history and birthplace are significant factors contributing to cognitive disparities among Arab migrants and Arab Americans.
- Further research is needed to explore the mechanisms linking migration experiences to cognitive health.
- Addressing cognitive disparities in migrant populations requires understanding the impact of migration on cognitive well-being.
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