统一的认知评估协议的测量差异跨越种族和语言在美国
Emily M Briceño1, Lewis B Morgenstern2, Zachary J Kunicki3
1Department of Physical Medicine and Rehabilitation, University of Michigan Medical School.
Neuropsychology
|February 9, 2026
概括
在西班牙裔/拉丁裔-a-e-x (H/L) 和非H/L白人 (NHW) 成年人之间存在协调认知评估协议 (HCAP) 的测量差异. 这些差异可以显著影响痴呆症患病率估计和认知功能评估.
科学领域:
- 神经心理学 神经心理学
- 老年学是一门学科.
- 健康差异 在健康上的差异
背景情况:
- 协调认知评估协议 (HCAP) 对于估计国家痴呆症患病率至关重要.
- 以前的研究还没有完全评估HCAP在不同种族群体的测量不变性.
研究的目的:
- 评估西班牙裔/拉丁裔-a-e-x (H/L) 和非西班牙裔白人 (NHW) 老年人的HCAP测量不变性.
- 为了确定从HCAP获得的痴呆症患病率估计中的潜在偏差.
主要方法:
- 利用来自两个大型队列研究的HCAP数据进行多组确认因子分析.
- 在H/L成年人 (讲英语和西班牙语) 和NHW成年人 (讲英语) 中比较HCAP测量不变性.
主要成果:
- 在H/L和NHW成年人之间,在记忆,语言,执行功能和导向领域发现了显著的测量差异.
- 这些差异的影响大小从小到大不等.
- 没有考虑测量差异导致了H/L人群认知功能的大幅低估.
结论:
- 使用HCAP解释认知功能的种族差异可能会因测量偏差而混.
- 在H/L和NHW人群中不能假设认知评估工具的测量等价性.
- 需要进一步的研究,以确保文化敏感和公平的认知评估.
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