TY  - BOOK
AU  - Calhoun, Darren
TI  - The associations among sociocultural factors and neuropsychological functioning in older American Indians: The Strong Heart Study
SN  - 0894-4105
PY  - 2019///
KW  - *Aging/eh [Ethnology]
KW  - *Alaska Natives/eh [Ethnology]
KW  - *Indians, North American/eh [Ethnology]
KW  - *Neuropsychological Tests/sn [Statistics & Numerical Data]
KW  - Aged
KW  - Cohort Studies
KW  - Cross-Sectional Studies
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - United States/eh [Ethnology]
KW  - MedStar Health Research Institute
KW  - Journal Article
N2  - CONCLUSIONS: Our findings may be used to guide research and inform clinical practice. The development of future normative studies for older American Indians will be more culturally appropriate when sociocultural factors are included. (PsycINFO Database Record (c) 2019 APA, all rights reserved); METHOD: From 2010 to 2014, we recruited 818 American Indians aged 60 and older from the Cerebrovascular Disease and Its Consequences in American Indians Study, who comprised all of the surviving members of a cardiovascular study (Strong Heart Study). This cohort from 11 tribes resided on or near their home reservations in three geographic regions (Northern Plains, Southern Plains, and Southwest). Using a cross-sectional design investigating potential vascular brain injury, we administered a brief, targeted neuropsychological and motor function assessments; OBJECTIVE: Valid neuropsychological assessment is critical to the accurate diagnosis and effective treatment of diverse populations. American Indians and Alaska Natives experience substantial health disparities relative to the general U.S; POPULATION: Given the dearth of studies on neuropsychological health in this population, we aimed to characterize neuropsychological performance among older American Indians with respect to age, sex, education, income, and language use; RESULTS: Higher scores on neuropsychological tests were associated with younger age, female sex, more education, higher income, and less Native American language use. Similar associations were found for the motor tests, although men had higher scores on both motor function tests. After accounting for other sociocultural and health factors, age, sex, education, income, and Native American language use all had significant associations to the test scores
UR  - https://dx.doi.org/10.1037/neu0000574
ER  -