Older African Americans tend to perform poorly in comparison with older Whites on episodic memory tests. Observed group differences may reflect some combination of biological differences, measurement bias, and other confounding factors that differ across groups. Cognitive reserve refers to the hypothesis that factors, such as years of education, cognitive activity, and socioeconomic status, promote brain resilience in the face of pathological threats to brain integrity in late life. Educational quality, measured by reading test performance, has been postulated as an important aspect of cognitive reserve. Previous studies have not concurrently evaluated test bias and other explanations for observed differences between older African Americans and Whites. We combined data from two studies to address this question. We analyzed data from 273 African American and 720 White older adults. We assessed DIF using an item response theory/ordinal logistic regression approach. DIF and factors associated with cognitive reserve did not explain the relationship between race, and age- and sex-adjusted episodic memory test performance. However, reading level did explain this relationship. The results reinforce the importance of considering education quality, as measured by reading level, when assessing cognition among diverse older adults.

译文

在情景记忆测试中,与年长的白人相比,年长的非洲裔美国人往往表现不佳。观察到的组差异可能反映了生物学差异,测量偏差和其他混杂因素的某种组合,这些因素在组之间有所不同。认知储备 (Cognitive reserve) 指的是这样一种假设,即在面对晚年大脑完整性的病理威胁时,诸如受教育年限,认知活动和社会经济地位等因素会促进大脑的复原力。以阅读测试成绩衡量的教育质量被认为是认知储备的重要方面。以前的研究没有同时评估测试偏倚和其他解释,以观察到老年非洲裔美国人和白人之间的差异。我们结合了两项研究的数据来解决这个问题。我们分析了273名非洲裔美国人和720名白人老年人的数据。我们使用项目反应理论/有序逻辑回归方法评估DIF。DIF和与认知储备相关的因素不能解释种族与年龄和性别调整后的情景记忆测试表现之间的关系。然而,阅读水平确实解释了这种关系。结果强调了在评估不同老年人之间的认知时,以阅读水平衡量的教育质量的重要性。

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