Abstract
Background and ObjectivesStudies evaluating self-reported cognitive impairment among Arab American immigrants have not been conducted. Our objective was 2-fold: (a) to estimate and compare the age- and sex-adjusted prevalence of self-reported cognitive impairment between Arab American immigrants and U.S.- and immigrant non-Hispanic Whites, non-Hispanic Blacks, Hispanics and non-Hispanic Asians and (b) to examine associations between race, ethnicity, nativity status, and cognitive impairment among Arab American immigrants and non-Hispanic Whites (U.S.- and foreign-born) after controlling for explanatory factors.Research Design and MethodsWe used 18 years (2000–2017) of National Health Interview Survey data (n = 228 985; ages ≥ 45 years). Weighted percentages, prevalence estimates, and multivariable logistic regression models were calculated.ResultsThe age- and sex-adjusted prevalence of self-reported cognitive impairment was significantly higher among Arab American immigrants (9.7%) compared to U.S.-born and non-Hispanic White immigrants (~7.4%).Discussion and ImplicationsThis is the first study to indicate that ethnic disparities in self-reported cognitive impairment may extend to Arab American immigrants. Additional studies need to be conducted to better understand the prevalence of cognitive impairment.
Highlights
Background and ObjectivesStudies evaluating self-reported cognitive impairment among Arab American immigrants have not been conducted
While the prevalence of diabetes and obesity was highest among Hispanic immigrants (18.4% and 33.8%, respectively) and the prevalence of cardiovascular disease was highest among U.S.-born non-Hispanic Whites (51.2%) compared to other groups, the prevalence of serious psychological distress was markedly higher among Arab American immigrants (8.2%) compared to non-Hispanic Asian (2.0%), Hispanic (4.8%), non-Hispanic Black (1.8%), non-Hispanic White (3.3%) immigrants, and U.S.-born non-Hispanic Whites (3.3%)
Arab American immigrants had 1.24 times greater odds of reporting cognitive impairment compared to U.S.-born Whites
Summary
Studies evaluating self-reported cognitive impairment among Arab American immigrants have not been conducted. Our objective was 2-fold: (a) to estimate and compare the age- and sex-adjusted prevalence of self-reported cognitive impairment between Arab American immigrants and U.S.- and immigrant non-Hispanic Whites, non-Hispanic Blacks, Hispanics and non-Hispanic Asians and (b) to examine associations between race, ethnicity, nativity status, and cognitive impairment among Arab American immigrants and non-Hispanic Whites (U.S.- and foreign-born) after controlling for explanatory factors. Results: The age- and sex-adjusted prevalence of self-reported cognitive impairment was significantly higher among Arab American immigrants (9.7%) compared to U.S.-born and non-Hispanic White immigrants (~7.4%). Discussion and Implications: This is the first study to indicate that ethnic disparities in self-reported cognitive impairment may extend to Arab American immigrants. Additional studies need to be conducted to better understand the prevalence of cognitive impairment
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