The relationship between education level and mini-mental state examination domains among older Mexican Americans

Diana Matallana, Cecilia De Santacruz, Carlos Cano, Pablo Reyes, Rafael Samper Ternent, Kyriakos Markides, Kenneth Ottenbacher, Carlos A. Reyes-Ortiz

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

To study the effect of education and language of response at the interview on performance in the Mini-Mental State Examination (MMSE) domains, we studied 2861 Mexican Americans aged 65 and older from the Hispanic Established Populations for Epidemiologic Studies of the Elderly (EPESE) followed from 1993 to 1994 until 2004 to 2005. The MMSE was examined as total score (0-30) or divided into 2 global domains: (1) no-memory (score 0-24): Orientation, attention, and language; and (2) memory (score 0-6): working and delayed memory. Mean age and total MMSE were 72.7 years and 24.6 at baseline, and 81.7 years and 20.5 at 11 years of follow-up. Spanish-speaking participants had less education (4.1 vs 7.4 years, P <.0001), they had significantly higher adjusted mean scores for memory, no-memory, and total MMSE compared with English-speaking participants. In multivariate longitudinal analyses, participants with more years of education performed better than those with less education, especially in total MMSE and no-memory domain. Spanish-speaking participants with 4 to 6 years of education had higher memory scores than those speaking English (estimate 0.40, standard error [SE] = 0.14, P <.001), 7 to 11 (estimate 0.27, standard error = 0.13, P <.01) or 12+ (estimate 0.44, standard error = 0.13, P <.001). Results suggest that cultural factors and variables related to preferred language use determined variations in MMSE performance. Because the memory domain of the MMSE is less affected by education, it may be used along with other cognitive tests for early detection of cognitive decline in older populations with low education.

Original languageEnglish (US)
Pages (from-to)9-18
Number of pages10
JournalJournal of Geriatric Psychiatry and Neurology
Volume24
Issue number1
DOIs
StatePublished - Mar 2011

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Education
Language
Repression (Psychology)
Short-Term Memory
Hispanic Americans
Population
Epidemiologic Studies
Multivariate Analysis
Interviews

Keywords

  • culture
  • education
  • language use
  • memory
  • Mini-Mental State Examination
  • older Hispanics

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Neurology
  • Geriatrics and Gerontology

Cite this

The relationship between education level and mini-mental state examination domains among older Mexican Americans. / Matallana, Diana; De Santacruz, Cecilia; Cano, Carlos; Reyes, Pablo; Samper Ternent, Rafael; Markides, Kyriakos; Ottenbacher, Kenneth; Reyes-Ortiz, Carlos A.

In: Journal of Geriatric Psychiatry and Neurology, Vol. 24, No. 1, 03.2011, p. 9-18.

Research output: Contribution to journalArticle

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