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Cognitive impairment in older incarcerated males: Education and race considerations

The American Journal of Geriatric Psychiatry May 31, 2021

Perez A, Manning KJ, Powell W, et al. - This cross-sectional study was conducted to evaluate cognitive impairment (global cognition and executive functioning) in older incarcerated males overall, as well as by education and race. Participants in the study were 239 racially diverse (37.7% White, 41.4% Black, 20.9% Hispanic/Other) incarcerated males age ≥ 50 (mean age = 56.4 ± 6.1; range 50-79 years). Global cognitive impairment evaluated utilizing the Montreal Cognitive Assessment (MoCA) − standard MoCA scoring (1-point adjustment for ≤ 12 years education, and score < 26 showing cognitive impairment) vs education- and race-specific cutpoints. Despite applying education- and race-specific norms, cognitive impairment is common in older incarcerated persons. Significant racial differences highlight the importance of validated assessments for this diverse population.

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