title: Financial capacity of older African Americans with amnestic mild cognitive impairment.
abstract: This study investigated financial abilities of 154 patients with mild cognitive impairment (MCI) (116 white, 38 African American) using the Financial Capacity Instrument (FCI). In a series of linear regression models, we examined the effect of race on FCI performance and identified preliminary predictor variables that mediated observed racial differences on the FCI. Prior/premorbid abilities were identified. Predictor variables examined in the models included race and other demographic factors (age, education, sex), performance on global cognitive measures (MMSE, DRS-2 Total Score), history of cardiovascular disease (hypertension, diabetes, hypercholesterolemia), and a measure of educational achievement (WRAT-3 Arithmetic). African American patients with MCI performed below white patients with MCI on 6 of the 7 FCI domains examined and on the FCI total score. WRAT-3 Arithmetic emerged as a partial mediator of group differences on the FCI, accounting for 54% of variance. In contrast, performance on global cognitive measures and history of cardiovascular disease only accounted for 14% and 2%, respectively, of the variance. Racial disparities in financial capacity seem to exist among patients with amnestic MCI. Basic academic math skills related to educational opportunity and quality of education account for a substantial proportion of the group difference in financial performance.
authors.affiliation: *Department of Neurology †Alzheimer's Disease Research Center, University of Alabama at Birmingham, Birmingham §Department of Psychology, University of Alabama, Tuscaloosa, AL ‡Department of Neurology, Johns Hopkins Medical Institutions, Baltimore, Maryland.
authors.forename: Kristen L
authors.initials: KL
authors.lastname: Triebel
authors.forename: Ozioma C
authors.initials: OC
authors.lastname: Okonkwo
authors.forename: Roy
authors.initials: R
authors.lastname: Martin
authors.forename: Henry Randall
authors.initials: HR
authors.lastname: Griffith
authors.forename: Martha
authors.initials: M
authors.lastname: Crowther
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Marson
mesh_terms: D001741:Black or African American / Q000523:psychology*; D000368:Aged; D002318:Cardiovascular Diseases / Q000150:complications / Q000523:psychology; D060825:Cognitive Dysfunction / Q000150:complications / Q000523:psychology*; D005260:Female; D005382:Financing, Personal; D006801:Humans; D008297:Male; D016743:Mental Competency / Q000523:psychology*; D009483:Neuropsychological Tests; D044465:White People / Q000523:psychology