Mollie Hobensack, Danielle Scharp, Jiyoun Song, Maxim Topaz
Documentation of social determinants of health across individuals from different racial and ethnic groups in home healthcare
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
minimental state examination mmse widely used instrument screening cognitive impairment worldwide ability produce valid estimates dementia populations low socioeconomic status minimal literacy skills adequately established authors investigated psychometric properties mmse communitybased sample older brazilians crosssectional onephase populationbased study residents predefined areas city sao paulo aged 65 years brazilian version mmse compared dsmiv diagnosis dementia assessed harmonized onephase procedure developed 1066 dementia research group analyses performed 1933 participants spah study receiver operating characteristic analysis showed mmse cutpoint 1415 associated 787 sensitivity 778 specificity diagnosis dementia amongst participants formal education cutpoint 1718 919 sensitivity 895 specificity least 1 year formal education areas curves 087 094 respectively p 003 even best fitting cutpoints mmse estimate prevalence dementia four times higher determined dsmiv criteria education age sex income influenced mmse scores independently dementia caseness mmse adequate tool screening dementia older adults minimum literacy skills misclassification unacceptably high older adults illiterate serious consequences research clinical practice low middle income countries proportion illiteracy among older adults high