Objectives. To estimate the odds of having cognitive difficulties among Middle Eastern and North African (MENA) American adults and compare these odds with those of White, Black, Hispanic/Latino, Asian, American Indian or Alaska Native (AI/AN), and Native Hawaiian/Other Pacific Islander adults nationally and in the 4 states with the largest MENA populations (California, New York, Michigan, and Texas) after adjusting for sociodemographic factors. Methods. We analyzed 2017-2021 American Community Survey data (aged ≥ 45 years; n = 7 284 988), comparing presence of cognitive difficulties by race/ethnicity. Results. MENA adults had greater odds of reporting cognitive difficulties than did White (odds ratio [OR] = 1.49; 95% confidence interval [CI] = 1.42, 1.56), Black (OR = 1.20; 95% CI = 1.14, 1.26), Hispanic (OR = 1.46; 95% CI = 1.39, 1.53), Asian (OR = 1.31; 95% CI = 1.25, 1.38), and AI/AN (OR = 1.07; 95% CI = 1.01, 1.14) adults. In all 4 states, odds of having cognitive difficulties were higher among MENA than Asian adults. Other racial/ethnic comparisons differed by state. Conclusions. A separate checkbox for MENA Americans approved by the Office of Management and Budget is important so health outcomes can be studied in more detail and funds can be allocated for research and resources at state and national levels. (Am J Public Health. 2024;114(11):1265-1274. https://doi.org/10.2105/AJPH.2024.307803).

中文翻译：

---

2017-2021 年居住在美国的中东和北非成年人与其他种族和民族类别的认知困难相比。


目标。估计中东和北非 （MENA） 美国成年人出现认知困难的几率，并将这些几率与全国和中东和北非人口最多的 4 个州（加利福尼亚州、纽约州、 密歇根州和德克萨斯州）在调整了社会人口因素后。方法。我们分析了 2017-2021 年美国社区调查数据（年龄≥ 45 岁;n = 7 284 988），按种族/民族比较认知困难的存在。结果。中东和北非地区成年人报告认知困难的几率高于白人（比值比 [OR] = 1.49;95% 置信区间 [CI] = 1.42， 1.56）、黑人 （OR = 1.20;95% CI = 1.14， 1.26）、西班牙裔 （OR = 1.46;95% CI = 1.39， 1.53）、亚裔 （OR = 1.31;95% CI = 1.25， 1.38） 和 AI/AN （OR = 1.07;95% CI = 1.01， 1.14） 成年人。在所有 4 个州，中东和北非地区出现认知困难的几率高于亚洲成年人。其他种族/民族比较因州而异。结论。管理和预算办公室批准的中东和北非美国人的单独复选框很重要，这样就可以更详细地研究健康结果，并为州和国家层面的研究和资源分配资金。（美国公共卫生杂志，2024 年;114(11):1265-1274.https://doi.org/10.2105/AJPH.2024.307803）。