The 32-Item Multilingual Naming Test: Cultural and Linguistic Biases in Monolingual Chinese-Speaking Older Adults

Clara Li, Xiaoyi Zeng, Judith Neugroschl, Amy Aloysi, Carolyn W. Zhu, Mengfei Xu, Jeanne A. Teresi, Katja Ocepek-Welikson, Mildred Ramirez, Andrew Joseph, Dongming Cai, Hillel Grossman, Jane Martin, Margaret Sewell, Maria Loizos, Mary Sano

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

bjectives: This study describes the performance of the Multilingual Naming Test (MINT) by Chinese American older adults who are monolingual Chinese speakers. An attempt was also made to identify items that could introduce bias and warrant attention in future investigation. Methods: The MINT was administered to 67 monolingual Chinese older adults as part of the standard dementia evaluation at the Alzheimer's Disease Research Center (ADRC) at the Icahn School of Medicine at Mount Sinai (ISMMS), New York, USA. A diagnosis of normal cognition (n = 38), mild cognitive impairment (n = 12), and dementia (n = 17) was assigned to all participants at clinical consensus conferences using criterion sheets developed at the ADRC at ISMMS. Results: MINT scores were negatively correlated with age and positively correlated with education, showing sensitivity to demographic factors. One item, butterfly, showed no variations in responses across diagnostic groups. Inclusion of responses from different regions of China changed the answers from incorrect to correct on 20 items. The last five items, porthole, anvil, mortar, pestle, and axle, yielded a high nonresponse rate, with more than 70% of participants responding with I don't know. Four items, funnel, witch, seesaw, and wig, were not ordered with respect to item difficulty in the Chinese language. Two items, gauge and witch, were identified as culturally biased for the monolingual group. Conclusions: Our study highlights the cultural and linguistic differences that might influence the test performance. Future studies are needed to revise the MINT using more universally recognized items of similar word frequency across different cultural and linguistic groups.

Original languageEnglish
Pages (from-to)511-519
Number of pages9
JournalJournal of the International Neuropsychological Society
Volume28
Issue number5
DOIs
StatePublished - 18 May 2022

Keywords

  • Chinese American older adults
  • Chinese monolinguals
  • Dementia
  • Language impairment
  • Mild cognitive impairment
  • Naming deficits
  • Normal aging

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