The impact of sociocultural factors on prospective memory performance in HIV+ Latinx adults

Neuropsychology. 2021 May;35(4):411-422. doi: 10.1037/neu0000732.

Abstract

Objective: Prospective memory (PM), a salient component of neurocognitive functioning for people living with HIV (PLH), is necessary for planning and coordinating health-related behaviors and instrumental tasks of daily living. However, little is known regarding the impact of sociocultural factors on PM in diverse populations, particularly Latinx PLH. The aim of this study was to examine ethnic group differences and sociocultural factors related to PM.

Method: The sample of 127 PLH (91 Latinx and 36 non-Latinx white) completed measures of quality of education, socioeconomic status (SES), and a validated PM measure, the Memory for Intentions Screening Test (MIST). The Latinx group also completed a bicultural acculturation measure.

Results: Results revealed the Latinx and the non-Latinx white groups did not significantly differ in overall MIST performance (all p > .05). In the entire sample, better quality of education was associated with better MIST performance (all p < .05). Within the Latinx group, higher Latinx acculturation was associated with worse MIST performance (p = .02), whereas higher U.S. acculturation was associated with better MIST performance at a trend level (p = .07). Multivariate regressions revealed quality of education and Latinx acculturation significantly predicted MIST performance and PM errors (all p < .05). SES was not related to the MIST (all p > .10).

Conclusions: In sum, clinicians must take sociocultural factors into consideration when working with Latinx PLH, as these factors influence cognitive functions (i.e., PM) vital to health-related behaviors. Integrating culturally-informed psychoeducation into care plans is an imperative first step. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

MeSH terms

  • Acculturation
  • Activities of Daily Living
  • Adult
  • Aged
  • Cognition
  • Culture*
  • Educational Status
  • Ethnicity
  • Female
  • HIV Seropositivity / psychology*
  • Health Behavior
  • Hispanic or Latino / psychology*
  • Humans
  • Language
  • Male
  • Memory*
  • Middle Aged
  • Neuropsychological Tests
  • New York City
  • Psychomotor Performance*
  • Social Environment*
  • Substance-Related Disorders / psychology
  • Young Adult