Effects of Sociodemographic Variables and Depressive Symptoms on MoCA Test Performance in Native Germans and Turkish Migrants in Germany

Int J Environ Res Public Health. 2021 Jun 11;18(12):6335. doi: 10.3390/ijerph18126335.

Abstract

The validity of the Montreal Cognitive Assessment (MoCA) in migrants is questionable, as sociodemographic factors and the migration process may influence performance. Our aim was to evaluate possible predictors (age, education, sex, depression, and migration) of MoCA results in Turkish migrants and Germans living in Germany. Linear regression models were conducted with a German (n = 419), a Turkish (n = 133), and an overall sample. All predictor analyses reached statistical significance. For the German sample, age, sex, education, and depression were significant predictors, whereas education was the only predictor for Turkish migrants. For the overall sample, having no migration background and higher education were significant predictors. Migration background and education had an impact on MoCA performance in a sample of German and Turkish individuals living in Germany. Thus, culture-specific normative data for the MoCA are needed, and the development of culture-sensitive cognitive screening tools is encouraged.

Keywords: Montreal Cognitive Assessment (MoCA); Turkish migrants; cognition; predictors.

MeSH terms

  • Depression* / epidemiology
  • Educational Status
  • Germany / epidemiology
  • Humans
  • Linear Models
  • Mental Status and Dementia Tests