Examining Care Network Composition by Nativity Status in Adults Living With Cognitive Impairment

Foreign-born people living with cognitive impairment (PLwCI) and their family caregivers may have distinct caregiving networks compared to their U.S.-born counterparts. Data is drawn from the 2022 wave of the National Health and Aging Trends Study. Descriptive statistics and mean difference tests were run by native and foreign-born PLwCI. Linear and logistic regressions were run controlling for foreign-born PLwCI demographics with categorized time in the U.S. as the predictor of network characteristics. Foreign-born PLwCI networks were more likely to have a daughter caregiver and engage in household task-sharing, but less likely to have a spouse and non-family caregiver. In adjusted regressions, residing in the U.S. for less than 30 years was associated with greater odds of having a daughter and generalist in network, and greater task-sharing in household and self-care/mobility domains, relative to those residing over 50 years. Results underscore the importance of acculturation in shaping care networks among PLwCI.