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We conducted a community-based participatory research study on NHPI (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u200954). Age, education, gender, height\/weight, cognitive functioning, social support, and psychological distress were ascertained via a self-report questionnaire. Chi-square and logistic regression were utilized to examine the relationship between psychological distress and MCI, adjusted for covariates. We found that those with higher psychological distress had significantly higher MCI (OR\u2009=\u20091.36,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.05); other covariates, including body mass index and age, were also significantly associated with MCI (OR\u2009=\u20091.16,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.05; OR\u2009=\u20091.14,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.05, respectively). Our findings suggest that psychological distress may potentially increase cognitive impairment in NHPI. Further studies examining the role of psychological distress, as well as mental health awareness and care, may subsequently reduce cognitive impairment in at-risk, vulnerable communities.\n                  <\/jats:p>","DOI":"10.1177\/00914150261480665","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T04:16:18Z","timestamp":1789445778000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological Distress is Associated With Mild Cognitive Impairment in Native Hawaiian and Pacific Islanders"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9560-3578","authenticated-orcid":false,"given":"Zahra","family":"Tahmasebi","sequence":"first","affiliation":[{"name":"California State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9537-2434","authenticated-orcid":false,"given":"Archana J.","family":"McEligot","sequence":"additional","affiliation":[{"name":"California State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2974-5777","authenticated-orcid":false,"given":"Ka\u2019ala","family":"Pang","sequence":"additional","affiliation":[{"name":"Pacific Islander Health Partnership, Santa Ana, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ualani","family":"Ho\u2019opai","sequence":"additional","affiliation":[{"name":"Pacific Islander Health Partnership, Santa Ana, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlene","family":"Kazner","sequence":"additional","affiliation":[{"name":"Pacific Islander Health Partnership, Santa Ana, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Moran-Gomez","sequence":"additional","affiliation":[{"name":"California State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Avila","sequence":"additional","affiliation":[{"name":"California State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irma","family":"Hernandez Rodriguez","sequence":"additional","affiliation":[{"name":"California State University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000016"},{"issue":"7","key":"e_1_3_2_3_1","first-page":"152","article-title":"Diabetes and cardiovascular risk factors in Native Hawaiians","volume":"68","author":"Aluli N. 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