Neighborhood socioeconomic status and segregation linked to cognitive decline

被引:8
作者
Meyer, Oanh L. [1 ,6 ]
Besser, Lilah [2 ]
Tobias, Michele [3 ]
George, Kristen M. [4 ]
Gavett, Brandon [5 ]
Farias, Sarah Tomaszewski [1 ]
Bhagat, Nishi [3 ]
Le Pham, My [3 ]
Chrisphonte, Stephanie [2 ]
Whitmer, Rachel A. [4 ]
机构
[1] Univ Calif Davis, Dept Neurol, Sch Med, Sacramento, CA USA
[2] Univ Miami, Dept Neurol, Miller Sch Med, Boca Raton, FL USA
[3] Univ Calif Davis, DataLab Data Sci & Informat, Davis, CA USA
[4] Univ Calif Davis, Sch Med, Dept Publ Hlth Sci, Davis, CA USA
[5] Univ Western Australia, Sch Psychol Sci, Perth, WA, Australia
[6] UC Davis Alzheimers Dis Res Ctr, 3900 4860 Y St, Sacramento, CA 95817 USA
关键词
cognition; disparities; neighborhoods; race; ethnicity; residential segregation; DATA SET UDS; ALZHEIMER-DISEASE; TRAJECTORIES; POPULATIONS; DISPARITIES; PREDICTORS; HEALTH;
D O I
10.1002/dad2.12401
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
IntroductionFew longitudinal studies have examined the joint impact of neighborhood segregation and neighborhood socioeconomic status (NSES) in cognitive decline over time. MethodsThis study included non-Hispanic White (NHW, n = 209) and Black participants (n = 118) whose cognition was evaluated as part of an ongoing longitudinal study. Four distinct categories of segregation and NSES were evaluated for their association with cognitive outcomes (episodic memory, semantic memory, executive function, and spatial ability) using race-specific mixed-effects models. ResultsCompared to Black participants living in higher segregation-lower NSES areas, Black participants living in lower segregation-lower NSES areas or higher segregation-higher NSES areas experienced slower decline in episodic memory over time. Compared to NHW participants living in higher segregation-lower NSES areas, NHWs living in lower segregation-higher NSES areas experienced faster decline in spatial ability. DiscussionSegregation and NSES are differentially associated with cognition depending on participant race. Further research is needed to replicate study results.
引用
收藏
页数:11
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