Neighborhood deprivation, individual socioeconomic status, and cognitive function in older people: Analyses from the English Longitudinal Study of Ageing

被引:144
作者
Lang, Iain A. [1 ]
Llewellyn, David J. [2 ]
Langa, Kenneth M. [3 ,4 ]
Wallace, Robert B. [5 ]
Huppert, Felicia A. [6 ]
Melzer, David [1 ]
机构
[1] Peninsula Med Sch, Epidemiol & Publ Hlth Grp, Exeter EX2 5DW, Devon, England
[2] Univ Cambridge, Inst Publ Hlth, Cambridge, England
[3] Univ Michigan, Ann Arbor, MI 48109 USA
[4] Vet Affairs Ctr Practice Management & Outcomes Re, Ann Arbor, MI 48109 USA
[5] Univ Iowa, Coll Publ Hlth, Iowa City, IA USA
[6] Univ Cambridge, Dept Psychiat, Cambridge, England
关键词
deprivation; education; socioeconomic status; cognitive function; cognition;
D O I
10.1111/j.1532-5415.2007.01557.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
OBJECTIVES: To assess the relationship between cognitive function, socioeconomic status, and neighborhood deprivation (lack of local resources of all types, financial and otherwise). DESIGN: Nationally representative cross-section. SETTINGS: The English Longitudinal Study of Ageing (ELSA). PARTICIPANTS: Seven thousand one hundred twenty-six community-dwelling individuals aged 52 and older and resident in urban areas. MEASUREMENTS: Individual cognitive function score and index of multiple deprivation (IMD) at the Super Output Area level, adjusting for health, lifestyle, and sociodemographic confounders. Analyses were conducted separately according to sex and age group (52-69 and >= 70). RESULTS: IMD affected cognitive function independent of the effects of education and socioeconomic status. For example, in fully adjusted models, women aged 70 and older had a standardized cognitive function score (z-score) that was 0.20 points (95% confidence interval (CI)=0.01-0.39) lower in the bottom 20% of wealth than the top 20%, 0.44 points (95% CI=0.20-0.69) lower in the least-educated group than in the most educated, and 0.31 points (95% CI 0.15-0.48) lower if resident lived in an area in the bottom 20% of IMD than in the top 20%. CONCLUSION: In community-based older people in urban neighborhoods, neighborhood deprivation-living in a neighborhood with high levels of deprivation, compared with national levels-is associated with cognitive function independent of individual socioeconomic circumstances. The mechanisms underlying this relationship are unclear and warrant further investigation.
引用
收藏
页码:191 / 198
页数:8
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  • [1] Urban Neighborhoods and depressive symptoms among older adults
    Aneshensel, Carol S.
    Wight, Richard G.
    Miller-Martinez, Dana
    Botticello, Amanda L.
    Karlamangla, Arun S.
    Seeman, Teresa E.
    [J]. JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2007, 62 (01): : S52 - S59
  • [2] Neighborhood environment and loss of physical function in older adults: Evidence from the Alameda County Study
    Balfour, JL
    Kaplan, GA
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 2002, 155 (06) : 507 - 515
  • [3] Women who maintain optimal cognitive function into old age
    Barnes, Deborah E.
    Cauley, Jane A.
    Lui, Li-Yung
    Fink, Howard A.
    McCulloch, Charles
    Stone, Katie L.
    Yaffe, Kristine
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2007, 55 (02) : 259 - 264
  • [4] BATES C, 2006, POPUL TRENDS, V125, P30
  • [5] Racial disparities in self-rated health at older ages: What difference does the neighborhood make?
    Cagney, KA
    Browning, CR
    Wen, M
    [J]. JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2005, 60 (04): : S181 - S190
  • [6] Education, wealth, and cognitive function in later life
    Cagney, KA
    Lauderdale, DS
    [J]. JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2002, 57 (02): : P163 - P172
  • [7] Catalono R, 2000, HDB SOCIAL STUDIES H, P64
  • [8] CORNONIHUNTLEY J, 1993, AGING-CLIN EXP RES, V5, P27
  • [9] Graffiti, greenery, and obesity in adults: secondary analysis of European cross sectional survey
    Ellaway, A
    Macintyre, S
    Bonnefoy, X
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2005, 331 (7517): : 611 - 612
  • [10] Ethnic differences in Mini-Mental State Examination (MMSE) scores: Where you live makes a difference
    Espino, DV
    Lichtenstein, MJ
    Palmer, RF
    Hazuda, HP
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2001, 49 (05) : 538 - 548