Associations between perceived neighborhood environment and cognitive function among middle-aged and older women and men: Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study

Estrella, Mayra L.; Durazo‐Arvizu, Ramón; Gallo, Linda C.; Isasi, Carmen R.; Perreira, Krista M.; Vu, Thanh Huyen T.; Vásquez, Elizabeth; Sachdeva, Shruti; Zeng, Donglin; Llabre, María M.; Tarraf, Wassim; González, Héctor M.; Daviglus, Martha L.; Lamar, Melissa

doi:10.1007/s00127-019-01829-0

Cited by 14 publications

(22 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Six studies aggregated study participant responses to define area-level social activity participation [ 80 ] and social support/cohesion [ 50 , 68 , 123 , 124 , 143 ]. Five studies used perceptions of neighborhood social cohesion (e.g., trust; friendliness with neighbors) [ 50 , 126 , 133 , 134 , 141 ]. Twenty-nine studies (78%) found neighborhood environments that were safer, had higher levels of trust and/or higher socioeconomic status were associated with better cognition or lower dementia risk.…”

Section: Resultsmentioning

confidence: 99%

Operationalizing Social Environments in Cognitive Aging and Dementia Research: A Scoping Review

George

Tran

Malladi

et al. 2021

IJERPH

View full text Add to dashboard Cite

Background: Social environments are a contributing determinant of health and disparities. This scoping review details how social environments have been operationalized in observational studies of cognitive aging and dementia. Methods: A systematic search in PubMed and Web of Science identified studies of social environment exposures and late-life cognition/dementia outcomes. Data were extracted on (1) study design; (2) population; (3) social environment(s); (4) cognitive outcome(s); (5) analytic approach; and (6) theorized causal pathways. Studies were organized using a 3-tiered social ecological model at interpersonal, community, or policy levels. Results: Of 7802 non-duplicated articles, 123 studies met inclusion criteria. Eighty-four studies were longitudinal (range 1–28 years) and 16 examined time-varying social environments. When sorted into social ecological levels, 91 studies examined the interpersonal level; 37 examined the community/neighborhood level; 3 examined policy level social environments; and 7 studies examined more than one level. Conclusions: Most studies of social environments and cognitive aging and dementia examined interpersonal factors measured at a single point in time. Few assessed time-varying social environmental factors or considered multiple social ecological levels. Future studies can help clarify opportunities for intervention by delineating if, when, and how social environments shape late-life cognitive aging and dementia outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

Operationalizing Social Environments in Cognitive Aging and Dementia Research: A Scoping Review

George

Tran

Malladi

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…In recent years, studies have examined the relationship between neighborhood environmental factors and health-related outcomes using a geographic information system (GIS), which has proven useful in the field of public health [5,6]. As a result, it has become clear that social cohesion, the neighborhood sidewalk environment, and proximity to nearby facilities affect cognitive function [7][8][9]. Several cross-sectional studies have also examined the relationship between various physical environmental factors and cognitive function [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Environmental Factors Affecting Cognitive Function among Community-Dwelling Older Adults: A Longitudinal Study

Motohiro

Abe

Okuyama

et al. 2021

IJERPH

View full text Add to dashboard Cite

Although neighborhood environmental factors have been found to be associated with cognitive decline, few longitudinal studies have focused on their effect on older adults living in rural areas. This longitudinal study aimed to investigate the role of neighborhood environmental factors in cognitive decline among rural older adults. The data of 485 older adults aged ≥60 years who were living in Unnan City in Japan and had participated in two surveys conducted between 2014 and 2018 were analyzed. Cognitive function was assessed using the Cognitive Assessment for Dementia, iPad version 2. Elevation, hilliness, residential density, and proximity to a community center were determined using geographic information system. We applied a generalized estimating equation with odds ratios (OR) and 95% confidence intervals (CIs) of cognitive decline in the quartiles of neighborhood environmental factors. A total of 56 (11.6%) participants demonstrated a decrease in cognitive function at follow up. Elevation (adjusted OR 2.58, 95% CI (1.39, 4.77) for Q4 vs. Q1) and hilliness (adjusted OR 1.93, 95% CI (1.03, 3.63) for Q4 vs. Q1) were associated with a higher likelihood of cognitive decline. The second quartiles of residential density showed significantly lower likelihoods of cognitive decline compared with the first quartiles (adjusted OR 0.36, 95% CI (0.19, 0.71) for Q2 vs. Q1). Thus, an elevated hilly environment and residential density predicted cognitive decline among rural older adults.

show abstract

“…Evidence demonstrated that living in a lower-quality neighborhood, such as with high crime rate and poverty, is associated with a higher elevated risk of physiological and psychological health (O’campo et al, 2015 ), including cognitive impairment. The data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) and its Sociocultural Ancillary Study (SCAS) showed that middle-aged and older Hispanic/Latina women living in neighborhoods with the lowest perceived problems had higher global cognition and memory (Estrella et al, 2020 ). Brown et al ( 2009 ) reported that a more positive neighborhood social environment was associated with better mental health outcomes in older Hispanic immigrants.…”

Section: Introductionmentioning

confidence: 99%

“…Early life environments may play an important role in the development of cognitive impairment later in life, although previous studies indicated that neighborhood quality associated with cognitive function. However, the results were inconsistent, and most studies used a cross-sectional design or focused on older population (Brown et al, 2009 ; Murayama et al, 2013 ; Rosso et al, 2016 ; Estrella et al, 2020 ; Taylor et al, 2020 ). On the other hand, the association between body mass index (BMI) and cognitive dysfunction is far from clear (Coin et al, 2012 ; Delgado-Rico et al, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Association Between Childhood Neighborhood Quality and the Risk of Cognitive Dysfunction in Chinese Middle-Aged and Elderly Population: The Moderation Effect of Body Mass Index

Xiong

Liang

Chen

et al. 2021

Front. Aging Neurosci.

View full text Add to dashboard Cite

Background: Identification of early modifiable factors is crucial to delay or prevent the development of cognitive impairment and reduce the social and economic burden.Objective: This study aimed to examine the longitudinal associations of childhood neighborhood quality (CNQ) with the risk of later-life cognitive dysfunction and the role of body mass index (BMI) in this association.Methods: A total of 8,289 community-dwelling middle-aged and elderly population from wave 2011, wave 2013, and wave 2015 of the China Health and Retirement Longitudinal Study (CHARLS) were included. Cognitive function and CNQ were measured by standardized questionnaires. Multilevel linear regression models were used to estimate the associations of CNQ and cognitive function. The interactions of BMI with CNQ in the progress of cognitive function were also estimated.Results: The participants with higher CNQ had a significantly low risk of cognitive impairment than those with lower CNQ score (β = 0.067, 95% CI: 0.031, 0.103), and the results remained similar (β = 0.039, 95% CI: 0.004, 0.075) after controlling other confounding variables. Furthermore, there was an interaction between BMI with CNQ score (P < 0.001) for the risk of cognitive impairment. In BMI-stratified analysis, we found that the association of CNQ and cognitive function was not statistically significant in overweight or obese population (β = 0.019, 95% CI: −0.032, 0.070), but was statistically significant in people with lower BMI (β = 0.059, 95% CI: 0.010, 0.107).Conclusions: Higher CNQ score is significantly associated with the lower risk of cognitive dysfunction in adulthood. BMI may moderate the associations of CNQ with the risk of cognitive function.

show abstract

Associations between perceived neighborhood environment and cognitive function among middle-aged and older women and men: Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study

Cited by 14 publications

References 55 publications

Operationalizing Social Environments in Cognitive Aging and Dementia Research: A Scoping Review

Operationalizing Social Environments in Cognitive Aging and Dementia Research: A Scoping Review

Environmental Factors Affecting Cognitive Function among Community-Dwelling Older Adults: A Longitudinal Study

Association Between Childhood Neighborhood Quality and the Risk of Cognitive Dysfunction in Chinese Middle-Aged and Elderly Population: The Moderation Effect of Body Mass Index

Contact Info

Product

Resources

About