“…21 The mechanism for these associations is not clear 22 but may be to related pathways that include stress, 23 inflammation, 24 , 25 poorer cognitive reserve, 26 , 27 , 28 , 29 epigenetic modifications, 30 toxic stress of structural inequities and discrimination, 31 , 32 , 33 , 34 and health behaviors and cardiovascular health. 35 , 36 , 37 …”