Neighborhood social cohesion and cognitive function in U.S. Chinese older adults—findings from the PINE study

Zhang, Wei; Liu, Sizhe; Sun, Fei; Dong, Xin Qi

doi:10.1080/13607863.2018.1480705

Cited by 29 publications

(33 citation statements)

References 75 publications

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“…For instance, in a cross-sectional study of South Asian (India, Pakistan, Bangladesh, Nepal, Sri Lanka) adults living in the United States, higher social cohesion was associated with lower prevalence of hypertension in women, but not men ( Lagisetty et al., 2016 ). In another cross-sectional investigation, higher perceived social cohesion was associated with better global cognition, better episodic memory, and better executive functioning in Chinese older adults living in the United States ( Zhang et al., 2019 ).…”

Section: Differentiation Based On Relationship Typementioning

confidence: 99%

Social Relationships and Adaptation in Later Life

Sharifian

Sol

Zahodne

et al. 2022

Comprehensive Clinical Psychology

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Section: Differentiation Based On Relationship Typementioning

confidence: 99%

Social Relationships and Adaptation in Later Life

Sharifian

Sol

Zahodne

et al. 2022

Comprehensive Clinical Psychology

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“…The mechanism of how this factor may affect AD remains unclear. It has been suggested that individuals living in areas that are less socially cohesive are more likely to have secondary behavior [33], to smoke [33], to have depression [33], hypertension [34], myocardial infarction [35], and to have lower cognitive skills and abilities in older adults [13], thus increasing the risk of AD development.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, older people living in areas with higher availability of playgrounds/sport is considered beneficial for cognitive health and in delaying or preventing AD development. Second, rural areas might be related to social isolation, loneliness, restricted opportunities for social interaction [32,40], which could weaken cognitive function and thus increase the risk of dementia in older adults [13,41]. Playgrounds/sport are venues and community centers acting as a supportive environment to encourage social participation [30] can provide significant protection effects on cognition and then compensate the impact of the limited social interaction [41].…”

Section: Discussionmentioning

confidence: 99%

“…First, we selected some physical and social environments as potentially analytical variables based on previous research [5,9,10,11,12,13,14,15,16] and available datasets in Taiwan. Since little is known about which environmental features are related to AD risk [5], we determined the environmental indicators through several meetings by our research team and experts until a consensus was reached.…”

Section: Methodsmentioning

confidence: 99%

“…Among the limited number of published paper, a few community-based studies focusing on community resources [5,9,10], public open spaces [9,10], natural environments [10,11,12], neighborhood social cohesion [13], and socioeconomic composition of residential population [14,15,16] have found significant links between environmental characteristics and cognitive function in later life, probably through cognition stimulation [3] and cognition reserve [17]. However, most of the above-mentioned studies were cross-sectional in design, which makes it hard to explain the causal relationship between environmental characteristics and cognitive function [10,11,13,14,15,16]. Whether the environmental factors could really affect or prevent the development from AD has seldom been well-investigated.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association of Environmental Features and the Risk of Alzheimer’s Dementia in Older Adults: A Nationwide Longitudinal Case-Control Study

Liu

Kung

et al. 2019

IJERPH

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Little is known about the association between environmental features and the risk of Alzheimer’s dementia (AD). This study aims to investigate the association of physical and social environments with the incidence of AD. We identified 12,401 newly diagnosed AD cases aged ≥65 years in 2010, with the same no. of matched controls from National Health Insurance claims in Taiwan. Environmental data were collected from government statistics including three physical environments and three social environments. Multilevel logistic regression was conducted to calculate the odds ratios (OR) of AD in association with environmental features at the township level. Results showed that living in the areas with higher availability of playgrounds and sport venues was associated with a 3% decreased odds of AD (95% CI = 0.96–0.99), while higher density of elderly living alone was associated with a 5% increased odds of AD (95% CI = 1.01–1.11), after controlling for individual and other environmental factors. In further examination by urbanization level, the above relationships were found only in rural areas but not in urban areas. This study provides evidence that specific physical and social environmental features have different impacts on the risk of AD.

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Psychological distress mediates the associations between neighborhood social cohesion (NSC) and cognitive performance in older adults

Kang

2023

Curr Psychol

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The aim of the current study is to test how psychological distress mediates the associations between neighborhood social cohesion (NSC) and cognitive performance including episodic memory, semantic verbal fluency, fluid reasoning, and numeracy in older adults. Nine multiple regressions were used to analyze the associations between NSC and cognitive performance, NSC and psychological distress, and psychological distress and cognitive performance respectively based on data from 4922 older adults with a mean age of 66.51 (S.D. = 8.27) years old and 47.01% males from Understanding Society: the UK Household Longitudinal Study (UKHLS). Moreover, a mediation analysis was conducted by the mediation toolbox on MATLAB 2018a (https://github.com/canlab/MediationToolbox). The current study found that NSC is positively related to all cognitive measures but negatively related to psychological distress, whereas psychological distress is negatively associated with all cognitive performance. Moreover, there was a complete mediation effect of psychological distress on the positive association between NSC and semantic verbal fluency and the association between NSC and fluid reasoning. However, NSC only partially mediated the positive associations between NSC and episodic memory and numeracy respectively. From a policy standpoint, findings from the current study contribute evidence that reinforces the need for program designers and policymakers to join the WHO’s global efforts to build age-friendly communities, which promotes NSC, then leads to reduced psychological distress, and thus better cognitive functions among the elderly. Preserving cognitive functions may in turn reduce health care burdens.

show abstract

Neighborhood social cohesion and cognitive function in U.S. Chinese older adults—findings from the PINE study

Cited by 29 publications

References 75 publications

Social Relationships and Adaptation in Later Life

Social Relationships and Adaptation in Later Life

Association of Environmental Features and the Risk of Alzheimer’s Dementia in Older Adults: A Nationwide Longitudinal Case-Control Study

Psychological distress mediates the associations between neighborhood social cohesion (NSC) and cognitive performance in older adults

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