Neighborhood Socioeconomic Status and Cognitive Function in Women

Regina A SHIH; Bonnie GHOSH-DASTIDAR; Mark A ESPELAND; Karen L MARGOLIS; Mary E SLAUGHTER; Adria JEWELL; Chloe E BIRD; Christine EIBNER; Natalie L DENBURG; Judith OCKENE; Catherine R MESSINA

doi:10.2105/AJPH.2011.300169

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Neighborhood Socioeconomic Status and Cognitive Function in Women

Journal article

Open access

Peer reviewed

Neighborhood Socioeconomic Status and Cognitive Function in Women

Regina A SHIH, Bonnie GHOSH-DASTIDAR, Mark A ESPELAND, Karen L MARGOLIS, Mary E SLAUGHTER, Adria JEWELL, Chloe E BIRD, Christine EIBNER, Natalie L DENBURG, Judith OCKENE, …

American journal of public health (1971), Vol.101(9), pp.1721-1728

2011

DOI: 10.2105/AJPH.2011.300169

PMCID: PMC3154213

PMID: 21778482

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154213View

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Abstract

Objectives: We examined whether neighborhood socioeconomic status (NSES) is associated with cognitive functioning in older US women and whether this relationship is explained by associations between NSES and vascular, health behavior, and psychosocial factors. Methods: We assessed women aged 65 to 81 years (n = 7479) who were free of dementia and took part in the Women's Health Initiative Memory Study. Linear mixed models examined the cross-sectional association between an NSES index and cognitive functioning scores. A base model adjusted for age, race/ethnicity, education, income, marital status, and hysterectomy. Three groups of potential confounders were examined in separate models: vascular, health behavior, and psychosocial factors. Results: Living in a neighborhood with a 1-unit higher NSES value was associated with a level of cognitive functioning that was 0.022 standard deviations higher (P = .02). The association was attenuated but still marginally significant (P < .1) after adjustment for confounders and, according to interaction tests, stronger among younger and non-White women. Conclusions: The socioeconomic status of a woman's neighborhood may influence her cognitive functioning. This relationship is only partially explained by vascular, health behavior, or psychosocial factors. Future research is needed on the longitudinal relationships between NSES, cognitive impairment, and cognitive decline.

Public health. Hygiene-occupational medicine

Public health. Hygiene

Biological and medical sciences

General aspects

Miscellaneous

Medical sciences

Details

Title: Subtitle: Neighborhood Socioeconomic Status and Cognitive Function in Women
Creators: Regina A SHIH - RAND Corporation, Arlington VA, United States
Bonnie GHOSH-DASTIDAR - RAND Corporation, Arlington VA, United States
Mark A ESPELAND - Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, United States
Karen L MARGOLIS - HealthPartners Research Foundation, Minneapolis, MN, United States
Mary E SLAUGHTER - RAND Corporation, Arlington VA, United States
Adria JEWELL - RAND Corporation, Arlington VA, United States
Chloe E BIRD - RAND Corporation, Arlington VA, United States
Christine EIBNER - RAND Corporation, Arlington VA, United States
Natalie L DENBURG - Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, United States
Judith OCKENE - Department of Preventive and Behavioral Medicine, University of Massachusetts School of Medicine, Worcester, United States
Catherine R MESSINA - Department of Preventive Medicine, Stony Brook University Medical Center, Stony Brook, NY, United States
Resource Type: Journal article
Publication Details: American journal of public health (1971), Vol.101(9), pp.1721-1728
Publisher: American Public Health Association; Washington, DC
DOI: 10.2105/AJPH.2011.300169
PMID: 21778482
PMCID: PMC3154213
ISSN: 0090-0036
eISSN: 1541-0048
Language: English
Date published: 2011
Academic Unit: Neurology; Psychological and Brain Sciences; Iowa Neuroscience Institute
Record Identifier: 9984070958702771

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