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

Iain A Lang; David J Llewellyn; Kenneth M Langa; Robert B Wallace; Felicia A Huppert; David Melzer

doi:10.1111/j.1532-5415.2007.01557.x

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

Journal article

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

Iain A Lang, David J Llewellyn, Kenneth M Langa, Robert B Wallace, Felicia A Huppert and David Melzer

Journal of the American Geriatrics Society (JAGS), Vol.56(2), pp.191-198

02/2008

DOI: 10.1111/j.1532-5415.2007.01557.x

PMCID: PMC2671806

PMID: 18179489

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https://hdl.handle.net/2027.42/66217View

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Abstract

To assess the relationship between cognitive function, socioeconomic status, and neighborhood deprivation (lack of local resources of all types, financial and otherwise). Nationally representative cross-section. The English Longitudinal Study of Ageing (ELSA). Seven thousand one hundred twenty-six community-dwelling individuals aged 52 and older and resident in urban areas. 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 > or = 70). 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%. 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.

Aged

Cognition Disorders - epidemiology

Cross-Sectional Studies

Educational Status

Female

Humans

Least-Squares Analysis

Longitudinal Studies

Male

Middle Aged

Neuropsychological Tests

Poverty Areas

Risk Factors

Social Class

United Kingdom - epidemiology

Urban Population

Details

Title: Subtitle: Neighborhood deprivation, individual socioeconomic status, and cognitive function in older people: analyses from the English Longitudinal Study of Ageing
Creators: Iain A Lang - University of Cambridge
David J Llewellyn
Kenneth M Langa - University of Cambridge
Robert B Wallace - University of Cambridge
Felicia A Huppert - University of Cambridge
David Melzer - University of Cambridge
Resource Type: Journal article
Publication Details: Journal of the American Geriatrics Society (JAGS), Vol.56(2), pp.191-198
DOI: 10.1111/j.1532-5415.2007.01557.x
PMID: 18179489
PMCID: PMC2671806
NLM abbreviation: J Am Geriatr Soc
ISSN: 0002-8614
eISSN: 1532-5415
Grant note: K08 AG019180-05 / NIA NIH HHS K08 AG019180 / NIA NIH HHS R01 AG027010 / NIA NIH HHS R01 AG027010-01 / NIA NIH HHS
Language: English
Date published: 02/2008
Academic Unit: Epidemiology; Injury Prevention Research Center; Internal Medicine
Record Identifier: 9984364422202771

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