Neighborhood 'Disamenities': local barriers and cognitive function among Black and white aging adults

This study examined the association between cognitive function and three neighborhood 'disamenities' that may pose local barriers to utilizing community resources and increase risk for cognitive decline. Using national data from 21,165 urban- and suburban-dwelling Black and white adults (m...

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Bibliographic Details
Published in:BMC public health 2023-01, Vol.23 (1), p.197-8, Article 197
Main Authors: Yu, Wenshan, Esposito, Michael, Li, Mao, Clarke, Philippa, Judd, Suzanne, Finlay, Jessica
Format: Article
Language:English
Subjects:
Adult
Adults
Aged
Aging
Air pollution
Alzheimer's disease
Analysis
Care and treatment
Cognition
Cognition disorders
Cognitive ability
Cognitive appraisal
Cognitive Dysfunction - epidemiology
Cognitive function
Dementia
Diagnosis
Executive function
Health aspects
Highways
Humans
Memory
Methods
Neighborhood
Neighborhoods
Nitrogen dioxide
Physiological aspects
Pollutants
Psychological aspects
Public health
Racial differences
Residence Characteristics
Risk management
Risk reduction
Roads & highways
Urban health
Walking
White
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Summary:This study examined the association between cognitive function and three neighborhood 'disamenities' that may pose local barriers to utilizing community resources and increase risk for cognitive decline. Using national data from 21,165 urban- and suburban-dwelling Black and white adults (mean age: 67 years) in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study, we assessed global cognitive function through a factor score of five cognitive screening tests. General Additive Mixed Models (GAMM) tested whether residing in areas with more polluting sites, highways, and limited walkability was associated with worse cognitive function. Limited walkability and the presence of polluting sites had a significant negative association with cognitive function after controlling for individual and neighborhood factors. Neighborhood disamenities may be linked to cognitive function among aging residents. Identifying neighborhood factors that pose barriers to accessing community resources may inform upstream policy applications to reduce risk for cognitive decline.
ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-023-15026-x