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The association between neighborhood socioeconomic status, cardiovascular and cerebrovascular risk factors, and cognitive decline in the Health and Retirement Study (HRS).

Publication ,  Journal Article
Kuchibhatla, M; Hunter, JC; Plassman, BL; Lutz, MW; Casanova, R; Saldana, S; Hayden, KM
Published in: Aging Ment Health
September 2020

Background: A small but growing body of evidence supports a relationship between neighborhood socioeconomic status (NSES) and cognitive decline. Additional work is needed to characterize this relationship controlling for risk factors such as cardiovascular, cerebrovascular, and genetic risk factors.Methods: Cognitive decline was assessed in association with NSES, and cardiovascular and cerebrovascular risk factors (heart disease, diabetes, hypertension, and stroke) in 8,198 individuals from the 1992-2010 waves of the Health and Retirement Study (HRS). Latent class trajectory analysis determined the number of cognitive trajectory classes that best fit the data, and a multinomial logistic regression model in the latent class framework assessed the risk for cognitive classes conferred by NSES index score and heart disease, diabetes, hypertension, and stroke across three trajectory classes of cognitive function. The analyses controlled for genetic risk for cognitive decline (including APOE genotype) and demographic variables, including education.Results: The HRS sample was 57.6% female and 85.5% White, with a mean age of 67.5(3.5) years at baseline. The three-quadratic-class model best fit the data, where higher classes represented better cognitive function. Those with better cognitive function were mainly younger white females. Those in the highest quartile of NSES had 57% higher odds of being in the high cognitive function class. Heart disease, diabetes, hypertension, and stroke each increased the odds having of lower cognitive function.Conclusions: In examining the relationship of cognitive status with various variables, neighborhood socioeconomic status, cardiovascular risk, and cerebrovascular risk persisted across the cognitive trajectory classes.

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Published In

Aging Ment Health

DOI

EISSN

1364-6915

Publication Date

September 2020

Volume

24

Issue

9

Start / End Page

1479 / 1486

Location

England

Related Subject Headings

  • Social Class
  • Risk Factors
  • Retirement
  • Residence Characteristics
  • Male
  • Humans
  • Geriatrics
  • Female
  • Cognitive Dysfunction
  • Aged
 

Citation

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Kuchibhatla, M., Hunter, J. C., Plassman, B. L., Lutz, M. W., Casanova, R., Saldana, S., & Hayden, K. M. (2020). The association between neighborhood socioeconomic status, cardiovascular and cerebrovascular risk factors, and cognitive decline in the Health and Retirement Study (HRS). Aging Ment Health, 24(9), 1479–1486. https://doi.org/10.1080/13607863.2019.1594169
Kuchibhatla, Maragatha, Jaimie C. Hunter, Brenda L. Plassman, Michael W. Lutz, Ramon Casanova, Santiago Saldana, and Kathleen M. Hayden. “The association between neighborhood socioeconomic status, cardiovascular and cerebrovascular risk factors, and cognitive decline in the Health and Retirement Study (HRS).Aging Ment Health 24, no. 9 (September 2020): 1479–86. https://doi.org/10.1080/13607863.2019.1594169.
Kuchibhatla M, Hunter JC, Plassman BL, Lutz MW, Casanova R, Saldana S, et al. The association between neighborhood socioeconomic status, cardiovascular and cerebrovascular risk factors, and cognitive decline in the Health and Retirement Study (HRS). Aging Ment Health. 2020 Sep;24(9):1479–86.
Kuchibhatla, Maragatha, et al. “The association between neighborhood socioeconomic status, cardiovascular and cerebrovascular risk factors, and cognitive decline in the Health and Retirement Study (HRS).Aging Ment Health, vol. 24, no. 9, Sept. 2020, pp. 1479–86. Pubmed, doi:10.1080/13607863.2019.1594169.
Kuchibhatla M, Hunter JC, Plassman BL, Lutz MW, Casanova R, Saldana S, Hayden KM. The association between neighborhood socioeconomic status, cardiovascular and cerebrovascular risk factors, and cognitive decline in the Health and Retirement Study (HRS). Aging Ment Health. 2020 Sep;24(9):1479–1486.

Published In

Aging Ment Health

DOI

EISSN

1364-6915

Publication Date

September 2020

Volume

24

Issue

9

Start / End Page

1479 / 1486

Location

England

Related Subject Headings

  • Social Class
  • Risk Factors
  • Retirement
  • Residence Characteristics
  • Male
  • Humans
  • Geriatrics
  • Female
  • Cognitive Dysfunction
  • Aged