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Racial Segregation and Cognitive Function Among Older Adults in the United States: Findings From the Reasons for Geographic and Racial Differences in Stroke Study

Joy Bohyun Jang, Margaret T Hicken, Megan Mullins, Michael Esposito, Ketlyne Sol, Jennifer J Manly, Suzanne Judd, Virginia Wadley and Philippa J Clarke

The Journals of Gerontology: Series B, 2022, vol. 77, issue 6, 1132-1143

Abstract: ObjectivesResidential segregation is one of the fundamental features of health disparities in the United States. Yet little research has examined how living in segregated metropolitan areas is related to cognitive function and cognitive decline with age. We examined the association between segregation at the metropolitan statistical area (MSA) level and trajectories of age-related cognitive function.MethodUsing data from Black and White older adults in the REasons for Geographic and Racial Differences in Stroke study (n = 18,913), we employed linear growth curve models to examine how living in racially segregated MSAs at baseline, measured by the degree of non-Hispanic Black (NHB) isolation and NHB dissimilarity, was associated with trajectories of age-related cognitive function and how the associations varied by race and education.ResultsLiving in MSAs with greater levels of isolation was associated with lower cognitive function (b = −0.093, p

Keywords: Cognitive function; Multilevel linear model; Racial segregation; REGARDS study (search for similar items in EconPapers)
Date: 2022
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The Journals of Gerontology: Series B is currently edited by Psychological Sciences - S. Duke Han, PhD and Social Sciences - Jessica A Kelley, PhD, FGSA

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