Back to Search
Start Over
Neighborhood built environment and cognition in non-demented older adults: The Multi-Ethnic Study of Atherosclerosis.
- Source :
-
Social science & medicine (1982) [Soc Sci Med] 2018 Mar; Vol. 200, pp. 27-35. Date of Electronic Publication: 2018 Jan 09. - Publication Year :
- 2018
-
Abstract
- Preliminary studies suggest that neighborhood social and built environment (BE) characteristics may affect cognition in older adults. Older adults are particularly vulnerable to the neighborhood environment due to a decreasing range of routine travel with increasing age. We examined if multiple neighborhood BE characteristics are cross-sectionally associated with cognition in a diverse sample of older adults, and if the BE-cognition associations vary by individual-level demographics. The sample included 4539 participants from the Multi-Ethnic Study of Atherosclerosis. Multivariable linear regression was used to examine the associations between five BE measures and four cognitive measures, and effect modification by individual-level education and race/ethnicity. In the overall sample, increasing social destination density, walking destination density, and intersection density were associated with worse overall cognition, whereas increasing proportion of land dedicated to retail was associated with better processing speed. Effect modification results suggest that the association between urban density and worse cognition may be limited to or strongest in those of non-white race/ethnicity. Although an increase in neighborhood retail destinations was associated with better cognition in the overall sample, these results suggest that certain BE characteristics in dense urban environments may have a disproportionately negative association with cognition in vulnerable populations. However, our findings must be replicated in longitudinal studies and other regional samples.<br /> (Copyright © 2018 Elsevier Ltd. All rights reserved.)
- Subjects :
- Aged
Aged, 80 and over
Atherosclerosis ethnology
Educational Status
Ethnicity psychology
Ethnicity statistics & numerical data
Female
Humans
Longitudinal Studies
Male
Middle Aged
Urban Population statistics & numerical data
Cognition
Environment Design statistics & numerical data
Residence Characteristics statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1873-5347
- Volume :
- 200
- Database :
- MEDLINE
- Journal :
- Social science & medicine (1982)
- Publication Type :
- Academic Journal
- Accession number :
- 29355828
- Full Text :
- https://doi.org/10.1016/j.socscimed.2018.01.007