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Associations between Perceived Neighborhood Environment and Cognitive Function among Middle-Aged and Older Women and Men: Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study

Citation

Estrella, Mayra L.; Durazo-Arvizu, Ramon A.; Gallo, Linda C.; Isasi, Carmen R.; Perreira, Krista M.; Vu, Thanh-Huyen T.; Vasquez, Elizabeth; Sachdeva, Shruti; Zeng, Donglin; & Llabre, Maria M., et al. (2020). Associations between Perceived Neighborhood Environment and Cognitive Function among Middle-Aged and Older Women and Men: Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. Social Psychiatry and Psychiatric Epidemiology, 55(6), 685-696. PMCID: PMC7276286

Abstract

PURPOSE: To examine cross-sectional associations between perceived neighborhood environment and cognitive function among middle-aged and older Hispanic/Latino women and men.
METHODS: Data from the Hispanic Community Health Study/Study of Latinos (2008-2011) and its Sociocultural Ancillary Study (2009-2010) were used. Participants were Hispanic/Latino women (n = 1812) and men (n = 1034) aged 45-74 years. Survey-weighted linear regression models were used to examine associations between self-reported perceived neighborhood environment (i.e., neighborhood social cohesion and problems categorized as quintiles, and neighborhood safety from crime categorized as low, medium, or high) with cognitive function (i.e., global cognition, verbal learning, memory, verbal fluency, and processing speed scores) in women and men. Final model adjusted for age, Hispanic/Latino background, language, field site, household income, education, years lived in neighborhood, and depressive symptoms.
RESULTS: Women in the lowest quintile of perceived neighborhood problems (vs. highest quintile) had higher global cognition (β 0.48, 95% CI 0.03, 0.94, p trend 0.229) and memory scores (0.60, 95% CI 0.11, 1.09, p trend: 0.060). Women in the highest quintile of perceived neighborhood social cohesion (vs. lowest quintile) had lower global cognition (β - 0.56, 95% CI - 1.02, - 0.09, p trend 0.004), verbal learning (B - 1.01, 95% CI - 2.00, - 0.03, p trend 0.015), verbal fluency (B - 2.00, 95% CI - 3.83, - 0.16, p trend 0.006), and processing speed (B - 2.11, 95% CI - 3.87, - 0.36, p trend 0.009). There was no association between perceived neighborhood safety from crime and cognition among women, or between any perceived neighborhood environment measure and cognition among men.
CONCLUSIONS: Middle-aged and older Hispanic/Latina women living in neighborhoods with the lowest perceived problems had higher global cognition and memory. Women living in neighborhoods with the highest perceived social cohesion had lower global cognition, verbal learning, verbal fluency, and processing speed.

URL

http://dx.doi.org/10.1007/s00127-019-01829-0

Reference Type

Journal Article

Article Type

Regular

Year Published

2020

Journal Title

Social Psychiatry and Psychiatric Epidemiology

Author(s)

Estrella, Mayra L.
Durazo-Arvizu, Ramon A.
Gallo, Linda C.
Isasi, Carmen R.
Perreira, Krista M.
Vu, Thanh-Huyen T.
Vasquez, Elizabeth
Sachdeva, Shruti
Zeng, Donglin
Llabre, Maria M.
Tarraf, Wassim
González, Hector M.
Daviglus, Martha L.
Lamar, Melissa

PMCID

PMC7276286

Data Set/Study

Hispanic Community Health Study/Study of Latinos
Sociocultural Ancillary Study

Continent/Country

United States of America

State

Nonspecific

Race/Ethnicity

Hispanic/Latinx