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Association of residential neighborhood disadvantage with amyloid PET positivity among cognitively impaired individuals
Charles Windon, Elena Tsoy, Jennifer Livaudais‐Toman, Torsten B. Neilands, Nynikka R. Palmer, Margo B. Heston, Julene K. Johnson, Lucy S. Hanna et al.. Alzheimer s & Dementia Behavior & Socioeconomics of Aging, 2026-01-29
Topic: Amyloid, tau and blood-test diagnosis
Abstract INTRODUCTION Relationships between Alzheimer's disease neuropathology, residential neighborhood, and cognitive impairment remain incompletely understood. METHODS We examined whether residence within a disadvantaged neighborhood was associated with amyloid positron emission tomography (PET) positivity. We used data from the observational, multisite, Imaging Dementia–Evidence for Amyloid Scanning study that included cognitively impaired Medicare beneficiaries. Our secondary analysis examined multivariable‐adjusted associations between neighborhood disadvantage (measured by Area Deprivation Index [ADI] deciles 1–90 vs. 91–100 representing greatest disadvantage) and amyloid PET positivity. RESULTS Among 15,346 White, 829 Latino, 637 Black/African American, and 321 Asian individuals, 51% were female, mean age was 75.7 years, 535 (3.8%) resided in ADI 91 to 100 decile, and 61.6% were amyloid PET positive. The ADI 91‐100 decile was associated with lower odds of PET positivity by visual interpretation (odds ratio [OR] 0.80, 95% confidence interval [CI] 0.67–0.96, p ≤ .001) but not PET Centiloid value ≥ 40 versus ≤ 10 (OR 0.81, 95% CI 0.66–1.01, p = 0.060). CONCLUSION Residence in the most disadvantaged neighborhoods may be associated with lower amyloid pathology in cognitively impaired individuals.
Key findings
- METHODS We examined whether residence within a disadvantaged neighborhood was associated with amyloid positron emission tomography (PET) positivity.
- RESULTS Among 15,346 White, 829 Latino, 637 Black/African American, and 321 Asian individuals, 51% were female, mean age was 75.7 years, 535 (3.8%) resided in ADI 91 to 100 decile, and 61.6% were amyloid PET positive.
- The ADI 91‐100 decile was associated with lower odds of PET positivity by visual interpretation (odds ratio [OR] 0.80, 95% confidence interval [CI] 0.67–0.96, p ≤ .001) but not PET Centiloid value ≥ 40 versus ≤ 10 (OR 0.81, 95% CI 0.66–1.01, p = 0.060).
- CONCLUSION Residence in the most disadvantaged neighborhoods may be associated with lower amyloid pathology in cognitively impaired individuals.
Why it matters
People with cognitive impairment living in the most disadvantaged neighborhoods were less likely to have a positive amyloid PET scan by visual reading, though the result was not significant using a different amyloid measure. This suggests neighborhood disadvantage may be linked to lower amyloid pathology in this group.
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Study details
- Effect size3.8%; 61.6%; OR 0.81
- Evidence strengthLow
How this study scored 39/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia Behavior & Socioeconomics of Aging) |
| Journal's citation record | 0 / 4 | Alzheimer s & Dementia Behavior & Socioeconomics of Aging: journal h-index 4 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 3 / 3 | Effect reported with a statistic (interval, p-value, ratio or similar) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 2 year(s) since 2026 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author Gil D. Rabinovici: h-index 116 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Washington University in St. Louis: institution h-index 1,962 (OpenAlex) |
| Multi-centre collaboration | 3 / 3 | OpenAlex lists 12 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41816196) |
| Free to read | 2 / 2 | Free to read |
| Total | 39 / 100 | — |
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Read the original
- DOI: 10.1002/bsa3.70058
- PubMed: 41816196
- Original source →
- Free full text: Alzheimer s & Dementia Behavior & Socioeconomics of Aging →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Windon, C., Tsoy, E., Livaudais‐Toman, J., Neilands, T. B., Palmer, N. R., Heston, M. B., et al. (2026). Association of residential neighborhood disadvantage with amyloid PET positivity among cognitively impaired individuals. Alzheimer s & Dementia Behavior & Socioeconomics of Aging. https://doi.org/10.1002/bsa3.70058
Vancouver
Windon C, Tsoy E, Livaudais‐Toman J, Neilands TB, Palmer NR, Heston MB, et al. Association of residential neighborhood disadvantage with amyloid PET positivity among cognitively impaired individuals. Alzheimer s & Dementia Behavior & Socioeconomics of Aging. 2026. doi:10.1002/bsa3.70058. PMID: 41816196.
BibTeX
@article{windon2026-41816196,
author = {Windon, Charles and Tsoy, Elena and Livaudais‐Toman, Jennifer and Neilands, Torsten B. and Palmer, Nynikka R. and Heston, Margo B. and Johnson, Julene K. and Hanna, Lucy S. and others},
title = {{Association of residential neighborhood disadvantage with amyloid PET positivity among cognitively impaired individuals}},
journal = {Alzheimer s \& Dementia Behavior \& Socioeconomics of Aging},
year = {2026},
doi = {10.1002/bsa3.70058},
pmid = {41816196},
url = {https://doi.org/10.1002/bsa3.70058}
}
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