Home › Research › Risk factors
H - 09 Neighborhood Disadvantage, Education Quality, and Cognitive Function in Community-Dwelling Black and White Older Adults with Metabolic Syndrome
J.M. HUNTER, Jeremy G. Grant, Ambar R. Perez-Lao, Tamare Adrien, Tessa Adler, Hana Ali, Shellie-Anne T. Levy. Archives of Clinical Neuropsychology, 2023-10-01
Topic: Risk, prevention and care in population studies
Abstract Objective Low education quality is a risk factor for late-life cognitive decline and is often associated with living in a socioeconomically disadvantaged neighborhood, particularly among racialized older adults. This study examined the relationships among neighborhood disadvantage, education quality, and cognitive function from a larger pilot study of older adults at risk for cognitive decline due to metabolic syndrome. Participants and Methods Participants were 46 older adults (64.0% women, 39.1% Black, mean age = 72.4 years) who completed a neuropsychological assessment, including measures of speeded word generation (NACC Verbal Fluency Test) and problem-solving (WCST-64). Education quality was estimated via word recognition (WRAT-IV Word Reading). Neighborhood disadvantage was examined using the Area Deprivation Index. Results Greater neighborhood disadvantage was associated with fewer years of education, lower education quality, and lower performance on word generation and problem-solving. Mediation analyses indicated that the direct effect of neighborhood disadvantage on word generation was not significant, whereas the indirect effect mediated by education quality was significant (b = −0.180, t = −2.684). The total effect of neighborhood disadvantage on problem solving was significant (b = −0.134, p = 0.027), but the direct and indirect effects were not. Conclusions Neighborhood disadvantage was selectively associated with cognitive measures heavily influenced by executive function, namely using an efficient word generation strategy, and incorporating feedback to guide problem-solving. However, the effect of neighborhood disadvantage on cognition may be best explained by its association with reduced education quality. Neighborhood disadvantage can be a modifiable risk factor through improved education quality to mitigate risk of cognitive decline.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
HUNTER, J., Grant, J. G., Perez-Lao, A. R., Adrien, T., Adler, T., Ali, H., et al. (2023). H - 09 Neighborhood Disadvantage, Education Quality, and Cognitive Function in Community-Dwelling Black and White Older Adults with Metabolic Syndrome. Archives of Clinical Neuropsychology. https://doi.org/10.1093/arclin/acad067.327
Vancouver
HUNTER J, Grant JG, Perez-Lao AR, Adrien T, Adler T, Ali H, et al. H - 09 Neighborhood Disadvantage, Education Quality, and Cognitive Function in Community-Dwelling Black and White Older Adults with Metabolic Syndrome. Archives of Clinical Neuropsychology. 2023. doi:10.1093/arclin/acad067.327.
BibTeX
@article{hunter2023-8e786360,
author = {HUNTER, J.M. and Grant, Jeremy G. and Perez-Lao, Ambar R. and Adrien, Tamare and Adler, Tessa and Ali, Hana and Levy, Shellie-Anne T.},
title = {{H - 09 Neighborhood Disadvantage, Education Quality, and Cognitive Function in Community-Dwelling Black and White Older Adults with Metabolic Syndrome}},
journal = {Archives of Clinical Neuropsychology},
year = {2023},
doi = {10.1093/arclin/acad067.327},
url = {https://doi.org/10.1093/arclin/acad067.327}
}
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 names 7 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- Abstract Objective Low education quality is a risk factor for late-life cognitive decline and is often associated with living in a socioeconomically disadvantaged neighborhood, particularly among racialized older adults.
- Results Greater neighborhood disadvantage was associated with fewer years of education, lower education quality, and lower performance on word generation and problem-solving.
- Mediation analyses indicated that the direct effect of neighborhood disadvantage on word generation was not significant, whereas the indirect effect mediated by education quality was significant (b = −0.180, t = −2.684).
- The total effect of neighborhood disadvantage on problem solving was significant (b = −0.134, p = 0.027), but the direct and indirect effects were not.
- Conclusions Neighborhood disadvantage was selectively associated with cognitive measures heavily influenced by executive function, namely using an efficient word generation strategy, and incorporating feedback to guide problem-solving.
Why it matters
In 46 older adults with metabolic syndrome, greater neighborhood disadvantage was linked to lower performance on word generation and problem-solving, with education quality playing a mediating role for word generation. The small sample size limits how much these findings can be generalized, and no treatment was tested.
New to this subject? Start with our plain-English guide: Risk factors, ranked →
Study details
- Effect size64.0%; 39.1%
- Evidence strengthLow
How this study scored 28/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomized / blinded because the record does not state it. We have no data on institution's track record, so that was left out: it earned 27 of the 97 points we could judge it on, which is 28 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Archives of Clinical Neuropsychology) |
| Journal's citation record | 2 / 4 | Archives of Clinical Neuropsychology: journal h-index 151 (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 | 3 / 5 | 2023 — within 6 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 | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization 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 5 year(s) since 2023 |
| 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 | 1 / 4 | Last-listed author Shellie-Anne T. Levy: h-index 12 (OpenAlex, whole career) |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multicenter collaboration | 0 / 3 | OpenAlex lists 0 institution(s) in 0 countries — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Points | 27 / 97 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 27 of the 97 points we could judge it on is 28 out of 100. |
| Total | 28 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
May need a subscription OpenAlex found no free copy of the full text (checked 6 Feb 1020), so the publisher may charge for it.
Related
Studies in the library that share something with this one. The line above each title says what.
Related studies in Risk factors
Also tagged “controlled”
1,116 studies in the library carry the topic tag “controlled”; these are this study's neighbours in a fixed, alphabetical-by-hash tour of them, not the closest in content. All 1,116 tagged studies.