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Neighborhood disadvantage and subjective cognitive function among older Black women
Hill-Jarrett Tanisha G, Buto Peter T, Delaney Devon, Sol Ketlyne, Barnes Lisa L, Bailey Zinzi, Ortiz Kasim, Hicks Jacqueline M et al.. Psychology and aging, 2025-07-03
Topic: Risk, prevention and care in population studies
Black Americans a have higher risk of cognitive impairment relative to other racial/ethnic groups, and Black women have the highest prevalence of Alzheimer's disease and related dementias; however, the mechanisms underlying cognitive impairment are poorly understood. Neighborhood-level exposures that adversely influence cognitive aging may be distinct for Black women given historical and contemporary structural racism and sexism and their influence on neighborhood environments, which, in turn, adversely affect the cognitive health of Black women. This study examined the cross-sectional association between the Area Deprivation Index (ADI) and subjective cognitive function among 20,768 Black Women's Health Study cohort participants (Mage = 64.6, SD = 7.22). Multinomial logistic regression was used to calculate odds ratios and 95% confidence intervals for moderate (1-2 concerns) and poor (≥ 3 concerns) versus good (0 concerns) subjective cognitive function associated with quintiles of ADI ascertained in 2015. In the unadjusted model, greater neighborhood disadvantage was associated with subjective cognitive impairment. However, this association was fully attenuated after adjusting for education. Results suggest neighborhood-level disadvantage, as measured by the ADI, is not associated with increased cognitive concerns after accounting for education among Black women. Although the ADI is well-established as a correlate of many health outcomes, primarily in White individuals, it has rarely been used in samples of exclusively Black individuals. Different measures of the neighborhood environment may be more pertinent for differentiating risk among Black women or for predicting subjective cognitive function. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
Key findings
- Black Americans a have higher risk of cognitive impairment relative to other racial/ethnic groups, and Black women have the highest prevalence of Alzheimer's disease and related dementias; however, the mechanisms underlying cognitive impairment are poorly understood.
- Multinomial logistic regression was used to calculate odds ratios and 95% confidence intervals for moderate (1-2 concerns) and poor (≥ 3 concerns) versus good (0 concerns) subjective cognitive function associated with quintiles of ADI ascertained in 2015.
- In the unadjusted model, greater neighborhood disadvantage was associated with subjective cognitive impairment.
- Results suggest neighborhood-level disadvantage, as measured by the ADI, is not associated with increased cognitive concerns after accounting for education among Black women.
Why it matters
In this group of Black women, greater neighborhood disadvantage was linked to more cognitive concerns only before accounting for education, and the link disappeared after adjusting for education. This means neighborhood disadvantage as measured here was not associated with increased cognitive concerns once education was considered.
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Study details
- Study designcross-sectional
- Evidence strengthModerate
How this study scored 39/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for sample size, effect reported, 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 (Psychology and aging) |
| Journal's citation record | 2 / 4 | Psychology and Aging: journal h-index 243 (OpenAlex, 2026-10-29) |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 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 | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| 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, 2026-10-17) |
| Citations per year | 0 / 5 | 0.0 citations a year over 3 year(s) since 2025 |
| 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 | 3 / 4 | Last-listed author M. Maria Glymour: h-index 83 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California, San Francisco: institution h-index 1,912 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 6 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40608454) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 39 / 100 | — |
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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
Hill-Jarrett Tanisha, G., Buto Peter, T., Devon, D., Ketlyne, S., Barnes Lisa, L., Zinzi, B., et al. (2025). Neighborhood disadvantage and subjective cognitive function among older Black women. Psychology and aging. https://doi.org/10.1037/pag0000919
Vancouver
Hill-Jarrett Tanisha G, Buto Peter T, Devon D, Ketlyne S, Barnes Lisa L, Zinzi B, et al. Neighborhood disadvantage and subjective cognitive function among older Black women. Psychology and aging. 2025. doi:10.1037/pag0000919. PMID: 40608454.
BibTeX
@article{hilljarretttanisha2025-40608454,
author = {Hill-Jarrett Tanisha, G. and Buto Peter, T. and Devon, Delaney and Ketlyne, Sol and Barnes Lisa, L. and Zinzi, Bailey and Kasim, Ortiz and Hicks Jacqueline, M. and others},
title = {{Neighborhood disadvantage and subjective cognitive function among older Black women}},
journal = {Psychology and aging},
year = {2025},
doi = {10.1037/pag0000919},
pmid = {40608454},
url = {https://doi.org/10.1037/pag0000919}
}
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