ArticleNeurology2019
Relation between 20-year income volatility and brain health in midlife: The CARDIA study.
Article in Neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed.
- Impact of Guaranteed Income on Health, Finances, and Agency: Findings from the Stockton Randomized Controlled Trial.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Trial
- Income Volatility and Risk of All-Cause Mortality and Cause-Specific Hospitalization Among Adults With Depression: A Nationwide Cohort Study.Journal of Korean medical science · 2026Article
- Income Volatility During Early to Mid-adulthood and 10-year Memory Decline in a Longitudinal Synthetic Cohort.Epidemiology (Cambridge, Mass.) · 2026Article
- Income dynamics and risk of early-onset dementia: a nationwide cohort study.Alzheimer's research & therapy · 2026Article
- Income and risk of type 2 diabetes incidence varied associations according to obesity status: a nationwide study.BMC public health · 2026Article
- Large-Scale Brain Networks Track Gasoline Price Shifts.bioRxiv : the preprint server for biology · 2025Article
- Why is income volatility associated with poor health? Longitudinal evidence from the UK and France.SSM - population health · 2025Article
- Correlation of Income Instability With 12 Non-Communicable Disease Risks in Korea: A Prospective Cohort Study.Journal of Korean medical science · 2025Article
- Prenatal Household Income Instability and Infant Subcortical Brain Volumes.Developmental science · 2025Article
- The Association between the Volatility of Income and Life Expectancy in the United States.Journal of labor economics · 2025Article
- Midlife financial stress and cognitive and physical impairments in older age: The role of potentially modifying factors.Social science & medicine (1982) · 2025Article
- 20-Year income volatility and cognitive function in the National Longitudinal Survey of Youth (1979) cohort: A replication and extension of CARDIA findings.Social science & medicine (1982) · 2025Article
- Associations of serial negative income shock and all-cause mortality: a longitudinal study in China.BMJ public health · 2024Article
- Life course financial mobility and later-life memory function and decline by gender, and race and ethnicity: an intersectional analysis of the US KHANDLE and STAR cohort studies.The lancet. Healthy longevity · 2024Article
- Environmental and sociocultural factors are associated with pain-related brain structure among diverse individuals with chronic musculoskeletal pain: intersectional considerations.Scientific reports · 2024Article
- Effects of physical multimorbidity on cognitive decline trajectories among adults aged 50 years and older with different wealth status: a 17-year population-based cohort study.Global mental health (Cambridge, England) · 2024Article
- Negative Wealth Shock and Cognitive Decline and Dementia in Middle-Aged and Older US Adults.JAMA network open · 2023Article
- Association of Sustained Low or High Income and Income Changes With Risk of Incident Type 2 Diabetes Among Individuals Aged 30 to 64 Years.JAMA network open · 2023Article
- Associations of Religious Service Attendance With Cognitive Function in Midlife: Findings From The CARDIA Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Association of Income with Post-Stroke Cognition and the Underlying Neuroanatomical Mechanism.Brain sciences · 2023Article
Corrections and comments
- Commented on by
Authors and funding
7 authors.
Funding
Abstract
objectiveIncome volatility presents a growing public health threat. To our knowledge, no previous study examined the relationship among income volatility, cognitive function, and brain integrity.
methodsWe studied 3,287 participants aged 23-35 years in 1990 from the Coronary Artery Risk Development in Young Adults prospective cohort study. Income volatility data were created using income data collected from 1990 to 2010 and defined as SD of percent change in income and number of income drops ≥25% (categorized as 0, 1, or 2+). In 2010, cognitive tests (n = 3,287) and brain scans (n = 716) were obtained.
resultsAfter covariate adjustment, higher income volatility was associated with worse performance on processing speed (β = -1.09, 95% confidence interval [CI] -1.73 to -0.44) and executive functioning (β = 2.53, 95% CI 0.60-4.50) but not on verbal memory (β = -0.02, 95% CI -0.16 to 0.11). Similarly, additional income drops were associated with worse performance on processing speed and executive functioning. Higher income volatility and more income drops were also associated with worse microstructural integrity of total brain and total white matter. All findings were similar when restricted to those with high education, suggesting reverse causation may not explain these findings.
conclusionIncome volatility over a 20-year period of formative earning years was associated with worse cognitive function and brain integrity in midlife.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.