Evidence map›Paper›PMID 32590941›Full record

ArticleBMC geriatrics2020

Effects of physical and social environments on the risk of dementia among Taiwanese older adults: a population-based case-control study.

Chih-Ching Liu, Yu Sun, Shiann-Far Kung, Hsien-Wen Kuo, Nuan-Ching Huang, Chung-Yi Li, Susan C Hu

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Involving Societal Stakeholders in Dementia Risk Reduction: An Explorative Study.Health expectations : an international journal of public participation in health care and health policy · 2026
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  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Chih-Ching LiuDepartment of Healthcare Administration, College of Medical and Health Science, Asia University, No. 500, Lioufeng Road, Wufeng District, Taichung, 41354, Taiwan.
Yu SunDepartment of Neurology, En Chu Kong Hospital, No. 399, Fuxing Road, Sanxia District, New Taipei City, 23702, Taiwan.
Shiann-Far KungDepartment of Urban Planning, College of Planning & Design, National Cheng Kung University, No.1, University Road, Tainan City, 701, Taiwan.
Hsien-Wen KuoInstitute of Environmental and Occupational Health Sciences, School of Medicine, National Yang-Ming University, No.155, Sec.2, Linong Street, Taipei city, 112, Taiwan.
Nuan-Ching HuangHealthy Cities Research Center, Research and Services Headquarters, National Cheng Kung University, No.1, University Road, Tainan City, 701, Taiwan.
Chung-Yi LiDepartment of Healthcare Administration, College of Medical and Health Science, Asia University, No. 500, Lioufeng Road, Wufeng District, Taichung, 41354, Taiwan.
Susan C HuHealthy Cities Research Center, Research and Services Headquarters, National Cheng Kung University, No.1, University Road, Tainan City, 701, Taiwan. shuhu@mail.ncku.edu.tw.ORCID 0000-0003-2437-5918
National Cheng Kung University · TWAsia University · TWEn Chu Kong Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

Health Promotion Administration, Ministry of Health and Welfare, Taiwan MOHW107-HPA-M-114-144703
6 · The paper itself

Abstract

backgroundPhysical and social environments may influence cognition health in older adults. However, evidence regarding physical and social environments linked to dementia is lacking, especially in Asia. This study aims to explore the influence of physical and social environments on the incidence of dementia through a population-based case-control design in Taiwan.

methodsWe identified 26,206 incident cases with dementia aged≧65 years in 2010, with the same no. of controls from National Health Insurance claims. Environmental measures were collected from government statistics including three physical environments and three social environments. Multilevel logistic regression was used to estimate the odds ratios (ORs) and 95% confidence intervals (CI) of the association between dementia incidence and the environmental measures at the township level.

resultsWe observed a significant reduction of 12% in the odds ratios of dementia in areas with higher availability of playgrounds and sport venues (OR 0.88, 95% CI 0.81-0.95), after controlling for individual and other environmental characteristics. Community center availability was also significantly associated with an 8% decreased odds for dementia (OR 0.92, 95% CI 0.87-0.99), but the association was not significant after further consideration of individual-level characteristics. Although higher odds of dementia were found in areas with high median annual family income (OR 1.14, 95% CI 1.04-1.25), such a significant relationship did not appear in the full model.

conclusionsOur study suggests that specific physical and social environmental features have different influences on the risk of dementia. Public health interventions may consider these environmental aspects for preventing dementia incidence.

Indexed as

DementiaSocial EnvironmentAgedAsiaCase-Control StudiesHumansTaiwanCase-control studiesDementiaIncidenceOlder adultsPhysical environmentsSocial environments

Identifiers

PMID32590941
PMCPMC7318767
OpenAlexW3037036134

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.