Evidence map›Paper›PMID 33646162›Full record

ArticleJournal of Alzheimer's disease : JAD2021

Race/Ethnic Disparities in Mild Cognitive Impairment and Dementia: The Northern Manhattan Study.

Clinton B Wright, Janet T DeRosa, Michelle P Moon, Kevin Strobino, Charles DeCarli, Ying Kuen Cheung, Stephanie Assuras, Bonnie Levin, Yaakov Stern, Xiaoyan Sun and 3 more

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Hearing and Cognitive Function in Aged Adults: A Machine Learning and Mediation Analysis of NHANES.World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Deep survival modeling to predict future cognitive impairment in unimpaired adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  10. Observational
  11. Heterogeneity in healthy aging among U.S. Latinos: a dual functionality perspective.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  12. Article
  13. Article
  14. Vascular contribution to cognitive impairment and dementia (VCID): proceedings of 2025 workshop of the Jackson Laboratory.Mammalian genome : official journal of the International Mammalian Genome Society · 2026
    Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Article

1 more citing papers are in PubMed but not listed here.

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

13 authors.

Clinton B WrightNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA.
Janet T DeRosaDepartment of Neurology, Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA.
Michelle P MoonDepartment of Neurology, Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA.
Kevin StrobinoDepartment of Neurology, Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA.
Charles DeCarliDepartment of Neurology, University of California at Davis, Davis, CA, USA.
Ying Kuen CheungDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.
Stephanie AssurasDepartment of Neurology, Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA.
Bonnie LevinEvelyn F McKnight Brain Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Yaakov SternDepartment of Neurology, Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA.
Xiaoyan SunDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Tatjana RundekEvelyn F McKnight Brain Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Mitchell S V ElkindDepartment of Neurology, Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA.
Ralph L SaccoEvelyn F McKnight Brain Institute, University of Miami Miller School of Medicine, Miami, FL, USA.

Funding

STROKE INCIDENCE AND RISK FACTORS IN A TRI-ETHNIC REGIONR01NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 1993 to 2019
$19.2M
Stroke Incidence and Risk Factors in a Tri-Ethnic RegionR37NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 2008 to 2014
$12.1M
Vascular Determinants of Dementia and Cognitive Decline in a Tri-Ethnic RegionR56NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, RUNDEK, TATJANA · 2021 to 2021
$537k
NINDS NIH HHS R01 NS029993NINDS NIH HHS R37 NS029993NINDS NIH HHS R56 NS029993
6 · The paper itself

Abstract

backgroundVariability in dementia rates across racial and ethnic groups has been estimated at 60%. Studies suggest disparities in Caribbean Hispanic and Black populations, but community-based data are limited.

objectiveEstimate the prevalence of mild cognitive impairment (MCI) and dementia in the racially and ethnically diverse community-based Northern Manhattan Study cohort and examine sociodemographic, vascular risk factor, and brain imaging correlates.

methodsCases of MCI and dementia were adjudicated by a team of neuropsychologists and neurologists and prevalence was estimated across race/ethnic groups. Ordinal proportional odds models were used to estimate race/ethnic differences in the prevalence of MCI or dementia adjusting for sociodemographic variables (model 1), model 1 plus potentially modifiable vascular risk factors (model 2), and model 1 plus structural imaging markers of brain integrity (model 3).

resultsThere were 989 participants with cognitive outcome determinations (mean age 69±9 years; 68% Hispanic, 16% Black, 14% White; 62% women; mean (±SD) follow-up five (±0.6) years). Hispanic and Black participants had greater likelihood of MCI (20%) and dementia (5%) than White participants accounting for age and education differences. Hispanic participants had greater odds of MCI or dementia than both White and Black participants adjusting for sociodemographic variables, vascular risk factors, and brain imaging factors. White matter hyperintensity burden was significantly associated with greater odds of MCI or dementia (OR = 1.3, 1.1 to 1.6), but there was no significant interaction by race/ethnicity.

conclusionIn this diverse community-based cohort, cross-sectional data revealed significant race/ethnic disparities in the prevalence of MCI and dementia. Longer follow-up and incidence data are needed to further clarify these relationships.

Indexed as

AgedAged, 80 and overCognitive DysfunctionCohort StudiesCross-Sectional StudiesDementiaEthnicityFemaleHumansMaleMiddle AgedNew York CityPrevalenceAfrican Americancohort studiesdementiaHispanic Americanmild cognitive impairment

Identifiers

PMID33646162
PMCPMC8150441

What OpenQuestion holds

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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.