ArticleNeurology2023
Association Between Supplemental Nutrition Assistance Program Use and Memory Decline: Findings From the Health and Retirement Study.
Article in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 17 citations in OpenAlex.
- Associations between mid-life and later-life food insecurity on probable dementia in a national sample of United States adults.The American journal of clinical nutrition · 2026Article
- Reply to: When One Is Not Enough: Multi-Program Needs in Older Adults at Risk of Cognitive Decline.Journal of the American Geriatrics Society · 2026Article
- Association Between Supplemental Nutrition Assistance Program (SNAP) Participation and Cognitive Decline Among Older Americans: A 10-Year Longitudinal Study.Journal of the American Geriatrics Society · 2025Article
- Food insecurity and cognitive domains among older United States adults: Findings from the health and retirement study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Disparities in neighborhood food environment and cognitive decline among US older adults: a cohort study.BMC medicine · 2025Article
- Mid-Life Household Food Insecurity and Subsequent Memory Function and Rate of Decline in Rural South Africa, 2004-2022.Neuroepidemiology · 2025Article
- Food insecurity, food assistance, and physical and cognitive functioning among older Americans.PloS one · 2025Article
- Navigating the Landscape of Translational Geroscience in Canada: A Comprehensive Evaluation of Current Progress and Future Directions.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Food insecurity and epigenetic aging in middle-aged and older adults.Social science & medicine (1982) · 2024Article
- Food Insecurity, Memory, and Dementia Among US Adults Aged 50 Years and Older.JAMA network open · 2023Article
- Associations of Food Insecurity and Memory Function Among Middle to Older-Aged Adults in the Health and Retirement Study.JAMA network open · 2023Article
- The short-term impacts of COVID-2019 on depressive symptoms and cognitive decline: A community-based cohort study.Journal of Alzheimer's disease reportsArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesStudies on the effect of the Supplemental Nutrition Assistance Program (SNAP) on the cognitive health of older adults are scarce. We sought to examine the associations between SNAP use and memory decline among SNAP-eligible US older adults.
methodsParticipants aged 50+ years and SNAP-eligible in 1996 from the Health and Retirement Study were included. Participants' SNAP eligibility was constructed using federal criteria. Participants also self-reported whether they used SNAP. Memory function was assessed biennially from 1996 through 2016 using a composite score. To account for preexisting differences in characteristics between SNAP users and nonusers, we modeled the probability of SNAP use using demographic and health covariates. Using linear mixed-effects models, we then modeled trajectories of memory function for SNAP users and nonusers using inverse probability (IP) weighting and propensity score (PS) matching techniques. In all models, we accounted for study attrition.
resultsOf the 3,555 SNAP-eligible participants, a total of 15.7% were SNAP users. At baseline, SNAP users had lower socioeconomic status and a greater number of chronic conditions than nonusers and were more likely to be lost to follow-up. Our multivariable IP-weighted models suggested that SNAP users had worse memory scores at baseline but slower rates of memory decline compared with nonusers (the annual decline rate is -0.038 standardized units [95% CI = -0.044 to -0.032] for users and -0.046 [95% CI = -0.049 to -0.043] for nonusers). Results were slightly stronger from the PS-matched sample (N = 1,014) (the annual decline rate was -0.046 units [95% CI = -0.050 to -0.042] for users and -0.060 units [95% CI = -0.064 to -0.056] for nonusers). Put in other words, our findings suggested that SNAP users had approximately 2 fewer years of cognitive aging over a 10-year period compared with nonusers. DISCUSSION: After accounting for preexisting differences between
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