Evidence map›Paper›PMID 36589275›Full record

ArticleSSM - population health2023

Neighborhood disadvantage and the risk of dementia and mortality among refugees to Denmark: A quasi-experimental study.

Min Hee Kim, Else Foverskov, Trine Frøslev, Justin S White, M Maria Glymour, Jens Hainmueller, Lars Pedersen, Henrik T Sørensen, Rita Hamad

Open access · goldAbstract read
In one paragraph

Article in SSM - population health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
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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

9 authors at 5 institutions in 2 countries.

Min Hee KimPhilip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA.
Else FoverskovDepartment of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
Trine FrøslevDepartment of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
Justin S WhitePhilip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA.
M Maria GlymourDepartment of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Jens HainmuellerDepartment of Political Science, Stanford University, Stanford, CA, USA.
Lars PedersenDepartment of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
Henrik T SørensenDepartment of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
Rita HamadPhilip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA.
Aarhus University Hospital · DKLee University · USStanford University · USUniversity of California, San Francisco · USUniversity of Copenhagen · DK

Funding

Using a Natural Experiment to Evaluate the Long-Term Effects of Neighborhood Deprivation on Alzheimer's Disease and Vascular Risk FactorsR01AG063385 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAMAD, RITA · 2019 to 2023
$2.8M
NIA NIH HHS R01 AG063385
6 · The paper itself

Abstract

Objectives: Neighborhood disadvantage may increase the risk of adverse health outcomes among older refugees. Yet few studies rigorously estimate the effects of place-based factors on later-life health, particularly dementia and mortality. Evidence about refugees is especially sparse. Methods: This study leveraged a natural experiment in the form of a Danish policy (1986-1998) that dispersed refugees quasi-randomly across neighborhoods upon arrival. We used longitudinal registers allowing 30 years of follow-up among refugees aged 40+ years upon arrival in Denmark (N = 9,854). Cox models assessed the association between neighborhood disadvantage and risk of dementia and mortality. We examined heterogeneous effects by sex, age, and family size. We also examined associations among non-refugee immigrants and native-born Danes. Results: Neighborhood disadvantage was not associated with dementia in any group. One unit increase in neighborhood disadvantage index (ranges -8 to 5.7) was associated with greater mortality risk among non-refugee immigrants (HR 1.06, 95%CI: 1.02, 1.10) and native-born Danes (HR 1.11, 95%CI: 1.06, 1.17). In contrast, neighborhood disadvantage was associated with Discussion: While neighborhood disadvantage was associated with lower mortality risk among refugees, it was associated with greater mortality risk among non-refugee immigrants and native-born Danes, perhaps due to confounding in the latter groups or different place-based experiences by immigration status. Future research is warranted to explain the reasons for contrasting findings.

Indexed as

Immigration policyNatural experimentPlace-based effectsPolicy evaluationSurvival analysis

Identifiers

PMID36589275
PMCPMC9795514
OpenAlexW4313453927

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.