ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025
Exposure to neighborhood concentrated poverty is associated with faster decline in episodic memory among midlife women.
Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Differential expression of lymphocyte markers by neighborhood opportunity among US adults: Insights from the Midlife in the United States study.Psychoneuroendocrinology · 2026Article
- The social environment and cognitive aging over the life course: laying out critical concepts and research gaps.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- Neighborhood disorder impacts cognitive processing during navigation on a novel virtual reality paradigm.Scientific reports · 2026Article
- Neighborhood deprivation and midlife cognition: Evidence of a modifiable vascular pathway involving health behaviors and cerebral small vessel disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Exposure to neighborhood concentrated poverty is associated with faster decline in episodic memory among midlife women.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
introductionNeighborhood-level socioeconomic status (nSES) is associated with risk for cognitive impairment, but prior studies assessed nSES within an individual's own residential area without considering the distribution of nSES among adjacent areas.
methodsUsing up to 14 years of data from the Study of Women's Health Across the Nation (N = 1391, mean age = 54), we examined whether geographic clustering of concentrated neighborhood poverty was associated with cognitive decline over midlife.
resultsGreater neighborhood concentrated poverty was associated with faster decline in episodic memory but not in processing speed or working memory. Living in high concentrated poverty areas was linked to a 7% episodic memory decline per decade (both immediate and delayed recall), with Black women experiencing the steepest decline at 10% per decade (delayed recall). DISCUSSION: Women living in concentrated poverty areas exhibited accelerated decline in episodic memory during midlife. Neighborhood concentrated poverty may impact risk for future cognitive impairment and ADRD. HIGHLIGHTS: Living in concentrated poverty areas predicted a more rapid episodic memory decline. This pattern was most pronounced among Black women. The cohort was a racially/ethnically diverse cohort of midlife women across the US. Neighborhood concentrated poverty may contribute to the risk of ADRD.
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