Evidence map›Paper›PMID 40663061›Full record

ArticleAmerican journal of epidemiology2025

Evaluating administrative measures of school quality as mediators of the relationship between attending a segregated school and cognitive function among older Black individuals: the STAR study.

Sirena Gutierrez, Rachel A Whitmer, Marilyn D Thomas, Kristen M George, Rachel Peterson, Lisa L Barnes, Isabel E Allen, M Maria Glymour, Jacqueline M Torres, Paola Gilsanz

Abstract read
In one paragraph

Article in American journal of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Sirena GutierrezDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0001-9201-698X
Rachel A WhitmerAlzheimer's Disease Center, University of California, Davis, Sacramento, CA, United States.
Marilyn D ThomasDepartment of Medicine, University of California, San Francisco, San Francisco, CA, United States.
Kristen M GeorgeAlzheimer's Disease Center, University of California, Davis, Sacramento, CA, United States.ORCID 0000-0001-8773-7678
Rachel PetersonSchool of Public and Community Health Sciences, University of Montana, Missoula, MT, United States.
Lisa L BarnesRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, United States.ORCID 0000-0002-0072-9817
Isabel E AllenDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, United States.
M Maria GlymourDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, United States.ORCID 0000-0001-9644-3081
Jacqueline M TorresDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, United States.
Paola GilsanzDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, United States.ORCID 0000-0002-7635-381X

Funding

Study of Healthy Aging in African AmericansR01AG050782 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Paola Gilsanz, Rachel A Whitmer · 2023 to 2026
$19.1M
Translational Epidemiology - Training for Research on Aging and Chronic diseaseT32AG049663 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Elizabeth Rose Mayeda, Mark J Pletcher · 2016 to 2026
$5.8M
Impact of Historically Black Colleges and Universities on Late-life Cognition in Black AdultsR00AG076973 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Marilyn D Thomas · 2024 to 2026
$741k
Racial Disparities in Alzheimer's Disease and Related Dementias: The Role of School Segregation and Experiences of DiscriminationF31AG081071 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GUTIERREZ, SIRENA CELESTE · 2023 to 2024
$81k
NIA NIH HHS F31 AG081071NIA NIH HHS F31AG081071NIA NIH HHS R00 AG076973NIA NIH HHS R01 AG050782NIA NIH HHS R01AG050782NIA NIH HHS T32 AG049663
6 · The paper itself

Abstract

Research highlights school segregation's impact on cognitive aging for older Black adults, yet the mediating role of school quality-reflecting systemic (dis)investment in segregated schools-remains unexplored. This study included 726 community-dwelling Black adults from the Study of Healthy Aging in African Americans. Participants self-reported segregated school attendance, while administrative measures of state-level school quality (term length, percent attendance, student-teacher ratio, composite z score) were linked to their grade-specific state of residence. We estimated the extent to which associations between segregated schooling and domain-specific cognition were mediated by school quality. Sensitivity analyses examined grade-specific effects. Attending a segregated school was associated with poorer school quality (e.g., βterm-length = -1.71 [-2.52, -0.91]) and lower semantic memory (β = -0.17 [-0.32, -0.02]). The school quality composite measure mediated 30% of the overall association with semantic memory (natural indirect effect: β = -0.05 [-0.09, -0.01]; direct effect: β = -0.14 [-0.30, 0.02]). Total effect estimates were imprecise for executive function and verbal episodic memory. Our results suggest that state-level (dis)investments in school quality may be an important mechanism by which school-based segregation contributes to late-life cognitive function. Interventions that target the upstream, structural drivers of school-based segregation and related disinvestments may be important strategies for reducing cognitive aging inequities.

Indexed as

Black or African AmericanCognitionSchoolsSocial SegregationAgedAged, 80 and overFemaleHumansMalecausal mediationcognitionschool qualityschool segregation

Identifiers

PMID40663061
PMCPMC12634120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.