Evidence map›Paper›PMID 40832662›Full record

ArticleLancet regional health. Americas2025

Modifiable factors associated with cognitive health trajectories among Indigenous, Hispanic, Black, and White older adults: an exploratory longitudinal panel analysis of the health and retirement study with a focus on Indigenous peoples.

Cliff Whetung, Ernest Gonzales

Abstract read
In one paragraph

Article in Lancet regional health. Americas, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. "When the Worlds Change and We Get Old": Indigenous Older Adults Reflecting on Dementia and Aging.International journal of environmental research and public health · 2026
    Article
  3. Advancing brain health equity with Indigenous peoples: A critical imperative.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  4. 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

2 authors.

Cliff WhetungUniversity of Minnesota Medical School, Duluth, MN, USA.
Ernest GonzalesNew York University, Silver School of Social Work, NY, USA.

Funding

Weathering the Storm of Cognitive Inequities: Testing the Minority Stress and Cognition Model with Indigenous Older AdultsR36AG078781 · NIA · NEW YORK UNIVERSITY · PI WHETUNG, TIMOTHY CLIFFORD · 2022 to 2023
$129k
NIA NIH HHS R36 AG078781
6 · The paper itself

Abstract

Background: Despite elevated dementia risk, cognitive health among Indigenous older adults remains understudied. This study explored how modifiable factors were associated with cognitive health among Indigenous, Black, Hispanic, and White older adults. Methods: Using longitudinal panel data from the Health and Retirement Study (2006-2020, N = 27,327), we estimated mixed effect growth curve models to examine associations between modifiable factors and total cognitive function. Findings: This diverse sample of Indigenous (1.65%), Black (11.43%), Hispanic (9.85%), and White (77.07%) older adults had a mean age of 61 (SD = 9.66) and was 52% female. Despite being younger on average (M = 59), 3% of Indigenous respondents reported memory-related diagnoses three times the overall sample rate. Linear mixed-effect growth curve analysis revealed that Indigenous and Black older adults had similar cognitive trajectories. A college education was a protective factor for initial cognitive function ( Interpretation: Despite high levels of resource deprivation, Indigenous older adults demonstrate resilience that supports cognitive health. Expanding access to education and volunteering in later life through targeted social policy may enhance cognitive outcomes in Indigenous communities for generations. Funding: This research was supported by the National Institute on Aging (R36AG078781).

Indexed as

Alaska NativeAmerican IndianCognitive healthHealth equityIndigenousNative AmericanSocial determinants of health

Identifiers

PMID40832662
PMCPMC12359267

What OpenQuestion holds

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Registered trials

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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.