Evidence map›Paper›PMID 43020845›Full record

ReviewNature aging2026

Social determinants of health and the exposome shape aging and dementia across global populations.

Joaquin Migeot, Natalia Vilor-Tejedor, Sol Fittipaldi, Tavia E Evans, Eileen M Crimmins, Olivia Wen, Arcadi Navarro, Arline T Geronimus, Terrie Edith Moffitt, Carol Brayne and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Joaquin MigeotLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago, Chile.ORCID http://orcid.org/0000-0003-0647-5632
Natalia Vilor-TejedorInstitute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands.ORCID http://orcid.org/0000-0003-4935-6721
Sol FittipaldiGlobal Brain Health Institute (GBHI), Trinity College Dublin, Dublin, Ireland.ORCID http://orcid.org/0000-0001-7704-3349
Tavia E EvansGlobal Brain Health Institute (GBHI), Trinity College Dublin, Dublin, Ireland.
Eileen M CrimminsDavis School of Gerontology, University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0001-5459-5239
Olivia WenLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago, Chile.
Arcadi NavarroBarcelonaBeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain.
Arline T GeronimusDepartment of Health Behavior and Health Equity, University of Michigan, Ann Arbor, MI, USA.
Terrie Edith MoffittDepartment of Psychology and Neuroscience, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-8589-6760
Carol BrayneCambridge Public Health, University of Cambridge, Cambridge, UK.
Kristine YaffeUCSF School of Medicine, San Francisco, CA, USA.
Agustin IbanezLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago, Chile. agustin.ibanez@gbhi.org.ORCID http://orcid.org/0000-0001-6758-5101

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Social determinants of health, the conditions in which people are born, grow, live, work and age, shape brain aging and dementia. Yet evidence is dominated by Global North populations and often relies on single indicators (for example, education or income), limiting risk characterization and generalizability across settings. This Perspective provides a global, integrative overview of multidimensional, multilevel and life-course approaches to social determinants of health and exposome research in brain health. We examine composite indices and social-exposomal factors, their need for harmonization, contextual adaptation and local validation, and biological embedding through stress-related, inflammatory, metabolic, vascular and epigenetic pathways. We also discuss interactions with genetic susceptibility and the analytical challenges of modeling cumulative, time-varying and nonlinear exposures. These advances require feasible, policy-relevant implementation in resource-constrained settings. Moving beyond static, single-domain proxies towards context-sensitive measures and multilevel designs can improve risk characterization and support more equitable, globally relevant strategies for dementia prevention and precision public health.

Indexed as

AgingDementiaExposomeSocial Determinants of HealthGlobal HealthHumansRisk FactorsSocioeconomic Disparities in Health

Identifiers

What OpenQuestion holds

Textmetadata
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.