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Racial Segregation and Cognitive Function Among Older Adults in the United States: Findings From the Reasons for Geographic and Racial Differences in Stroke Study

Author

Listed:
  • Joy Bohyun Jang
  • Margaret T Hicken
  • Megan Mullins
  • Michael Esposito
  • Ketlyne Sol
  • Jennifer J Manly
  • Suzanne Judd
  • Virginia Wadley
  • Philippa J Clarke

Abstract

ObjectivesResidential segregation is one of the fundamental features of health disparities in the United States. Yet little research has examined how living in segregated metropolitan areas is related to cognitive function and cognitive decline with age. We examined the association between segregation at the metropolitan statistical area (MSA) level and trajectories of age-related cognitive function.MethodUsing data from Black and White older adults in the REasons for Geographic and Racial Differences in Stroke study (n = 18,913), we employed linear growth curve models to examine how living in racially segregated MSAs at baseline, measured by the degree of non-Hispanic Black (NHB) isolation and NHB dissimilarity, was associated with trajectories of age-related cognitive function and how the associations varied by race and education.ResultsLiving in MSAs with greater levels of isolation was associated with lower cognitive function (b = −0.093, p

Suggested Citation

  • Joy Bohyun Jang & Margaret T Hicken & Megan Mullins & Michael Esposito & Ketlyne Sol & Jennifer J Manly & Suzanne Judd & Virginia Wadley & Philippa J Clarke, 2022. "Racial Segregation and Cognitive Function Among Older Adults in the United States: Findings From the Reasons for Geographic and Racial Differences in Stroke Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 77(6), pages 1132-1143.
  • Handle: RePEc:oup:geronb:v:77:y:2022:i:6:p:1132-1143.
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    File URL: http://hdl.handle.net/10.1093/geronb/gbab107
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