A Scoping Review of Neighborhoods and Cognitive Health Disparities Among US Midlife and Older Adults

J Aging Health. 2024 Mar;36(3-4):257-270. doi: 10.1177/08982643231185379. Epub 2023 Jun 23.

Abstract

Objectives: The neighborhood environment may be an important determinant of racial/ethnic disparities in cognitive function. To understand how neighborhoods are linked to cognition across racial/ethnic groups, this scoping review organizes research investigating relationships between multiple neighborhood domains and cognitive function in diverse samples of US midlife and older adults. Methods: PubMed/MEDLINE, Web of Science, and CAHL were used to extract quantitative disparities-focused studies (n = 17) that included US adults ages 50+, racial/ethnic minoritized populations, cognitive dependent variable(s), and neighborhood-level independent variable(s) published from January 2010 to October 2021. Results: Studies demonstrate variation within and between racial/ethnic groups in how neighborhood factors are associated with cognition. Economically and socially advantaged neighborhoods were associated with better cognition. Findings were mixed for built and neighborhood composition measures. Discussion: More research with greater racial/ethnic representation is needed to disentangle which aspects of the neighborhood are most salient for specific cognitive function domains across diverse populations.

Keywords: cognition; neighborhoods; racial/ethnic disparities.

Publication types

  • Review

MeSH terms

  • Aged
  • Cognition*
  • Health Inequities
  • Humans
  • Racial Groups*
  • Residence Characteristics