Neighborhood Psychosocial Hazards and the Association of Cumulative Lead Dose With Cognitive Function in Older Adults

Glass, Thomas A.; Bandeen‐Roche, Karen; McAtee, Matthew J.; Bolla, Karen I.; Todd, Andrew C.; Schwartz, Brian S.

doi:10.1093/aje/kwn390

Cited by 66 publications

(52 citation statements)

References 54 publications

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“…This scale is well established; it has been described and used in previous literature to represent neighborhood-level exposures to psychosocial hazards in this same study population, and has been shown to have both main effects with health outcomes and exhibit effect modification of other exposures in their relation with health outcomes in prior analyses. 50,64 …”

Section: Strengthsmentioning

confidence: 99%

Neighborhood Psychosocial Hazards and Binge Drinking among Late Middle-Aged Adults

et al. 2013

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Older adults may be more vulnerable to negative health effects from alcohol as they age. Distress and adverse neighborhood conditions that provoke distress may influence drinking behavior. Using baseline data from the Baltimore Memory Study, a cohort study of adults aged 50-70 years living in 65 Baltimore City neighborhoods, we investigated the association between neighborhood psychosocial hazards (NPH) and the number of binge drinking days in the past month among non-abstainers (N0645). We used negative binomial regression with generalized estimating equations to estimate the relative number of binge drinking days per month associated with a one standard deviation increase in NPH score. Residing in neighborhoods with more psychosocial hazards was independently associated with more binge drinking for females, but not for males. For females, each one standard deviation increase in NPH score was associated with a 1.52 relative risk of binge drinking (95 % confidence interval, 1.10, 2. 10) in the adjusted model. The findings were robust to a sensitivity analysis in which we used the average number of drinks per drinking occasion as an alternative outcome. Our findings provide evidence linking adverse neighborhood conditions with alcohol consumption in non-abstaining late middle-aged women, and suggest that late middle-aged men and women may have different reactions to adverse residential neighborhoods.

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Section: Strengthsmentioning

confidence: 99%

Neighborhood Psychosocial Hazards and Binge Drinking among Late Middle-Aged Adults

et al. 2013

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“…Shaw and McKay (1969), Burgess (1925), Suttles (1968), and others developed theory and methods to characterize neighborhood context and construct neighborhood boundaries. Contemporary elaborations to these foundational theories have led to a resurgence in research that examines the links between neighborhood and educational attainment, criminal activity, risky behavior, and, our focus here, health (DeLuca & Dayton, 2009;Glass et al, 2009;Maimon & Browning, 2010;Moore, Roux, Nettleton, Jacobs, & Franco, 2009;Votruba & Kling, 2009). Attribution for growing interest in this area often rests on methodological advancements, such as hierarchical linear modeling (HLM) or geographic information systems (GIS), which allow for a more advanced treatment of multiple levels of infl uence and exacting depictions of physical space (Raudenbush & Bryk, 2002).…”

Section: Theory Of Neighborhood Contextmentioning

confidence: 99%

Neighborhoods and Health in Later Life: The Intersection of Biology and Community

Cagney¹,

Cornwell²

2010

annu rev gerontol geriatr

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Increasing urbanization coupled with population aging suggests that the neighborhood context in which people grow old may shape their health, longevity, and well-being. In this chapter, we examine the neighborhood-health relationship within the context of age and aging. We summarize the literature on neighborhoods and health, lay out a set of theories that inform the study of neighborhood structural and social process factors, and suggest two promising new directions in research on neighborhoods, aging, and health: (1) study of neighborhoods and households as nested contexts and (2) the examination of biomarkers in large-scale social surveys that include a geographic component. These two pursuits illustrate the additional potential of neighborhood-based research in gerontology and geriatric research.

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“…Yet, there is little empirical research examining neighborhood social stressors as a vulnerability factor in the relationship between environmental hazards and cognitive function. One prior study found that living in stressful neighborhoods amplified the adverse influence of environmental lead exposure on cognitive function (Glass et al, 2009). To our knowledge, however, no study to date has examined whether the relationship between air pollution and cognitive function is stronger among those living in more stressful neighborhoods.…”

Section: Introductionmentioning

confidence: 99%

Neighborhood social stressors, fine particulate matter air pollution, and cognitive function among older U.S. adults

Ailshire

Karraker

Clarke

2017

Social Science & Medicine

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A growing number of studies have found a link between outdoor air pollution and cognitive function among older adults. Psychosocial stress is considered an important factor determining differential susceptibility to environmental hazards and older adults living in stressful neighborhoods may be particularly vulnerable to the adverse health effects of exposure to hazards such as air pollution. The objective of this study is to determine if neighborhood social stress amplifies the association between fine particulate matter air pollution (PM2.5) and poor cognitive function in older, community-dwelling adults. We use data on 779 U.S. adults ages 55 and older from the 2001/2002 wave of the Americans’ Changing Lives study. We determined annual average PM2.5 concentration in 2001 in the area of residence by linking respondents with EPA air monitoring data using census tract identifiers. Cognitive function was measured using the number of errors on the Short Portable Mental Status Questionnaire (SPMSQ). Exposure to neighborhood social stressors was measured using perceptions of disorder and decay and included subjective evaluations of neighborhood upkeep and the presence of deteriorating/abandoned buildings, trash, and empty lots. We used negative binomial regression to examine the interaction of neighborhood perceived stress and PM2.5 on the count of errors on the cognitive function assessment. We found that the association between PM2.5 and cognitive errors was stronger among older adults living in high stress neighborhoods. These findings support recent theoretical developments in environmental health and health disparities research emphasizing the synergistic effects of neighborhood social stressors and environmental hazards on residents’ health. Those living in socioeconomically disadvantaged neighborhoods, where social stressors and environmental hazards are more common, may be particularly susceptible to adverse health effects of social and physical environmental exposures.

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Neighborhood Psychosocial Hazards and the Association of Cumulative Lead Dose With Cognitive Function in Older Adults

Cited by 66 publications

References 54 publications

Neighborhood Psychosocial Hazards and Binge Drinking among Late Middle-Aged Adults

Neighborhood Psychosocial Hazards and Binge Drinking among Late Middle-Aged Adults

Neighborhoods and Health in Later Life: The Intersection of Biology and Community

Neighborhood social stressors, fine particulate matter air pollution, and cognitive function among older U.S. adults

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