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Neighborhood Deprivation, Individual Socioeconomic Status, and Cognitive Function in Older People: Analyses from the English Longitudinal Study of Ageing

dc.contributor.authorLang, Iain A.en_US
dc.contributor.authorLlewellyn, David J.en_US
dc.contributor.authorLanga, Kenneth M.en_US
dc.contributor.authorWallace, Robert B.en_US
dc.contributor.authorHuppert, Felicia A.en_US
dc.contributor.authorMelzer, Daviden_US
dc.date.accessioned2010-04-01T15:43:36Z
dc.date.available2010-04-01T15:43:36Z
dc.date.issued2008-02en_US
dc.identifier.citationLang, Iain A.; Llewellyn, David J.; Langa, Kenneth M.; Wallace, Robert B.; Huppert, Felicia A.; Melzer, David (2008). "Neighborhood Deprivation, Individual Socioeconomic Status, and Cognitive Function in Older People: Analyses from the English Longitudinal Study of Ageing." Journal of the American Geriatrics Society 56(2): 191-198. <http://hdl.handle.net/2027.42/66217>en_US
dc.identifier.issn0002-8614en_US
dc.identifier.issn1532-5415en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/66217
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18179489&dopt=citationen_US
dc.description.abstractTo assess the relationship between cognitive function, socioeconomic status, and neighborhood deprivation (lack of local resources of all types, financial and otherwise). DESIGN : Nationally representative cross-section. SETTING : The English Longitudinal Study of Ageing (ELSA). PARTICIPANTS : Seven thousand one hundred twenty-six community-dwelling individuals aged 52 and older and resident in urban areas. MEASUREMENTS : Individual cognitive function score and index of multiple deprivation (IMD) at the Super Output Area level, adjusting for health, lifestyle, and sociodemographic confounders. Analyses were conducted separately according to sex and age group (52–69 and ≥70). RESULTS : IMD affected cognitive function independent of the effects of education and socioeconomic status. For example, in fully adjusted models, women aged 70 and older had a standardized cognitive function score ( z -score) that was 0.20 points (95% confidence interval (CI)=0.01–0.39) lower in the bottom 20% of wealth than the top 20%, 0.44 points (95% CI=0.20–0.69) lower in the least-educated group than in the most educated, and 0.31 points (95% CI 0.15–0.48) lower if resident lived in an area in the bottom 20% of IMD than in the top 20%. CONCLUSION : In community-based older people in urban neighborhoods, neighborhood deprivation—living in a neighborhood with high levels of deprivation, compared with national levels—is associated with cognitive function independent of individual socioeconomic circumstances. The mechanisms underlying this relationship are unclear and warrant further investigation.en_US
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dc.format.extent3110 bytes
dc.format.mimetypeapplication/pdf
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dc.publisherBlackwell Publishing Incen_US
dc.rights© 2008, The American Geriatrics Societyen_US
dc.subject.otherDeprivationen_US
dc.subject.otherEducationen_US
dc.subject.otherSocioeconomic Statusen_US
dc.subject.otherCognitive Functionen_US
dc.subject.otherCognitionen_US
dc.titleNeighborhood Deprivation, Individual Socioeconomic Status, and Cognitive Function in Older People: Analyses from the English Longitudinal Study of Ageingen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelGeriatricsen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumUniversity of Michigan and Veterans Affairs Center for Practice Management and Outcomes Research, Ann Arbor, Michigan ;en_US
dc.contributor.affiliationotherEpidemiology and Public Health Group, Peninsula Medical School, Exeter, United Kingdom ;en_US
dc.contributor.affiliationotherInstitute of Public Health, University of Cambridge, Cambridge, United Kingdom ;en_US
dc.contributor.affiliationotherCollege of Public Health, University of Iowa, Iowa City, Iowa ;en_US
dc.contributor.affiliationotherDepartment of Psychiatry, University of Cambridge, Cambridge, United Kingdomen_US
dc.identifier.pmid18179489en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/66217/1/j.1532-5415.2007.01557.x.pdf
dc.identifier.doi10.1111/j.1532-5415.2007.01557.xen_US
dc.identifier.sourceJournal of the American Geriatrics Societyen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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