The role of social and behavioral risk factors in explaining racial disparities in age-related cognitive impairment: a structured narrative review

Rachel L. Peterson; Mindy J. Fain; Emily A. Butler; John E. Ehiri; Scott C. Carvajal

doi:10.1080/13825585.2019.1598539

The role of social and behavioral risk factors in explaining racial disparities in age-related cognitive impairment: a structured narrative review

Rachel L. Peterson, Mindy J. Fain, Emily A. Butler, John E. Ehiri, Scott C. Carvajal

Public and Community Health Sciences

Research output: Contribution to journal › Review article › peer-review

19 Scopus citations

Abstract

Alzheimer’s disease (AD) is a growing public health concern with large disparities in incidence and prevalence between African Americans (AAs) and non-Hispanic whites (NHWs). The aim of this review was to examine the evidence of association between six modifiable risk factors (education, smoking, physical inactivity, obesity, social isolation, and psychosocial stress) and Alzheimer’s disease risk in AAs and NHWs. We identified 3,437 studies; 45 met inclusion criteria and were included in this review. Of the examined risks, education provided the strongest evidence of association with cognitive outcomes in AAs and NHWs. This factor may operate directly on Alzheimer’s disease risk through the neurocognitive benefits of cognitive stimulation or indirectly through social status.

Original language	English
Pages (from-to)	173-196
Number of pages	24
Journal	Aging, Neuropsychology, and Cognition
Volume	27
Issue number	2
DOIs	https://doi.org/10.1080/13825585.2019.1598539
State	Published - Mar 3 2020

Keywords

African American
Alzheimer’s disease
cognitive decline
disparities
education

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1080/13825585.2019.1598539

Cite this

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title = "The role of social and behavioral risk factors in explaining racial disparities in age-related cognitive impairment: a structured narrative review",

abstract = "Alzheimer{\textquoteright}s disease (AD) is a growing public health concern with large disparities in incidence and prevalence between African Americans (AAs) and non-Hispanic whites (NHWs). The aim of this review was to examine the evidence of association between six modifiable risk factors (education, smoking, physical inactivity, obesity, social isolation, and psychosocial stress) and Alzheimer{\textquoteright}s disease risk in AAs and NHWs. We identified 3,437 studies; 45 met inclusion criteria and were included in this review. Of the examined risks, education provided the strongest evidence of association with cognitive outcomes in AAs and NHWs. This factor may operate directly on Alzheimer{\textquoteright}s disease risk through the neurocognitive benefits of cognitive stimulation or indirectly through social status.",

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AU - Ehiri, John E.

AU - Carvajal, Scott C.

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AB - Alzheimer’s disease (AD) is a growing public health concern with large disparities in incidence and prevalence between African Americans (AAs) and non-Hispanic whites (NHWs). The aim of this review was to examine the evidence of association between six modifiable risk factors (education, smoking, physical inactivity, obesity, social isolation, and psychosocial stress) and Alzheimer’s disease risk in AAs and NHWs. We identified 3,437 studies; 45 met inclusion criteria and were included in this review. Of the examined risks, education provided the strongest evidence of association with cognitive outcomes in AAs and NHWs. This factor may operate directly on Alzheimer’s disease risk through the neurocognitive benefits of cognitive stimulation or indirectly through social status.

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The role of social and behavioral risk factors in explaining racial disparities in age-related cognitive impairment: a structured narrative review

Abstract

Keywords

UN SDGs

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