{
  "abstract": "STRUCTURED ABSTRACTO_ST_ABSOBJECTIVEC_ST_ABSResearch on neighborhood context and cognitive health often relies on composite indices that collapse neighborhood socioeconomic status (SES) and aspects of the built environment into a single score. This study examined the extent to which neighborhood SES and built environment were associated with late-life cognitive impairment.\n\nMETHODParticipants were 281 predominantly Black older adults who completed the Self-Administered Gerocognitive Exam (SAGE), a brief cognitive screening measure. Participants also provided their home address to obtain four neighborhood metrics: Two composite measures of neighborhood disadvantage, the Environmental Justice Index (EJI) and the EJI Social-Environmental Rank, as well as the EJI Social Vulnerability Rank as a measure of neighborhood SES, and the EJI Environmental Burden Rank to measure exposure to hazardous aspects of the built environment.\n\nRESULTSLower neighborhood SES was associated with higher odds of cognitive impairment. In contrast, greater environmental burden was associated with lower odds of impairment, with years of education as a moderator; the association was strongest among individuals with high levels of education. The two composite scores were not associated with cognitive impairment.\n\nCONCLUSIONComposite measures of neighborhood features may obscure distinct pathways of their effects on cognition.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Psychology, The Ohio State University"
  ],
  "article_type": "PUBLISHAHEADOFPRINT",
  "arxiv": null,
  "author_total": 31,
  "authors": [
    {
      "name": "K. M. Bonta"
    },
    {
      "name": "E. Corbett"
    },
    {
      "name": "M. K. Alemu"
    },
    {
      "name": "B. D. Darge"
    },
    {
      "name": "L. K. HIlderbrand"
    },
    {
      "name": "K. A. Richardson"
    },
    {
      "name": "S. S. Ogonuwe"
    },
    {
      "name": "I. M. Blum"
    },
    {
      "name": "K. Shen"
    },
    {
      "name": "M. K. McGuire"
    },
    {
      "name": "D. H. Pandhi"
    },
    {
      "name": "L. W. Gallagher"
    },
    {
      "name": "J. M. Hunter"
    },
    {
      "affs": [
        0
      ],
      "name": "F. Grant"
    },
    {
      "name": "W. Simmons"
    },
    {
      "name": "L. Davis"
    },
    {
      "name": "P. Shields"
    },
    {
      "name": "S. Cooper"
    },
    {
      "name": "M. Rouse"
    },
    {
      "name": "K. S. Wilson-Lawson"
    },
    {
      "name": "C. Hughes-Culp"
    },
    {
      "name": "M. Howard"
    },
    {
      "name": "M. Monroe"
    },
    {
      "name": "M. Coleman"
    },
    {
      "name": "D. Leath"
    },
    {
      "name": "J. Butsch"
    },
    {
      "name": "N. Davis"
    },
    {
      "name": "J. Henry"
    },
    {
      "name": "P. Gregory"
    },
    {
      "name": "D. Scharre"
    },
    {
      "affs": [
        0
      ],
      "name": "J. G. Grant"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/d8h0kc070xq95.bib",
  "cited_by": 0,
  "doi": "10.64898/2026.10.13.26365488",
  "fulltext_url": "https://www.medrxiv.org/content/10.64898/2026.10.13.26365488v1.full",
  "id": "d8h0kc070xq95",
  "issns": [],
  "landing_url": "https://www.medrxiv.org/content/10.64898/2026.10.13.26365488v1",
  "language": null,
  "licence": "CC-BY-ND",
  "licence_label": "CC BY-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "medrxiv",
      "psychiatry and clinical psychology"
    ],
    [
      "openalex",
      "3306|Health disparities and outcomes"
    ]
  ],
  "openalex": "W7221920495",
  "pdf_url": "https://www.medrxiv.org/content/10.64898/2026.10.13.26365488v1.full.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-13",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/d8h0kc070xq95.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:58Z",
      "native_id": "10.64898/2026.10.13.26365488",
      "source": "medrxiv",
      "url": "https://www.medrxiv.org/content/10.64898/2026.10.13.26365488v2"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "medrxiv:psychiatry and clinical psychology",
      "subfield": "psychiatry"
    }
  ],
  "title": "Neighborhood socioeconomic status and environmental burden show diverging associations with cognitive impairment in community-dwelling older adults",
  "title_text": "Neighborhood socioeconomic status and environmental burden show diverging associations with cognitive impairment in community-dwelling older adults",
  "type": "preprint",
  "updated_at": "2026-10-30T12:21:00Z",
  "url": "https://research.draconitic.com/paper/d8h0kc070xq95",
  "venue": "medRxiv",
  "versions": []
}