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Journal article
Foreclosure, memory decline, and dementia probability: A longitudinal cohort study
Alzheimer's & dementia, Vol.20(9), pp.6517-6526
29 Jul 2024
PMCID: 11497684
PMID: 39072906
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
INTRODUCTION
Housing insecurity is rising among older adults; health researchers know little about how this may impact their cognitive health. We investigated links between foreclosure and older adults’ memory and probability of dementia.
METHODS
Using the Health and Retirement Study (2008 to 2018), we fit mixed models comparing the memory and dementia probability scores of 249 older adults who experienced foreclosure (treated) with 15,645 who did not. Baseline covariates included sociodemographics, health, and cognition. Models were stratified by age group.
RESULTS
Foreclosure was associated with faster memory decline among middle‐aged (50 to 64) older adults (−0.007 standard deviations/year, 95% confidence interval: −0.13, −0.001). Compared to average memory decline among middle‐aged older adults who were stably housed, foreclosure equated to 3.7 additional years of aging over 10 years. Among those 65+, differences between those who were and were not foreclosed upon were short‐lived and less clear, potentially driven by depletion‐of‐susceptibles bias.
DISCUSSION
Foreclosure may endanger older adults’ memory. Highlights Housing instability is a key determinant of cognitive aging. We examined foreclosure and levels and changes in memory and dementia probability scores in the US older adult population. Foreclosure was associated with faster memory decline among middle‐aged (50 to 64) older adults, equivalent to 3.7 additional years of cognitive aging over 10 years. Foreclosure yielded sharp memory declines and increases in dementia probability among older adults 65 and above. Foreclosure imposes a greater risk for older adults’ cognitive decline.
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Details
- Title
- Foreclosure, memory decline, and dementia probability: A longitudinal cohort study
- Creators
- Min Hee Kim - University of California, San FranciscoGabriel L. Schwartz - Drexel University
- Publication Details
- Alzheimer's & dementia, Vol.20(9), pp.6517-6526
- Publisher
- WILEY
- Number of pages
- 10
- Grant note
- National Institute on Aging: K99AG078405 Drexel FIRST Program (NIH): U54CA267735-03
We would like to thank Dr. M. Maria Glymour, Dr. Rita Hamad, and members of their labs for their constructive feedback on earlier versions of this paper. MHK received a career development award from the National Institute on Aging (K99AG078405). GLS was supported by the Drexel FIRST Program (NIH Grant No. U54CA267735-03).
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Identifiers
- 991021894525004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology