Journal article
Spatial scale effects on associations between built environment and cognitive function: Multi-Ethnic Study of Atherosclerosis
Health & place, v 86, 103181
09 Feb 2024
PMID: 38340497
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Built environments have the potential to favorably support cognitive function. Despite growing work on this topic, most of the work has ignored variation in the spatial scale of the effect. The issue with spatial scale effects is that the size and shape of the areal unit within which built environment characteristics are measured naturally influence the built environment exposure metric and thus the estimated associations with health. We used spatial distributed lag modeling (DLM) to estimate how associations between built environment exposures (walkable destinations [WD], social destinations [SD]) and change in cognition varied across distance of these destinations from participants' residences. Cognition was assessed as maintained/improved processing speed (PS) and global cognition (GC). Person-level data from Exam 5 (2010-2012) and Exam 6 (2016-2018) of the Multi-Ethnic Study of Atherosclerosis was used (N = 1380, mean age 67). Built environment data were derived from the National Establishment Time Series. Higher availability of walkable and social destinations at closer distance from participants' residence was associated with maintained/improved PS. The adjusted associations between maintained/improved PS and destinations waned with increasing distance from the residence; associations were evident until approximately 1.9-km for WD and 1.5-km for SD. Associations were most apparent for participants living in areas with high population density. We found little evidence for associations between change in GC and built environment at any distance. These results highlight the importance of identifying appropriate spatial scale to understand the mechanisms for built environment-cognition associations.
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Details
- Title
- Spatial scale effects on associations between built environment and cognitive function: Multi-Ethnic Study of Atherosclerosis
- Creators
- Jingjing Li - China University of GeosciencesJana A Hirsch - Drexel University, Urban Health CollaborativeYvonne L Michael - Drexel University, Urban Health CollaborativeLilah M Besser - University of MiamiAmy H Auchincloss - Drexel University, Urban Health CollaborativeTimothy M Hughes - Wake Forest UniversityBrisa N Sánchez - Drexel University, Urban Health Collaborative
- Publication Details
- Health & place, v 86, 103181
- Publisher
- Elsevier
- Grant note
- MESA Neighborhoods is supported by the National Heart, Lung, and Blood Institute (R01HL071759), the National Institute on Aging (R01AG072634). Novel methods for neighborhoods research is supported by the National Heart, Lung, and Blood institute (R01HL131610). MESA MIND is supported by the National Institute of Aging (R01AG058969).
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:001184450100001
- Scopus ID
- 2-s2.0-85184590435
- Other Identifier
- 991021852271804721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health