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Journal article
Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain Health
Public health reviews, v 45, 1606677
26 Mar 2024
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective:
Synthesize longitudinal research evaluating neighborhood environments and cognition to identify methodological approaches, findings, and gaps.
Methods:
Included studies evaluated associations between neighborhood and cognition longitudinally among adults >45 years (or mean age of 65 years) living in developed nations. We extracted data on sample characteristics, exposures, outcomes, methods, overall findings, and assessment of disparities.
Results:
Forty studies met our inclusion criteria. Most (65%) measured exposure only once and a majority focused on green space and/or blue space (water), neighborhood socioeconomic status, and recreation/physical activity facilities. Similarly, over half studied incident impairment, cognitive function or decline (70%), with one examining MRI (2.5%) or Alzheimer’s disease (7.5%). While most studies used repeated measures analysis to evaluate changes in the brain health outcome (51%), many studies did not account for any type of correlation within neighborhoods (35%). Less than half evaluated effect modification by race/ethnicity, socioeconomic status, and/or sex/gender. Evidence was mixed and dependent on exposure or outcome assessed.
Conclusion:
Although longitudinal research evaluating neighborhood and cognitive decline has expanded, gaps remain in types of exposures, outcomes, analytic approaches, and sample diversity.
Metrics
Details
- Title
- Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain Health
- Creators
- Yvonne L. Michael - Drexel University, Epidemiology and BiostatisticsAraliya M. Senerat - Drexel University, Epidemiology and BiostatisticsChanna Buxbaum - Drexel University, Epidemiology and BiostatisticsUgonwa Ezeanyagu - Drexel University, Epidemiology and BiostatisticsTimothy M. Hughes - Wake Forest UniversityKathleen M. Hayden - Wake Forest UniversityJulia Langmuir - Drexel University, Epidemiology and BiostatisticsLilah M. Besser - University of Miami HospitalBrisa Sánchez - Drexel University, Epidemiology and BiostatisticsJana A. Hirsch - Drexel University, Epidemiology and Biostatistics
- Publication Details
- Public health reviews, v 45, 1606677
- Publisher
- Frontiers Media S.A
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:001198438100001
- Scopus ID
- 2-s2.0-85189698141
- Other Identifier
- 991021866862104721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health