Urbanicity and cognitive functioning in later life.

TitleUrbanicity and cognitive functioning in later life.
Publication TypeJournal Article
Year of Publication2023
AuthorsLawrence, E, John, SE, Bhatta, T
JournalAlzheimers Dement (Amst)
ISSN Number2352-8729

INTRODUCTION: Prior research has shown disparities in cognitive functioning across the rural-urban continuum. We examine individual- and contextual-level factors to understand how and why urbanicity shapes cognitive functioning across older adulthood.

METHODS: Using a nationally representative sample from 1996 to 2016 waves of the Health and Retirement Study (HRS) and growth curve models, we assess urban-suburban-exurban differences in older adult cognitive functioning.

RESULTS: Results demonstrate that older adult men and women living in exurban areas, and older adult men in suburban areas, have lower cognitive functioning scores compared to their urban peers. Educational attainment and marital status contribute to but do not fully explain these differences. There were no differences in the trajectory over age, suggesting that urbanicity disparities in cognition occur earlier in life, with average differences remaining the same across older adulthood.

DISCUSSION: Differences in cognitive functioning across urbanicity are likely due to factors accumulating prior to older adulthood.

Citation Key13277
PubMed ID37124156
PubMed Central IDPMC10130675
Grant ListR24 AG045061 / AG / NIA NIH HHS / United States