Authors
Paris AJ Adkins‐Jackson, Boeun Kim, Justina F Avila, Cesar Higgins, Zinzi D Bailey, Tiffany N Ford, Jinshil Hyun, Daniel W Belsky, Dominika Seblova, Indira C Turney, Tanisha G Hill‐Jarrett, Safiyyah M Okoye, Rachel R Hardeman, Meies‐Amor Blagburn Matz, Gilbert Gee, Sarah L Szanton, Jennifer J Manly
Publication date
2023/12
Journal
Alzheimer's & Dementia
Volume
19
Pages
e079966
Description
Background
Structural racism has concentrated Americans racialized as Black in under‐resourced and disinvested neighborhoods. These same Americans experience higher rates of Alzheimer’s disease and related dementias (ADRD). Differences in socioeconomic opportunities structured by racism is a potential contributor to ADRD disparities. To investigate this hypothesis, we tested how life‐course exposure to area‐level measures of structural racism relate to late‐life cognitive test performance.
Method
We computed the Black‐White disparity in land ownership and value, residential and occupational segregation, and income, employment, and poverty at the county‐level using US Census data from 1930‐2010. We aggregated these data to the state‐level then created four unidimensional measures by life‐course period (Before‐Birth 1930‐50, Childhood 1960‐70, Adulthood 1980‐2000, Midlife 2010). We …
Scholar articles
PAJ Adkins‐Jackson, B Kim, JF Avila, C Higgins… - Alzheimer's & Dementia, 2023