Authors
Paris B Adkins-Jackson, Boeun Kim, César Higgins Tejera, Tiffany N Ford, Ariana N Gobaud, Kyler J Sherman-Wilkins, Indira C Turney, Justina F Avila-Rieger, Kendra D Sims, Safiyyah M Okoye, Daniel W Belsky, Tanisha G Hill-Jarrett, Laura Samuel, Gabriella Solomon, Jack H Cleeve, Gilbert Gee, Roland J Thorpe Jr, Deidra C Crews, Rachel R Hardeman, Zinzi D Bailey, Sarah L Szanton, Jennifer J Manly
Publication date
2024/4/1
Journal
Health equity
Volume
8
Issue
1
Pages
254-268
Publisher
Mary Ann Liebert, Inc., publishers
Description
Introduction: Older adults racialized as Black experience higher rates of dementia than those racialized as White. Structural racism produces socioeconomic challenges, described by artist Marvin Gaye as “hang ups, let downs, bad breaks, setbacks” that likely contribute to dementia disparities. Robust dementia literature suggests socioeconomic factors may also be key resiliencies.
Methods: We linked state-level data reflecting the racialized landscape of economic opportunity across the 20th Century from the U.S. Census (1930–2010) with individual-level data on cognitive outcomes from the U.S. Health and Retirement Study participants racialized as Black. A purposive sample of participants born after the Brown v. Board ruling (born 1954–59) were selected who completed the modified Telephone Interview for Cognitive Status between 2010 and 2020 (N=1381). We tested associations of exposure to structural …
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