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Biopsychosocial pathways in dementia inequalities: Introduction to the Michigan Cognitive Aging Project.


ABSTRACT: Racial/ethnic inequalities in dementia risk are a major public health and health justice concern. Group differences that persist despite adjustment for socioeconomic and vascular indicators suggest that known dementia risk factors exhibit differential impact across race/ethnicity and/or there are unrecognized dementia risk factors that are racially patterned. This article provides targeted examples of both of these possibilities. First, depressive symptoms and white matter hyperintensities represent two known dementia risk factors that more strongly relate to negative cognitive outcomes among Black older adults than Whites, pointing to the need to consider contextual factors. Second, racial discrimination and external perceived control predict worse brain and cognitive aging above and beyo

SUBMITTER: Zahodne LB 

PROVIDER: S-EPMC9205325 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature