Subsidized senior housing and cognitive function: a moderated mediation model of social engagement and neighborhood cohesion.

Background and Objectives Subsidized senior housing (SSH) is widely valued for its affordability and housing stability, yet its potential social benefits, particularly for cognitive health, remain underexplored. Although congregate or shared housing environments are often theorized or presumed to fo...

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Publicado en:Gerontologist Vol. 66; no. 7; pp. 1 - 13
Autores principales: Park, Sojung, Jeon, Gyeahyung, Kwon, Eunsun, Kang, Ji Young
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Subsidized senior housing and cognitive function: a moderated mediation model of social engagement and neighborhood cohesion.
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          Park, Sojung
          Jeon, Gyeahyung
          Kwon, Eunsun
          Kang, Ji Young
        affil:
          Brown School, Washington University in St. Louis, St. Louis, Missouri, United States
          Department of Social Studies Education, Korea National University of Education, Cheongju-si, Chungbuk, South Korea
          Master of Social Work Program, College of Pharmacy and Health Sciences, Fairleigh Dickinson University, Florham Park, New Jersey, United States
          Department of Social Welfare, Chungnam National University, Daejeon-si, Chungnam, South Korea
      su:
        United States
        Public housing
        Income
        Executive function
        Senior housing
        Memory
        Social participation
        Poverty
        Boosting algorithms
        Cognitive testing
        Independent living
        Sample size (Statistics)
        Descriptive statistics
        Longitudinal method
        Research methodology
        Factor analysis
        Confidence intervals
        Data analysis software
        Neighborhood characteristics
        Nonparametric statistics
        Regression analysis
      sug:
        subj:
          Public housing
          Income
          Executive function
          Senior housing
          Memory
          Social participation
          Poverty
          United States
          Lessors of social housing projects
          Assisted Living Facilities for the Elderly
          Boosting algorithms
          Cognitive testing
          Independent living
          Sample size (Statistics)
          Descriptive statistics
          Longitudinal method
          Research methodology
          Factor analysis
          Confidence intervals
          Data analysis software
          Neighborhood characteristics
          Nonparametric statistics
          Regression analysis
      keyword:
        Aging in place
        cognitive ability
        Cognitive function
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        housing
        https://dx.doi.org/10.1093/geront/gnag075
        inLanguage:en
        internship and residency
        mental processes
        neighborhood
        Neighborhood cohesion
        publisher:Oxford University Press
        Quasi-experimental design
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42054592/
        social engagement
        Subsidized senior housing
        Aging in place
        cognitive ability
        Cognitive function
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        housing
        https://dx.doi.org/10.1093/geront/gnag075
        inLanguage:en
        internship and residency
        mental processes
        neighborhood
        Neighborhood cohesion
        publisher:Oxford University Press
        Quasi-experimental design
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42054592/
        social engagement
        Subsidized senior housing
      ab: Background and Objectives Subsidized senior housing (SSH) is widely valued for its affordability and housing stability, yet its potential social benefits, particularly for cognitive health, remain underexplored. Although congregate or shared housing environments are often theorized or presumed to foster social engagement and well-being, empirical evidence remains limited, especially from longitudinal, quasi-experimental studies in the context of subsidized senior housing. This study examines whether social engagement mediates the association between SSH residency and cognitive function, and whether this indirect pathway varies by neighborhood cohesion. Research Design and Methods We analyzed five Waves (2015–2019) of the National Health and Aging Trends Study (NHATS) using a quasi-experimental design with propensity score weighting to compare low-income older adults residing in SSH with demographically comparable peers in traditional unsubsidized housing. Weighted random-effects panel regression models with wave fixed effects and individual-clustered standard errors were used to estimate a moderated mediation model. Results Older adults residing in SSH reported higher levels of social engagement than matched controls. Higher engagement was positively associated with cognitive function. The indirect association between SSH residency and cognitive function via social engagement was observed in high-cohesion neighborhoods but not in low-cohesion contexts. No direct association between SSH residency and cognitive function was found. Discussion and Implications These findings provide a rigorous longitudinal test of a commonly assumed but rarely examined pathway linking subsidized senior housing to cognitive outcomes. Results suggest that SSH may function as a socially embedded residential context associated with cognitive health through engagement, particularly where neighborhood cohesion is strong.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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