Lifecourse socioeconomic status and subjective cognitive decline among diverse older adults.

Objectives Lifecourse socioeconomic conditions are important determinants of age-related cognitive decline and dementia. We extend this research by examining whether these associations hold for subjective cognitive decline (SCD), an early marker that may reflect dementia risk across socioeconomic co...

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Publicado en:Journals of Gerontology Series B: Psychological Sciences & Social Sciences Vol. 81; no. 8; pp. 1 - 14
Autores principales: Chen, Nancy X, Peterson, Rachel L, Colbeth, Hilary L, Barnes, Lisa L, Corrada, Maria M, Gilsanz, Paola, Mungas, Dan, Whitmer, Rachel A, Farias, Sarah Tomaszewski
Formato: Artículo
Publicado: Oxford University Press / USA Aug2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
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        10.1093/geronb/gbag107
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        atl: Lifecourse socioeconomic status and subjective cognitive decline among diverse older adults.
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        au:
          Chen, Nancy X
          Peterson, Rachel L
          Colbeth, Hilary L
          Barnes, Lisa L
          Corrada, Maria M
          Gilsanz, Paola
          Mungas, Dan
          Whitmer, Rachel A
          Farias, Sarah Tomaszewski
        affil:
          Department of Neurology, University of California, Davis, Sacramento, California, United States
          School of Public and Community Health Sciences, University of Montana, Missoula, Montana, United States
          Department of Public Health Sciences, University of California, Davis, Sacramento, California, United States
          Department of Neurological Sciences, Rush University, Chicago, Illinois, United States
          Department of Neurology, University of California, Irvine, Irvine, California, United States
          Division of Research, Kaiser Permanente Northern California, Pleasanton, California, United States
      su:
        Social capital
        Social determinants of health
        Socioeconomic factors
        Health equity
        Social classes
        Mental depression
        Old age
        Dementia risk factors
        Cognition disorder risk factors
        Risk assessment
        Research funding
        Descriptive statistics
        Factor analysis
        Confidence intervals
        Cognitive aging
      sug:
        subj:
          Social capital
          Social determinants of health
          Socioeconomic factors
          Health equity
          Social classes
          Mental depression
          Old age
          Dementia risk factors
          Cognition disorder risk factors
          Risk assessment
          Research funding
          Descriptive statistics
          Factor analysis
          Confidence intervals
          Cognitive aging
      keyword:
        aged
        child
        cognition
        cognitive aging
        cognitive impairment
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        dementia
        Depression
        depressive disorders
        eastern cooperative oncology group
        electrocorticogram
        ethnic group
        gender
        Health disparities
        https://dx.doi.org/10.1093/geronb/gbag107
        inLanguage:en
        limbic-predominant age-related tdp-43 encephalopathy
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42289977/
        social capital
        socioeconomic factors
        Subjective cognitive concerns
        aged
        child
        cognition
        cognitive aging
        cognitive impairment
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        dementia
        Depression
        depressive disorders
        eastern cooperative oncology group
        electrocorticogram
        ethnic group
        gender
        Health disparities
        https://dx.doi.org/10.1093/geronb/gbag107
        inLanguage:en
        limbic-predominant age-related tdp-43 encephalopathy
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42289977/
        social capital
        socioeconomic factors
        Subjective cognitive concerns
      ab: Objectives Lifecourse socioeconomic conditions are important determinants of age-related cognitive decline and dementia. We extend this research by examining whether these associations hold for subjective cognitive decline (SCD), an early marker that may reflect dementia risk across socioeconomic contexts. Methods In 2 multiethnic older-adult cohorts of long-term Kaiser Permanente Northern California members without prior dementia, we constructed dichotomous measures of financial, social, and cultural capital in childhood and late life. SCD was measured using the psychometrically validated Everyday Cognition 12-item scale (ECog-12). Generalized linear models estimated associations of each lifecourse socioeconomic status (SES) measure with SCD in the entire sample and stratified by sex/gender and race/ethnicity. Causal mediation analyses explored whether depressive symptoms (PROMIS Depression) mediated findings. All models adjusted for age, and moderation models adjusted for sex/gender or race/ethnicity. Results Low childhood (b  = 0.098, 95% CI: 0.056, 0.140) and late-life (b  = 0.080, 95% CI: 0.051, 0.110) financial capital, low childhood (b  = 0.054, 95% CI: 0.023, 0.085) and late-life social capital (b  = 0.062, 95% CI: 0.018, 0.107), and low late-life (b  = 0.068, 95% CI: 0.030, 0.106) cultural capital were each independently associated with greater SCD. Low late-life cultural capital had the strongest negative impact among Black participants (b  = 0.143, 95% CI: 0.085, 0.202). Depressive symptoms partially mediated associations of childhood and late-life financial and social capital with SCD, accounting for approximately 34%–64% of the associations. Discussion Multiple aspects of lifecourse SES contribute to SCD, with variation by sex/gender and race/ethnicity in lifecourse cultural capital. Depression may be a key pathway linking lifecourse SES disadvantage to SCD.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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