Operationalizing Social Environments in Cognitive Aging and Dementia Research: A Scoping Review.
social context
social ecological model
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
04 07 2021
04 07 2021
Historique:
received:
14
05
2021
revised:
29
06
2021
accepted:
30
06
2021
entrez:
20
7
2021
pubmed:
21
7
2021
medline:
3
8
2021
Statut:
epublish
Résumé
Social environments are a contributing determinant of health and disparities. This scoping review details how social environments have been operationalized in observational studies of cognitive aging and dementia. A systematic search in PubMed and Web of Science identified studies of social environment exposures and late-life cognition/dementia outcomes. Data were extracted on (1) study design; (2) population; (3) social environment(s); (4) cognitive outcome(s); (5) analytic approach; and (6) theorized causal pathways. Studies were organized using a 3-tiered social ecological model at interpersonal, community, or policy levels. Of 7802 non-duplicated articles, 123 studies met inclusion criteria. Eighty-four studies were longitudinal (range 1-28 years) and 16 examined time-varying social environments. When sorted into social ecological levels, 91 studies examined the interpersonal level; 37 examined the community/neighborhood level; 3 examined policy level social environments; and 7 studies examined more than one level. Most studies of social environments and cognitive aging and dementia examined interpersonal factors measured at a single point in time. Few assessed time-varying social environmental factors or considered multiple social ecological levels. Future studies can help clarify opportunities for intervention by delineating if, when, and how social environments shape late-life cognitive aging and dementia outcomes.
Sections du résumé
BACKGROUND
Social environments are a contributing determinant of health and disparities. This scoping review details how social environments have been operationalized in observational studies of cognitive aging and dementia.
METHODS
A systematic search in PubMed and Web of Science identified studies of social environment exposures and late-life cognition/dementia outcomes. Data were extracted on (1) study design; (2) population; (3) social environment(s); (4) cognitive outcome(s); (5) analytic approach; and (6) theorized causal pathways. Studies were organized using a 3-tiered social ecological model at interpersonal, community, or policy levels.
RESULTS
Of 7802 non-duplicated articles, 123 studies met inclusion criteria. Eighty-four studies were longitudinal (range 1-28 years) and 16 examined time-varying social environments. When sorted into social ecological levels, 91 studies examined the interpersonal level; 37 examined the community/neighborhood level; 3 examined policy level social environments; and 7 studies examined more than one level.
CONCLUSIONS
Most studies of social environments and cognitive aging and dementia examined interpersonal factors measured at a single point in time. Few assessed time-varying social environmental factors or considered multiple social ecological levels. Future studies can help clarify opportunities for intervention by delineating if, when, and how social environments shape late-life cognitive aging and dementia outcomes.
Identifiants
pubmed: 34281103
pii: ijerph18137166
doi: 10.3390/ijerph18137166
pmc: PMC8296955
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NIA NIH HHS
ID : K01AG063895
Pays : United States
Organisme : NIA NIH HHS
ID : 1RF1AG052132
Pays : United States
Organisme : NIA NIH HHS
ID : R01AG067525
Pays : United States
Organisme : NIA NIH HHS
ID : R01AG070883
Pays : United States
Organisme : NIA NIH HHS
ID : RF1AG057784
Pays : United States
Organisme : NIA NIH HHS
ID : RF1 AG050782
Pays : United States
Organisme : NIA NIH HHS
ID : P30AG010129
Pays : United States
Organisme : NIA NIH HHS
ID : K01 AG063895
Pays : United States
Organisme : NIA NIH HHS
ID : R24AG063718
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG067525
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG062715
Pays : United States
Organisme : NIA NIH HHS
ID : T32AG050061
Pays : United States
Organisme : NIA NIH HHS
ID : RF1 AG057784
Pays : United States
Organisme : NIA NIH HHS
ID : 1RF1AG050782
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG067541
Pays : United States
Organisme : NIA NIH HHS
ID : P30AG062715
Pays : United States
Organisme : NIA NIH HHS
ID : R01AG067541
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG070883
Pays : United States
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