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August 16, 2026International Journal of Environmental Research and Public HealthOpen Access

Association Between Changes in Perceived Neighborhood and Cognitive Performance Within Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Black Adults

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Authors

AAAlexa C. AllanPennsylvania State UniversityAGAlyssa A. GamaldoClemson UniversityRTRoland J. ThorpeJohns Hopkins University

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Implication

Cohort study reveals increasing perceived neighborhood disorder links to poorer attention and visual orientation in Black adults, highlighting residential environments as cognitive health factors.

Key Points

  • To examine the association between changes in perceived neighborhood characteristics and concurrent cross-sectional cognitive performance among Black adults.
  • Analyzed an analytic sample of N=592 Black adults (mean age 56.22 years; 58% female) recruited from 13 neighborhoods in Baltimore City, Maryland, within the prospective HANDLS study.
  • Evaluated changes in perceived neighborhood disorder, social cohesion, and social control alongside cognitive performance across memory, attention, executive function, and visual orientation using adjusted multivariable linear regression models.
  • Increases in perceived neighborhood disorder were associated with worse attention and visual orientation performance (β = 0.17, p < 0.001), remaining statistically significant after correction for multiple comparisons.
  • Increases in social cohesion and social control were univariately linked to better performance across memory, attention, executive function, and visual orientation (β range = -0.12 to -0.10, p < 0.05), but did not retain significance following multiple comparison adjustments.

Cite This Study

Allan et al. (2026) studied this question.

synapsesocial.com/papers/6a81799af2fb91fc834acc70https://doi.org/10.3390/ijerph23081055
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