RURAL–URBAN RESIDENCE, EDUCATION, AND SUBJECTIVE COGNITIVE DECLINE AMONG MIDDLE AGED AND OLDER ADULTS IN THE US
2024

Rural and Urban Differences in Cognitive Decline

Sample size: 63948 publication Evidence: moderate

Author Information

Author(s): Wong Roger, Mansour Amer

Primary Institution: State University of New York Upstate Medical University

Hypothesis

How does rural-urban residence and education affect subjective cognitive decline among middle-aged and older adults in the US?

Conclusion

Rural residents have higher odds of experiencing subjective cognitive decline compared to urban residents, and education does not significantly buffer this relationship.

Supporting Evidence

  • SCD was significantly more common among rural residents (12.0%) compared to urban residents (10.7%).
  • Rural residents had a 16% higher odds of SCD compared to urban residents after adjusting for covariates.
  • Education level showed a negative relationship with SCD, but it was not statistically significant.

Takeaway

People living in rural areas are more likely to feel confused or forgetful than those in cities, and having more education doesn't seem to help.

Methodology

Analyzed 2022 Behavioral Risk Factor Surveillance System data focusing on adults aged 45 and older.

Limitations

The study does not explore the mechanisms behind higher SCD in rural residents.

Participant Demographics

U.S. adults aged 45 years and older.

Statistical Information

P-Value

p<.001

Confidence Interval

95% CI=1.01-1.33

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1093/geroni/igae098.0420

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