4.7 Article

Social disorder, APOE-E4 genotype, and change in cognitive function among older adults living in Chicago

Journal

SOCIAL SCIENCE & MEDICINE
Volume 74, Issue 10, Pages 1584-1590

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.socscimed.2012.02.012

Keywords

ApoE4; Cognitive decline; Neighborhoods; Gene-environment interaction; USA

Funding

  1. Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) [R01 HD060726, R24 HD066613-01]
  2. National Institute on Aging [AG11101]
  3. National Institute of Environmental Health Sciences [ES10902]

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The goal of this paper is to describe the simultaneous influence of social and genetic risk factors on declines in cognitive functioning among older American adults. We use detailed information about the social characteristics of older adults' neighborhoods from the Chicago Health and Aging Project (n = 1655: ages 65+) in conjunction with information about respondent's APOE genotype to predict changes in cognitive function over time. Results indicate that the presence of the epsilon 4 allele is associated with a significantly lower cognitive function score at baseline and greater declines in cognitive function compared to those without this risk allele. Importantly, we also show significant variation in the effect of the 4 allele across neighborhoods and our results indicate that this genotype is more strongly associated with cognitive function for residents of neighborhoods with the lowest levels of social disorder. Our findings support the non-causal social push gene environment interaction model. (C) 2012 Elsevier Ltd. All rights reserved.

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