{"doi":"10.1002/alz.70125","title":"Neighborhood disadvantage and the incidence of dementia in US Black women","abstract":"INTRODUCTION: We investigated the association of neighborhood disadvantage with the incidence of Alzheimer's disease and related dementias (ADRD) in the longitudinal Black Women's Health Study (BWHS). METHODS: The study included 10,915 BWHS participants enrolled in Medicare for at least 1 year from 2012 to 2020. The Area Deprivation Index (ADI) was assigned to participant residential block groups over follow-up. ADRD cases were identified from Medicare files. RESULTS: Age- and education-adjusted hazard ratios (HRs) for ADRD increased as neighborhood disadvantage increased, to 1.42 (95% confidence interval [CI] 1.06-1.91) in the most disadvantaged quintile compared to the least disadvantaged quintile, with a significant linear trend (p = 0.012). Associations remained, although somewhat attenuated, when individual income was controlled. DISCUSSION: The present study adds to the evidence showing an association between living in a disadvantaged neighborhood and poorer brain health. The area-level association of deprivation with ADRD was in part explained by individual differences in socioeconomic status (SES). HIGHLIGHTS: The study assessed neighborhood deprivation in the largest cohort of US Black women. Cases of dementia were ascertained from Medicare claims files over 9 years of follow-up. Higher levels of area deprivation were associated with higher dementia risk.","journal":"Alzheimer s & Dementia","year":2025,"id":519342,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.808,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1046262,"name":"Lauren Delp","orcid":"0009-0003-4861-9689","position":1,"is_corresponding":false},{"id":926528,"name":"Jacqueline Milton Hicks","orcid":null,"position":2,"is_corresponding":false},{"id":1038382,"name":"Tanisha G. Hill‐Jarrett","orcid":"0000-0002-6924-0702","position":3,"is_corresponding":false},{"id":397958,"name":"Kasim Ortiz","orcid":"0000-0002-1551-5192","position":4,"is_corresponding":false},{"id":331967,"name":"Bryan D. James","orcid":"0000-0002-6104-8310","position":5,"is_corresponding":false},{"id":236546,"name":"Zinzi Bailey","orcid":"0000-0002-5708-3754","position":6,"is_corresponding":false},{"id":325844,"name":"Lisa L. Barnes","orcid":"0000-0002-0072-9817","position":7,"is_corresponding":false},{"id":104611,"name":"Lynn Rosenberg","orcid":"0000-0003-2760-2987","position":8,"is_corresponding":false},{"id":330861,"name":"Patricia F. Coogan","orcid":"0000-0003-3671-7663","position":0,"is_corresponding":true}],"reference_count":46,"raw_metadata":null,"created_at":"2026-07-19T02:49:18.751199Z","pmid":"40189829","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}