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Foreclosure, memory decline, and dementia probability: A longitudinal cohort study.

Min Hee Kim1, Gabriel L Schwartz1,2

  • 1Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, California, USA.

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|July 29, 2024
PubMed
Summary
This summary is machine-generated.

Foreclosure significantly impacts older adults' cognitive health, accelerating memory decline and increasing dementia risk, particularly for those aged 50-64. This housing instability is a critical factor in cognitive aging.

Keywords:
cognitive functioncohortdementiaforeclosurehousing insecuritylongitudinalsocial epidemiology

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Area of Science:

  • Gerontology
  • Cognitive Neuroscience
  • Public Health

Background:

  • Rising housing insecurity among older adults presents a significant public health concern.
  • The impact of housing instability, specifically foreclosure, on cognitive health in older adults remains understudied.

Purpose of the Study:

  • To investigate the association between foreclosure and cognitive health in older adults.
  • To examine the effects of foreclosure on memory decline and dementia probability.

Main Methods:

  • Utilized longitudinal data from the Health and Retirement Study (2008-2018).
  • Employed mixed-effects models to compare cognitive scores of adults who experienced foreclosure versus those who did not.
  • Stratified analyses by age group (50-64 and 65+).

Main Results:

  • Foreclosure was linked to accelerated memory decline in middle-aged older adults (50-64), equivalent to 3.7 years of additional cognitive aging over a decade.
  • Among older adults aged 65 and above, foreclosure showed sharper memory declines and increased dementia probability.
  • Observed effects in the 65+ group were less clear and potentially influenced by depletion-of-susceptibles bias.

Conclusions:

  • Foreclosure poses a significant risk to the cognitive health of older adults.
  • Housing instability is a crucial determinant of cognitive aging and warrants attention in public health strategies.