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Racial discrimination and cognitive function: An instrumental variable analysis.

Jourdyn A Lawrence1, Yu-Tien Hsu2, Hannah J Cory3

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Summary
This summary is machine-generated.

Experiences of racial discrimination are linked to poorer cognitive function in middle-aged adults. This study highlights how societal racism may contribute to cognitive decline over a lifetime.

Keywords:
Cognitive functionColorismInstrumental variable analysisRacial discriminationRacial inequities

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Area of Science:

  • Public Health
  • Neuroscience
  • Sociology

Background:

  • Racial inequities in cognitive function are a persistent public health concern.
  • Evidence on the impact of racial discrimination on cognitive outcomes remains mixed.
  • Institutional discrimination may disproportionately affect cognitive health.

Purpose of the Study:

  • To examine the association between racial discrimination in institutional settings and cognitive function.
  • To strengthen the evidence base on discrimination's impact on cognition.
  • To identify potential intervention points for cognitive health disparities.

Main Methods:

  • Cross-sectional analysis of data from the Coronary Artery Risk Development in Young Adults (CARDIA) study (Waves 8 & 9).
  • Used the Experiences of Discrimination Scale for self-reported racial discrimination.
  • Employed ordinary least squares (OLS) and instrumental variable (IV) analyses, using skin color as an instrument.

Main Results:

  • Increased experiences of racial discrimination were associated with poorer performance on cognitive assessments.
  • Instrumental variable analysis showed a significant negative association between discrimination and auditory verbal learning.
  • Results indicate a potential link between lifelong exposure to racism and cognitive function.

Conclusions:

  • Racial discrimination, particularly within institutional contexts, is associated with diminished cognitive function.
  • Findings suggest that navigating a racialized society may contribute to cognitive inequities over the life course.
  • This research underscores the need for interventions addressing systemic racism to promote cognitive health equity.