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Salud Pública

Paola Filigrana¹, Linda C Gallo², Myriam Fornage^3,4,5

¹Albert Einstein College of Medicine, Bronx, NY, USA.

Alzheimer's & dementia : the journal of the Alzheimer's Association

|December 23, 2025

Abstracto

Background:

The burden of Alzheimer's Disease and Related Dementias (ADRD) is high in US Hispanic/Latino adults. Cumulative exposure to socioeconomic disadvantage over the life-course may help contribute to this high ADRD burden. We examined the association between socioeconomic position (SEP) over the life-course with mild cognitive impairment (MCI) in middle-aged and older Hispanic/Latino adults.

Methods:

We used data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a multicenter community-based cohort of US Hispanic/Latino adults (baseline 2008-2011) and the SOL-INCA ancillary study conducted ∼7 years later (2015-2018) (n = 6351; age 50-86 years). Childhood SEP was determined using parental education (

Results:

9.8% of adults met criteria for MCI. High (vs. low) adult SEP was associated with lower odds of MCI (OR=0.78, 95% CI=0.60, 1.00). Having a stable high (vs. stable low) SEP over the life-course (OR=0.68, 95% CI:=0.47, 0.98) was associated with lower odds of MCI. Childhood SEP (OR=0.87, 95% CI=0.65, 1.17) and socioeconomic mobility (OR for upward=0.79, 95% CI: 0.58, 1.08; and downward: OR=1.12, 95% CI: 0.67, 1.87) were not significantly associated with MCI.

Conclusions:

A Higher and stable life-course SEP is associated with better cognitive aging in middle-aged and older Hispanic/Latino adults, a population that is expected to have the largest increase in ADRD cases in the next four decades.

Palabras clave:

Salud Pública Deterioro Cognitivo Leve Adultos Hispanos/Latinos Posición Socioeconómica Enfermedad de Alzheimer y Demencias Relacionadas

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