{"id":"https://openalex.org/W7118092186","doi":"https://doi.org/10.1093/geroni/igaf122.558","title":"Midlife Residential Segregation and Healthcare Access as Mediators of Education and Cognitive Impairment","display_name":"Midlife Residential Segregation and Healthcare Access as Mediators of Education and Cognitive Impairment","publication_year":2025,"publication_date":"2025-12-01","ids":{"openalex":"https://openalex.org/W7118092186","doi":"https://doi.org/10.1093/geroni/igaf122.558"},"language":"en","primary_location":{"id":"doi:10.1093/geroni/igaf122.558","doi":"https://doi.org/10.1093/geroni/igaf122.558","is_oa":true,"landing_page_url":"https://doi.org/10.1093/geroni/igaf122.558","pdf_url":"https://academic.oup.com/innovateage/article-pdf/9/Supplement_2/igaf122.558/66232285/igaf122.558.pdf","source":{"id":"https://openalex.org/S2735557189","display_name":"Innovation in Aging","issn_l":"2399-5300","issn":["2399-5300"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310311647","host_organization_name":"University of Oxford","host_organization_lineage":["https://openalex.org/P4310311647"],"host_organization_lineage_names":["University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Innovation in Aging","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/innovateage/article-pdf/9/Supplement_2/igaf122.558/66232285/igaf122.558.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046959570","display_name":"Min Hee Kim","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102322142","display_name":"Rutgers, The State University of New Jersey","ror":"https://ror.org/05vt9qd57","country_code":"US","type":"education","lineage":["https://openalex.org/I102322142"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Min Hee Kim","raw_affiliation_strings":["Rutgers, New Brunswick, New Jersey ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rutgers, New Brunswick, New Jersey ,","institution_ids":["https://openalex.org/I102322142"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5046959570"],"corresponding_institution_ids":["https://openalex.org/I102322142"],"apc_list":{"value":3977,"currency":"USD","value_usd":3977},"apc_paid":{"value":3977,"currency":"USD","value_usd":3977},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.53455446,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"Supplement_2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.7422000169754028,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.7422000169754028,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.2538999915122986,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11645","display_name":"Urban, Neighborhood, and Segregation Studies","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/residential-segregation","display_name":"residential segregation","score":0.7549999952316284},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.8450000286102295},{"id":"https://openalex.org/keywords/educational-attainment","display_name":"educational attainment","score":0.7390000224113464},{"id":"https://openalex.org/keywords/cognitive-impairment","display_name":"cognitive impairment","score":0.9940000176429749},{"id":"https://openalex.org/keywords/alzheimer-s-disease-and-related-dementias","display_name":"Alzheimer's disease and related dementias","score":0.9240000247955322},{"id":"https://openalex.org/keywords/education-policy","display_name":"education policy","score":0.6019999980926514},{"id":"https://openalex.org/keywords/mediation-analysis","display_name":"mediation analysis","score":0.503000020980835},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.550000011920929},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.6620000004768372},{"id":"https://openalex.org/keywords/cardiometabolic-disease","display_name":"cardiometabolic disease","score":0.6949999928474426},{"id":"https://openalex.org/keywords/socioeconomic-stress","display_name":"socioeconomic stress","score":0.574999988079071},{"id":"https://openalex.org/keywords/public-health-infrastructure","display_name":"public health infrastructure","score":0.9049999713897705}],"concepts":[{"id":"https://openalex.org/C2779297142","wikidata":"https://www.wikidata.org/wiki/Q3276412","display_name":"Educational attainment","level":2,"score":0.6136999726295471},{"id":"https://openalex.org/C153083717","wikidata":"https://www.wikidata.org/wiki/Q6535263","display_name":"Leverage (statistics)","level":2,"score":0.6089000105857849},{"id":"https://openalex.org/C179420905","wikidata":"https://www.wikidata.org/wiki/Q223871","display_name":"Mediation","level":2,"score":0.5995000004768372},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.585099995136261},{"id":"https://openalex.org/C2984915365","wikidata":"https://www.wikidata.org/wiki/Q5141203","display_name":"Cognitive impairment","level":3,"score":0.536300003528595},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.49720001220703125},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.45910000801086426},{"id":"https://openalex.org/C2780176501","wikidata":"https://www.wikidata.org/wiki/Q5690755","display_name":"Health and Retirement Study","level":2,"score":0.42899999022483826},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3894999921321869},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.37529999017715454},{"id":"https://openalex.org/C24614281","wikidata":"https://www.wikidata.org/wiki/Q17086331","display_name":"Moderated mediation","level":2,"score":0.3707999885082245},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.37040001153945923},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.3531000018119812},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.3447999954223633},{"id":"https://openalex.org/C1691868","wikidata":"https://www.wikidata.org/wiki/Q1811049","display_name":"Life course approach","level":2,"score":0.33390000462532043},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.33160001039505005},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3312999904155731},{"id":"https://openalex.org/C2776207758","wikidata":"https://www.wikidata.org/wiki/Q5303302","display_name":"Downstream (manufacturing)","level":2,"score":0.3109999895095825},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3009999990463257},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.3005000054836273},{"id":"https://openalex.org/C2984863031","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Cognitive decline","level":4,"score":0.29420000314712524},{"id":"https://openalex.org/C191172861","wikidata":"https://www.wikidata.org/wiki/Q7899321","display_name":"Upstream (networking)","level":2,"score":0.29260000586509705},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.289900004863739},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.2897999882698059},{"id":"https://openalex.org/C198477413","wikidata":"https://www.wikidata.org/wiki/Q7647069","display_name":"Survey data collection","level":2,"score":0.28200000524520874},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.27250000834465027},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.2694000005722046},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.26739999651908875},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.2671999931335449},{"id":"https://openalex.org/C2776036281","wikidata":"https://www.wikidata.org/wiki/Q48769818","display_name":"Constraint (computer-aided design)","level":2,"score":0.2614000141620636},{"id":"https://openalex.org/C45555294","wikidata":"https://www.wikidata.org/wiki/Q28113351","display_name":"Inequality","level":2,"score":0.2540999948978424},{"id":"https://openalex.org/C11671645","wikidata":"https://www.wikidata.org/wiki/Q5054567","display_name":"Causal model","level":2,"score":0.25119999051094055}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/geroni/igaf122.558","doi":"https://doi.org/10.1093/geroni/igaf122.558","is_oa":true,"landing_page_url":"https://doi.org/10.1093/geroni/igaf122.558","pdf_url":"https://academic.oup.com/innovateage/article-pdf/9/Supplement_2/igaf122.558/66232285/igaf122.558.pdf","source":{"id":"https://openalex.org/S2735557189","display_name":"Innovation in Aging","issn_l":"2399-5300","issn":["2399-5300"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310311647","host_organization_name":"University of Oxford","host_organization_lineage":["https://openalex.org/P4310311647"],"host_organization_lineage_names":["University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Innovation in Aging","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12759442","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12759442/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Innov Aging","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/geroni/igaf122.558","doi":"https://doi.org/10.1093/geroni/igaf122.558","is_oa":true,"landing_page_url":"https://doi.org/10.1093/geroni/igaf122.558","pdf_url":"https://academic.oup.com/innovateage/article-pdf/9/Supplement_2/igaf122.558/66232285/igaf122.558.pdf","source":{"id":"https://openalex.org/S2735557189","display_name":"Innovation in Aging","issn_l":"2399-5300","issn":["2399-5300"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310311647","host_organization_name":"University of Oxford","host_organization_lineage":["https://openalex.org/P4310311647"],"host_organization_lineage_names":["University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Innovation in Aging","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9391000270843506},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.8974000215530396},{"display_name":"Quality education","id":"https://metadata.un.org/sdg/4","score":0.4156000018119812}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7118092186.pdf"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Despite":[1],"increasing":[2],"evidence":[3],"documenting":[4],"the":[5,12,24,28,42,48,74,83,172,199],"causal":[6,37,43,182],"effect":[7,44,119],"of":[8,14,45,50,65,76,98,111,154,164,198,202],"education":[9,46,67],"in":[10,31,62,82,90,171,181],"reducing":[11,216],"risk":[13,49,53],"Alzheimer\u2019s":[15],"disease":[16],"and":[17,56,72,87,100,122,136,140,144,147,162,179,188,204],"related":[18],"dementias,":[19],"few":[20],"studies":[21],"have":[22],"quantified":[23],"cumulative":[25],"(dis)advantage":[26],"across":[27],"life":[29],"course":[30],"action.":[32],"This":[33,191],"study":[34],"applies":[35],"a":[36,94],"mediation":[38,183],"analysis":[39],"to":[40,108,195],"unpack":[41],"on":[47,79,211],"cognitive":[51,80,168],"impairment":[52,81,169],"via":[54],"upstream":[55],"downstream":[57],"pathways.":[58],"We":[59,116,174],"leverage":[60],"changes":[61],"historical":[63],"measures":[64],"state-level":[66],"policies":[68],"as":[69,128],"natural":[70],"experiments":[71],"estimated":[73],"effects":[75,124],"educational":[77],"attainment":[78],"REasons":[84],"for":[85,215],"Geographic":[86],"Racial":[88],"Disparities":[89],"Stroke":[91],"(REGARDS)":[92],"study,":[93,192],"national":[95],"longitudinal":[96],"survey":[97],"Black":[99],"White":[101],"older":[102],"adults":[103],"aged":[104],"45+":[105],"with":[106,156,166],"up":[107],"20":[109],"years":[110],"follow-ups":[112],"(N":[113],"=":[114],"21,603).":[115],"decompose":[117,196],"total":[118],"into":[120],"direct":[121],"indirect":[123],"by":[125],"mid-life":[126],"exposures":[127],"mediators.":[129],"Of":[130],"particular":[131],"interest":[132],"are":[133],"residential":[134],"segregation":[135],"public":[137],"health":[138,217],"infrastructure":[139],"individual-level":[141],"socioeconomic,":[142],"stress,":[143],"healthcare":[145],"access":[146],"quality":[148],"conditions.":[149],"Our":[150],"sample":[151],"includes":[152],"80%":[153],"respondents":[155,165],"diagnosed":[157],"cardiometabolic":[158],"conditions":[159],"at":[160],"baseline":[161],"13%":[163],"experienced":[167],"incidence":[170],"follow-up.":[173],"will":[175,207],"discuss":[176],"methodological":[177],"challenges":[178],"advances":[180],"(i.e.,":[184],"addressing":[185],"multiple":[186],"mediators":[187],"intermediate":[189],"confounding).":[190],"which":[193],"attempts":[194],"some":[197],"\u201csynergistic":[200],"impact\u201d":[201],"policy":[203,212],"institutional":[205],"choices,":[206],"facilitate":[208],"further":[209],"discussions":[210],"intervention":[213],"points":[214],"disparities.":[218]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2026-01-03T00:00:00"}
