Evidence map›Paper›PMID 39794733›Full record

ArticleBMC geriatrics2025

Relationship between social determinants of health and cognitive performance in an older American population: a cross-sectional NHANES study.

Zhen-Guo Yang, Xu Sun, Xue Han, Xiao Wang, Lei Wang

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Comprehensive social determinants of health and brain health in midlife.The journal of prevention of Alzheimer's disease · 2026
    Article
  3. Article
  4. Classifying cognitive status with TabCAT Match and UDS executive function tests.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zhen-Guo YangShandong University of Traditional Chinese Medicine, Jinan, Shandong, 250014, China.
Xu SunShandong University of Traditional Chinese Medicine, Jinan, Shandong, 250014, China.
Xue HanShandong University of Traditional Chinese Medicine, Jinan, Shandong, 250014, China.
Xiao WangShandong University of Traditional Chinese Medicine, Jinan, Shandong, 250014, China.
Lei WangDepartment of Neurology, The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, 250014, China. wangjiayi201@163.com.

Funding

the Special Funds for Clinical Research on Umbilical Cord Blood of Shandong Medical Association No. YXH2021ZX061
6 · The paper itself

Abstract

objectiveThis study aims to investigate the influence of social determinants of health (SDoH) on cognitive performance.

methodsThis study surveyed a sample of older adults aged 60 years and older from the 2011-2014 cohort of participants in the U.S. National Health and Nutrition Examination Survey (NHANES). Data were collected during each survey cycle on self-reported domains of SDoH, which included eight subscales: employment, family income-to-poverty ratio, food security, education level, health insurance coverage, type of health insurance, home ownership, and marital status. Cognitive performance was evaluated using three tests: the Digit Symbol Substitution Test (DSST) for processing speed, the Animal Fluency Test (AFT) for executive function, and a subtest from the Coalition to Establish an Alzheimer's Disease Registry (CERAD) for memory. Multifactorial linear regression modeling was employed to explore the association between SDoH and cognitive performance.

resultsA total of 2,819 elderly subjects were included in this study for analysis, with a mean age of 69.14 ± 0.19 years, 54.36% female and 45.64% male. The study found a negative association between the accumulation of unfavorable SDoH factors and cognitive performance. Similarly, certain unfavorable SDoH domains were negatively associated with cognitive performance.

conclusionThe findings suggest that unfavorable SDoH domains, particularly when unfavorable SDoH factors accumulate, are linked to decreased cognitive performance. Actively investigating the relationship between these factors may be a crucial strategy for delaying dementia onset.

Indexed as

CognitionNutrition SurveysSocial Determinants of HealthAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedNeuropsychological TestsUnited StatesCognitive performanceElderly populationNational cross-sectional studyNHANESSocial determinants of health

Identifiers

PMID39794733
PMCPMC11720803

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.