Evidence mapPaperPMID 40760692Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Occupational position and complexity in relation to Black-White cognitive disparities.

Monica E Walters, Jordan D Palms, Brooke A Huizenga, Ketlyne Sol, Vivian Ku, Emily P Morris, Kiana A Scambray, Lauren Taylor, Laura B Zahodne

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Multidimensional workplace stressors differentially impact cognitive trajectories.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. Occupational position and complexity in relation to Black-White cognitive disparities.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
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

9 authors.

Monica E WaltersDepartment of Psychology, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-0395-5868
Jordan D PalmsDepartment of Psychology, University of Michigan, Ann Arbor, Michigan, USA.
Brooke A HuizengaDepartment of Psychology, University of Minnesota, Minneapolis, Minnesota, USA.
Ketlyne SolComprehensive Center for Brain Health, Department of Neurology, Miller School of Medicine, University of Miami, Boca Raton, Florida, USA.
Vivian KuDepartment of Psychology, University of Michigan, Ann Arbor, Michigan, USA.
Emily P MorrisDepartment of Psychology, University of Michigan, Ann Arbor, Michigan, USA.
Kiana A ScambrayDepartment of Psychology, University of Michigan, Ann Arbor, Michigan, USA.
Lauren TaylorDepartment of Psychology, University of Michigan, Ann Arbor, Michigan, USA.
Laura B ZahodneDepartment of Psychology, University of Michigan, Ann Arbor, Michigan, USA.

Funding

Michigan Institute for Clinical and Health Research (MICHR)UM1TR004404 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2025 to 2025
$9.8M
Remote Data Enclave CoreP30AG012846 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 1999 to 2025
$5.1M
Research Education CoreP30AG024824 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2004 to 2025
$4.4M
Mechanisms of inequalities in ADRD risk across race and place in the Michigan Cognitive Aging ProjectR01AG082307 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2025 to 2025
$1.0M
Risk and resilience mechanisms underlying race disparities in ADRD: An examination of neighborhood resources, social networks, brain integrity, and cognitionK01AG073588 · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · 2025 to 2025
$123k
Clinical and Translational Science AwardsNCATS NIH HHS UM1 TR004404NIA NIH HHS K01AG073588NIA NIH HHS P30 AG012846NIA NIH HHS P30 AG024824NIA NIH HHS P30 AG053760NIA NIH HHS R01 AG082307NIH HHS UM1TR004404
6 · The paper itself

Abstract

introductionOccupational characteristics are less commonly measured social determinants of health that may contribute to racial dementia disparities. We assessed whether occupational position (OP) or complexity (OC) mediated racial cognitive disparities.

methodsParticipants were Black and White older adults from the Michigan Cognitive Aging Project (MCAP) (n = 536; M

resultsBlack participants had low (vs high) OP, which predicted worse episodic memory and global cognition (4% to 7% mediated). OC did not mediate cognitive disparities. Disparities in cognition operated through inequities in OP, education, and income. Effects were driven by participants not currently working. DISCUSSION: Occupation may influence cognitive disparities primarily through socioeconomic, rather than cognitive stimulation, pathways. Policies targeting workforce inequities may reduce racial disparities in dementia risk. HIGHLIGHTS: OP mediated 4% to 7% of racial cognitive disparities. OC did not uniquely mediate racial cognitive disparities. Sequential mediation highlighted life course socioeconomic pathways of disparities. Socioeconomic factors more strongly relate to cognitive disparities than engagement. Findings were driven by participants who were not currently in the workforce.

Indexed as

Black or African AmericanCognitionHealth Status DisparitiesOccupationsWhiteAgedFemaleHumansMaleMichiganMiddle AgedSocial Determinants of HealthSocioeconomic Factorsagingcognitioneducationepisodic memoryexecutive functioninghealth disparitieslanguageoccupational complexityoccupational positionO*NETprocessing speedsocial determinants of healthsocioeconomic statusstructural racismvisuospatial functioning

Identifiers

PMID40760692
PMCPMC12321506

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.