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J. Environ. Res. Public Health","IJERPH"],"abstract":"<jats:p>Perceived neighborhood characteristics are related to cognitive performance. However, limited studies have examined how changes in neighborhood characteristics relate to cognitive performance, particularly among Black adults who are likely to experience changes in their residential social and physical environments. This study examined the association between changes in perceived neighborhood quality and concurrent, cross-sectional cognitive performance. An analytic sample of 592 Black adults (Mage = 56.22; 58% female) recruited from 13 predetermined neighborhoods in Baltimore City, Maryland, from the ongoing prospective Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study, was included. In the adjusted models, uncorrected multivariable regression indicated that increases in neighborhood disorder were associated with worse attention and visual orientation (\u03b2 = 0.17, p &lt; 0.001), while increases in social cohesion and social control were associated with better performance in several tasks relating to memory, attention, executive function\/reasoning, and visual orientation (\u03b2s = \u22120.12\u2013\u22120.10, p &lt; 0.05). Interestingly, increasing social control was also associated with slower performance on a measure of executive functioning and reasoning (\u03b2 = 0.12, p &lt; 0.05). However, after controlling for multiple comparisons, only the association between neighborhood disorder and attention and visual orientation remained significant. Study findings serve as a springboard for future research linking changes in perceived neighborhood quality and concurrent, cross-sectional cognitive performance. These results may also lend support to the investment in neighborhoods as a pathway toward better understanding the association between neighborhood perception and cognitive performance, which may relate to reductions in cognitive decline and in the likelihood of dementia among Black adults who are at greatest risk for late-course diagnosis.<\/jats:p>","DOI":"10.3390\/ijerph23081055","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T08:08:29Z","timestamp":1786694909000},"page":"1055","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Changes in Perceived Neighborhood and Cognitive Performance Within Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Black Adults"],"prefix":"10.3390","volume":"23","author":[{"given":"Alexa C.","family":"Allan","sequence":"first","affiliation":[{"name":"Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA 16802, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6577-5398","authenticated-orcid":false,"given":"Alyssa A.","family":"Gamaldo","sequence":"additional","affiliation":[{"name":"Institute for Engaged Aging, Department of Psychology, Clemson University, Seneca, SC 29672, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4448-4997","authenticated-orcid":false,"suffix":"Jr.","given":"Roland J.","family":"Thorpe","sequence":"additional","affiliation":[{"name":"Johns Hopkins Alzheimer\u2019s Disease Resource Center for Minority Aging Research, Bloomberg School of Public Health, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1850-4341","authenticated-orcid":false,"given":"Jennifer D.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, University of Maryland, College Park, MD 20742, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele K.","family":"Evans","sequence":"additional","affiliation":[{"name":"Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, MD 21224, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6523-4778","authenticated-orcid":false,"given":"Alan B.","family":"Zonderman","sequence":"additional","affiliation":[{"name":"Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, MD 21224, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S16","DOI":"10.2105\/AJPH.2018.304883","article-title":"The National Institute on Minority Health and Health Disparities Research Framework","volume":"109","author":"Alvidrez","year":"2019","journal-title":"Am. J. Public Health"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2333721419857858","DOI":"10.1177\/2333721419857858","article-title":"At the intersection of rigor and equity: Health disparities research related to aging","volume":"5","author":"Hill","year":"2019","journal-title":"Gerontol. Geriatr. Med."},{"key":"ref_3","first-page":"S249","article-title":"Addressing Health Equity and Social Determinants of Health Through Healthy People 2030","volume":"27","author":"Kleinman","year":"2021","journal-title":"J. Public Health Manag. Pract. JPHMP"},{"key":"ref_4","first-page":"295","article-title":"Breadth of the socio-ecological model","volume":"22","author":"Kilanowski","year":"2017","journal-title":"J. Agromed."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1080\/07317115.2022.2043977","article-title":"Improving Brain Health for Populations Disproportionately Affected by Alzheimer\u2019s Disease and Related Dementias","volume":"46","author":"Olivari","year":"2023","journal-title":"Clin. Gerontol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1002\/alz.12509","article-title":"Black and White individuals differ in dementia prevalence, risk factors, and symptomatic presentation","volume":"18","author":"Lennon","year":"2022","journal-title":"Alzheimer\u2019s Dement. J. Alzheimer\u2019s Assoc."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/EDE.0000000000000747","article-title":"Cognitive aging in Black and White Americans: Cognition, cognitive decline, and incidence of Alzheimer disease dementia","volume":"29","author":"Weuve","year":"2018","journal-title":"Epidemiology"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2120","DOI":"10.1111\/j.1532-5415.2004.52575.x","article-title":"Black and white differences in cognitive function test scores: What explains the difference?","volume":"52","author":"Mehta","year":"2004","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1017\/S1355617715000806","article-title":"Role of place in explaining racial heterogeneity in cognitive outcomes among older adults","volume":"21","author":"Liu","year":"2015","journal-title":"J. Int. Neuropsychol. Soc. JINS"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"114560","DOI":"10.1016\/j.socscimed.2021.114560","article-title":"Neighborhood built environment associated with cognition and dementia risk among older adults: A systematic literature review","volume":"292","author":"Chen","year":"2022","journal-title":"Soc. Sci. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1007\/s00127-019-01829-0","article-title":"Associations between perceived neighborhood environment and cognitive function among middle-aged and older women and men: Hispanic Community Health Study\/Study of Latinos Sociocultural Ancillary Study","volume":"55","author":"Estrella","year":"2020","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"113125","DOI":"10.1016\/j.socscimed.2020.113125","article-title":"Psychological distress links perceived neighborhood characteristics to longitudinal trajectories of cognitive health in older adulthood","volume":"258","author":"Sharifian","year":"2020","journal-title":"Soc. Sci. Med."},{"key":"ref_13","first-page":"1346","article-title":"Unique Effects of Perceived Neighborhood Physical Disorder and Social Cohesion on Episodic Memory and Semantic Fluency","volume":"34","author":"Zaheed","year":"2019","journal-title":"Arch. Clin. Neuropsychol. Off. J. Natl. Acad. Neuropsychol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1177\/08982643231185379","article-title":"A scoping review of neighborhoods and cognitive health disparities among US midlife and older adults","volume":"36","author":"Sullivan","year":"2024","journal-title":"J. Aging Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(17)30569-X","article-title":"Structural racism and health inequities in the USA: Evidence and interventions","volume":"389","author":"Bailey","year":"2017","journal-title":"Lancet"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s40471-020-00234-5","article-title":"Advances in understanding the causes and consequences of health disparities in aging minorities","volume":"7","author":"Forrester","year":"2020","journal-title":"Curr. Epidemiol. Rep."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1880","DOI":"10.1377\/hlthaff.2011.0640","article-title":"Place, not race: Disparities dissipate in southwest Baltimore when blacks and whites live under similar conditions","volume":"30","author":"LaVeist","year":"2011","journal-title":"Health Aff."},{"key":"ref_18","unstructured":"Brown, L.T. (2021). The Black Butterfly: The Harmful Politics of Race and Space in America, JHU Press."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1111\/j.1467-8306.1990.tb00290.x","article-title":"Local evaluations of neighborhood change","volume":"80","author":"Aitken","year":"1990","journal-title":"Ann. Assoc. Am. Geogr."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Versey, H.S., Murad, S., Willems, P., and Sanni, M. (2019). Beyond housing: Perceptions of indirect displacement, displacement risk, and aging precarity as challenges to aging in place in gentrifying cities. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16234633"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Hyun, J., Lovasi, G.S., Katz, M.J., Derby, C.A., Lipton, R.B., and Sliwinski, M.J. (2024). Perceived but not objective measures of neighborhood safety and food environments are associated with longitudinal changes in processing speed among urban older adults. BMC Geriatr., 24.","DOI":"10.1186\/s12877-024-05068-0"},{"key":"ref_22","first-page":"267","article-title":"Healthy aging in neighborhoods of diversity across the life span (HANDLS): Overcoming barriers to implementing a longitudinal, epidemiologic, urban study of health, race, and socioeconomic status","volume":"20","author":"Evans","year":"2010","journal-title":"Ethn. Dis."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Claudel, S.E., Shiroma, E.J., Harris, T.B., Mode, N.A., Ahuja, C., Zonderman, A.B., Evans, M.K., and Powell-Wiley, T.M. (2019). Cross-sectional associations of neighborhood perception, physical activity, and sedentary time in community-dwelling, socioeconomically diverse adults. Front. Public Health, 7.","DOI":"10.3389\/fpubh.2019.00256"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.jenvp.2007.08.003","article-title":"Perceptions of disorder: Contributions of neighborhood characteristics to subjective perceptions of disorder","volume":"28","author":"Franzini","year":"2008","journal-title":"J. Environ. Psychol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1177\/019027250406700401","article-title":"Seeing disorder: Neighborhood stigma and the social construction of \u201cbroken windows\u201d","volume":"67","author":"Sampson","year":"2004","journal-title":"Soc. Psychol. Q."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1093\/geronb\/gby095","article-title":"Older Black adults\u2019 satisfaction and anxiety levels after completing alternative versus traditional cognitive batteries","volume":"75","author":"Gamaldo","year":"2020","journal-title":"J. Gerontol. Ser. B"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1017\/S1355617709090821","article-title":"Effects of race and socioeconomic status on the relative influence of education and literacy on cognitive functioning","volume":"15","author":"Dotson","year":"2009","journal-title":"J. Int. Neuropsychol. Soc."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Dorfman, W.I., and Hersen, M. (2001). Wide Range Achievement Test 3 (WRAT3). Understanding Psychological Assessment, Springer. Perspectives on Individual Differences.","DOI":"10.1007\/978-1-4615-1185-4"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1177\/014662167700100306","article-title":"The CES-D scale: A self-report depression scale for research in the general population","volume":"1","author":"Radloff","year":"1977","journal-title":"Appl. Psychol. Meas."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"279","DOI":"10.4300\/JGME-D-12-00156.1","article-title":"Using effect size\u2014Or why the P value is not enough","volume":"4","author":"Sullivan","year":"2012","journal-title":"J. Grad. Med. Educ."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1136\/jech-2018-212004","article-title":"Neighbourhood disadvantage and depressive symptoms among adolescents followed into emerging adulthood","volume":"73","author":"Goldstein","year":"2019","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Thierry, A.D., Sherman-Wilkins, K., Armendariz, M., Sullivan, A., and Farmer, H.R. (2021). Perceived neighborhood characteristics and cognitive functioning among diverse older adults: An intersectional approach. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18052661"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.amepre.2023.10.012","article-title":"Neighborhood Features and Cognitive Function: Moderating Roles of Individual Socioeconomic Status","volume":"66","author":"Yang","year":"2024","journal-title":"Am. J. Prev. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"115220","DOI":"10.1016\/j.socscimed.2022.115220","article-title":"Cognability: An ecological theory of neighborhoods and cognitive aging","volume":"309","author":"Finlay","year":"2022","journal-title":"Soc. Sci. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.amepre.2017.02.013","article-title":"Neighborhood environment and cognition in older adults: A systematic review","volume":"53","author":"Besser","year":"2017","journal-title":"Am. J. Prev. Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1186\/s13643-017-0632-2","article-title":"The impact of social activities, social networks, social support and social relationships on the cognitive functioning of healthy older adults: A systematic review","volume":"6","author":"Kelly","year":"2017","journal-title":"Syst. Rev."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1097\/EDE.0b013e3181772cb2","article-title":"Neighborhood characteristics and hypertension","volume":"19","author":"Mujahid","year":"2008","journal-title":"Epidemiology"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1177\/0898264310361627","article-title":"Cardiovascular health and education as sources of individual variability in cognitive aging among African Americans","volume":"22","author":"Sims","year":"2010","journal-title":"J. Aging Health"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1093\/aje\/kwv296","article-title":"Neighborhood Environments and Incident Hypertension in the Multi-Ethnic Study of Atherosclerosis","volume":"183","author":"Kaiser","year":"2016","journal-title":"Am. J. Epidemiol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"102442","DOI":"10.1016\/j.healthplace.2020.102442","article-title":"The role of neighborhood stressors on cognitive function: A coordinated analysis","volume":"66","author":"Scott","year":"2020","journal-title":"Health Place"},{"key":"ref_41","first-page":"337","article-title":"Many analysts, one data set: Making transparent how variations in analytic choices affect results","volume":"1","author":"Silberzahn","year":"2018","journal-title":"Adv. Methods Pract. Psychol. Sci."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/8\/1055\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T08:12:56Z","timestamp":1786695176000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/8\/1055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,14]]},"references-count":41,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["ijerph23081055"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23081055","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,14]]}}}