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Neighborhood Disadvantage Tied to Dementia-Linked Brain Changes, Wake Forest Study Finds

An analysis of 679 adults links zip-code indices to brain biomarkers with strongest signals in Black participants.

Overview

  • Researchers compared MRI and blood-biomarker data from 679 Healthy Brain Study participants with zip-code–level Area Deprivation, Social Vulnerability, and Environmental Justice indices.
  • Higher neighborhood burdens correlated with cortical thinning, white-matter changes consistent with vascular disease, reduced cerebral blood flow, and greater flow variability.
  • Associations were most pronounced among Black participants living in heavily burdened neighborhoods, highlighting documented inequities in exposure and risk.
  • The team characterizes the findings as among the first to connect place-based social determinants with advanced dementia biomarkers, emphasizing policy and systems-level interventions.
  • The peer-reviewed study appears in Alzheimer's & Dementia: Behavior & Socioeconomics of Aging (2025) and was funded by NIH and the American Heart Association.