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. 2016 Apr;137(4):e20153075. doi: 10.1542/peds.2015-3075

TABLE 2.

Studies Included in Hippocampus: Learning and Memory Section

Reference n Age, y Poverty Measure Method Main Findings
Hair, et al (2015)39 389 12 (4–22) Family income adjusted for household size using binary and categorical measures Longitudinal MRI study of normal brain development; scans at 2-y intervals across 3 periods, plus Wechsler Abbreviated Scale of Intelligence and Woodcock-Johnson II Test of Achievement Low-income children scored lower on tests of cognitive ability and had reductions in gray matter in the frontal and temporal lobes and the hippocampus; differences in gray matter in the hippocampus explained ≤16% of differences in cognitive ability; income effects greatest among the poorest children
Hanson, et al (2011)40 431 11 (SD 4) Family income, parent (maternal and paternal) education Cross-sectional MRI study Positive association between family income and child hippocampal volume, adjusting for parental education; no consistent associations between parent education and hippocampal size, adjusting for family income
Hanson, et al (2015)41 128 12 (9–15) 4 groups: (1) institutionalized/abandoned children with early neglect (n = 36); (2) low SES (parents unskilled employees with ≤high school education) (n = 20); (3) victims of physical abuse (n = 31); (4) comparison group of middle-SES children (based on Hollingshead 2-factor index) with no maltreatment (n = 41) Cross-sectional MRI study Low-SES group had smaller hippocampi than middle-SES group; smaller left hippocampal volume associated with more behavioral problems; cumulative life stress and behavioral problems were inversely associated with hippocampal volume; hippocampal volumes partially mediated relations between early life stress and behavior problems
Jednoróg, et al (2012)18 23 10 (8–11) Weighted average of maternal education and maternal occupational status Cross-sectional MRI study SES positively correlated with hippocampus gray matter volume, but not associated with memory or visuospatial processing.
Luby, et al (2013)42 145 10 (6–12) Income/needs ratio Longitudinal study with 3–6 annual assessments of child psychiatric status, stressful life events, caregiver education; assessment of parental support/hostility at age 4–7, child MRI at age 10 Higher income/needs associated with greater left hippocampal volume, mediated by caregiving support/hostility and life stress
Noble, et al (2012)43 275 40 (17–87) Years of education Cross-sectional MRI study Age-related decreases in hippocampal volume greater for participants with less education (versus those with more education).
Noble, et al (2015)37 1099 12 (3–20) Parent education, family income Cross-sectional MRI study; inhibitory control, working memory, picture vocabulary, and oral reading recognition tasks Parent education positively associated with cortical surface area in regions supporting language, reading, executive function, and spatial skills; income positively associated with performance on cognitive tasks; relation between income and inhibitory control and working memory mediated by cortical surface area; parent education positively associated with left hippocampal volume; relation between hippocampal volume and education was stronger for children with the least educated parents; income not associated with hippocampal volume
Noble, et al (2012)20 60 11 (5–17) Average years of parental education and family income/needs ratio Cross-sectional MRI study SES-related differences in hippocampal volume due to positive relations between hippocampal volume and income/needs (not parental education)
Rao, et al (2010)19 49 14 (13–16) All participants were African American and exposed to cocaine in utero; did not examine SES; examined effect of parental nurturance and environmental stimulation (HOME scale) Longitudinal study with assessment of parental nurturance and home environment at 4 and 8 y and MRI at 13–16 y Parental nurturance at age 4 inversely associated with hippocampal volume at age 13–16; nurturance at age 4 explained 25% of left hippocampal volume; hippocampal volume not related to memory ability; nurturance at age 8 positively associated with memory ability; nurturance at age 8 and environmental stimulation at age 4 and 8 not related to hippocampal volume
Sheridan, et al (2013)44 33 (19 in fMRI) 10 (8–12) Maternal education, family income/needs ratio, and maternal SSS Cross-sectional fMRI study using Paired Associate Learning task. Social stress task administered outside of scanner, and salivary cortisol assessed Maternal SSS positively associated with baseline cortisol and hippocampal activation; income/needs not associated with hippocampal activation; SSS, education, and income/needs not associated with child hippocampal volume; no associations between maternal education and income/needs and cortisol; learning task performance not associated with SES measures
Staff, et al (2012)45 235 64 (64–65) SES at age 11 recalled at age 64 using paternal occupation and home conditions at age 11 MRI study using mental ability assessments obtained at age 11 and conducted MRI at age 64 Lower childhood SES associated with less hippocampal volume, adjusting for 11-y-old mental ability, gender, and current occupation and education

fMRI, functional MRI; HOME, Home Observation for Measurement of the Environment; SSS, subjective social status.