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. 2021 Jul 4;18(13):7166. doi: 10.3390/ijerph18137166

Table 2.

Social environment measures and social ecological level for systematic review studies that met inclusion criteria.

Citation Sample of Studies Review Study Objective Measure(s) of
Social Environment
Key Social Environment Finding
Desai et al., 2020 [16] 12 Review and meta-analyze longitudinal studies on living alone and incident dementia. Living alone Living alone was associated with 1.3 times the risk (95 % CI: 1.13–1.51) of incident dementia.
Fratiglioni et al., 2004 [17] 7 Review evidence for longitudinal effects of social network, physical leisure, and non-physical activity on cognition and dementia. Varied by study and included quantitative (e.g., network ties) and qualitative (e.g., social support) markers. Poor social network characteristics were associated with higher risk of cognitive decline or lower cognitive performance in 5 of 7 studies and dementia risk in 3 of 6 studies.
Kuiper et al., 2015 [18] 19 Review and meta-analyze the association between social relationship aspects (e.g., social network size, social participation, loneliness) and incident dementia in the general population Six categories: social network size, participation in group activities, social contact frequency, loneliness, social network satisfaction (e.g., having good relations with others), other (e.g., perception of reciprocity) Risk of dementia was higher among those with low social participation (RR: 1.41 (95% CI: 1.13–1.75)) and less frequent social contact (RR: 1.57 (95% CI: 1.32–1.85)).
Penninkilampi et al., 2018 [19] 33 Review and meta-analyze the evidence of association between social engagement, loneliness, and dementia risk from observational studies Three categories: poor social engagement, good social engagement or loneliness. Poor social engagement was associated with increased dementia risk (RR = 1.41, 95% CI 1.21–1.65).
Besser et al., 2017 [20] 22 Review evidence of association between neighborhood built and social environments and cognition in older adults. Four categories: SES (e.g., income), demographics (e.g., race/ethnicity), social disorder (e.g., crime)/social climate/social ties (e.g., social support) Evidence was moderately strong for neighborhood SES, moderate for neighborhood demographics and weak for psychosocial disorder.
Wu Y-T et al., 2015 [21] 15 Review evidence of association between community environment and cognitive function in later life Community-level socioeconomic status/deprivation Eleven of 15 studies found significant associations between community-level socioeconomic status/deprivation and late-life cognition.