{"title":"The Role of Childhood Adversity and Social Drivers of Health in Subjective Cognitive Decline.","authors":"Aishwarya Joshi, Jungwon Yeo","doi":"10.5888/pcd22.250116","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Cognitive health is influenced by a complex interplay of factors throughout the lifespan. Identifying childhood adversities and social needs can be important in mitigating subjective cognitive decline and promoting healthy aging. This study analyzes the role of social drivers of health on adverse childhood experiences and subjective cognitive decline.</p><p><strong>Methods: </strong>We conducted structural equation modeling on data from the 2023 Behavioral Risk Factor Surveillance System to investigate the association among adverse childhood experiences, social drivers of health, and subjective cognitive decline in a sample of adults aged 45 years or older (n = 35,754).</p><p><strong>Results: </strong>In our study sample, 17.7% reported experiencing subjective cognitive decline within the past 12 months. Adverse childhood experiences were significantly associated with greater subjective cognitive decline (β = 0.136, P < .001). Adverse childhood experiences were negatively associated with both social drivers of health, perceived social support (β = -0.517, P < .001), and socioeconomic stability (β = -0.022, P = .047). However, greater perceived social support (β = -0.260, P < .001) and socioeconomic stability (β = -0.086, P < .001) reduced the effects of adverse childhood experiences on subjective cognitive decline.</p><p><strong>Conclusion: </strong>Adverse childhood experiences were significantly associated with subjective cognitive decline; however, this association was attenuated when mediated by perceived social support and socioeconomic stability. These findings can inform public health providers and policymakers to implement targeted interventions, such as promoting resilience, reinforcing nurturing parenting styles, strengthening community networks, and integrating behavioral health into primary care settings.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"22 ","pages":"E42"},"PeriodicalIF":3.9000,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335310/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Preventing Chronic Disease","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5888/pcd22.250116","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Cognitive health is influenced by a complex interplay of factors throughout the lifespan. Identifying childhood adversities and social needs can be important in mitigating subjective cognitive decline and promoting healthy aging. This study analyzes the role of social drivers of health on adverse childhood experiences and subjective cognitive decline.
Methods: We conducted structural equation modeling on data from the 2023 Behavioral Risk Factor Surveillance System to investigate the association among adverse childhood experiences, social drivers of health, and subjective cognitive decline in a sample of adults aged 45 years or older (n = 35,754).
Results: In our study sample, 17.7% reported experiencing subjective cognitive decline within the past 12 months. Adverse childhood experiences were significantly associated with greater subjective cognitive decline (β = 0.136, P < .001). Adverse childhood experiences were negatively associated with both social drivers of health, perceived social support (β = -0.517, P < .001), and socioeconomic stability (β = -0.022, P = .047). However, greater perceived social support (β = -0.260, P < .001) and socioeconomic stability (β = -0.086, P < .001) reduced the effects of adverse childhood experiences on subjective cognitive decline.
Conclusion: Adverse childhood experiences were significantly associated with subjective cognitive decline; however, this association was attenuated when mediated by perceived social support and socioeconomic stability. These findings can inform public health providers and policymakers to implement targeted interventions, such as promoting resilience, reinforcing nurturing parenting styles, strengthening community networks, and integrating behavioral health into primary care settings.
期刊介绍：
Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. The mission of PCD is to promote the open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention. The vision of PCD is to be the premier forum where practitioners and policy makers inform research and researchers help practitioners and policy makers more effectively improve the health of the population. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span.
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