https://jamanetwork.com/journals/jamaneurology/article-abstract/2801599

Question  Is state-level educational quality during childhood associated with incident dementia in older Black and White adults?

Findings  In this cohort study of 20 778 adults aged 65 years or older without dementia, non-Hispanic Black (vs non-Hispanic White) individuals were disproportionately exposed to lower state-level educational quality. Lower state-level educational quality was associated with higher dementia risk, although the associations did not vary by race.

Meaning  These findings suggest that state-level investments to improve educational quality matter and systemic factors contributing to unequal distribution of such investments among racial and ethnic minority groups should be considered to address dementia disparities.