A growing body of research is revealing how social and environmental conditions shape the brain—and why communities with fewer resources may face hidden cognitive disadvantages. A new commentary highlights findings from a large study of more than 10,000 children, showing that neighborhood opportunity exerts measurable effects on both brain structure and cognitive performance.
The study examined how scores on the Childhood Opportunity Index, a measure that captures 29 indicators across education, health, environment, and economic resources, relate to youth development. Children living in higher-opportunity neighborhoods performed better across “all cognitive measures,” including verbal ability, attentional control, working memory, processing speed, episodic memory, and reading. They also had “greater whole-brain gray matter volume, surface area, and cortical thickness.”
These structural brain differences were not abstract. Using modeling, researchers found that gray matter volume and surface area “mediated the relationship” between neighborhood opportunity and later cognitive outcomes, meaning the environment appeared to shape brain development in ways that influenced future abilities.
A particularly relevant finding for health-equity research is that results showed “no significant moderation…by race/ethnicity.” The commentary stresses that measuring social and environmental conditions directly avoids misrepresenting racial or ethnic categories as biological explanations for cognitive differences. It argues that neighborhood opportunity—rather than race—is the more accurate driver of disparities.
The work underscores how childhood environments can influence life trajectories. As the commentary notes, an “assets-based approach” highlights how supportive neighborhoods, rather than deprivation alone, can improve long-term outcomes.
See: “Social Determinants of Health Influence Brain and Cognitive Function in Youth” (November 1, 2025)


