ArticleAging clinical and experimental research2021
The association of marital status with cognitive function and the role of gender in Chinese community-dwelling older adults: a cross-sectional study.
Article in Aging clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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28 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Spousal caregiving, widowhood, and cognition: A systematic review and a biopsychosocial framework for understanding the relationship between interpersonal losses and dementia risk in older adulthood.Neuroscience and biobehavioral reviews · 2022Pooled it
- Living arrangements and cognitive resilience in aging: unraveling distinct pathways through plasma biomarkers.The journal of prevention of Alzheimer's disease · 2026Article
- Evaluating the association of physical frailty with cognitive impairment: a clinical perspective in older adults of Bangladesh.BMC geriatrics · 2026Article
- Cognitive impairment and associated factors among community-dwelling older adults with hypertension in tropical China.Frontiers in public health · 2026Article
- Quality of life among patients with epilepsy in the western region of KSA: A cross-sectional study.Journal of Taibah University Medical Sciences · 2025Article
- The Association Between the Non-essential Metal Mixture and Handgrip Strength in Chinese Community-Dwelling Older Adults.Biological trace element research · 2025Article
- Nitrogen dioxide exposure attenuates or even reverses the association between physical activity and fasting plasma glucose levels in non-diabetic elderly Chinese adults.BMC public health · 2025Article
- Frailty as a mediator between sleep quality and cognitive impairment among the rural older adults: a cross-sectional study.BMC geriatrics · 2025Article
- The relationship between chronic pain and health-related quality of life: the mediating roles of frailty and depression in chronic disease patients.Frontiers in public health · 2025Article
- Marital status, brain health, and cognitive reserve among diverse older adults.Journal of the International Neuropsychological Society : JINS · 2025Article
- Impact of physical fitness and lifelong education on mild cognitive impairment in older adults.Physical activity and nutrition · 2024Article
- The influence of widowhood and social engagement on cognitive impairment among Chinese older adults and factors mediating their association.Journal of global health · 2024Article
- Influencing factors, gender differences and the decomposition of inequalities in cognitive function in Chinese older adults: a population-based cohort study.BMC geriatrics · 2024Article
- The Association Between Essential Metal Element Mixture and Sleep Quality in Chinese Community-Dwelling Older Adults.Biological trace element research · 2024Article
- A Scoping Review on the Opportunities for Social Engagement and Cognitive Frailty in Older Adults.Public health reviews · 2024Article
- Decomposing the change in the cognitive function gap between older men and women over time in China: The Chinese Longitudinal Healthy Longevity Survey.Journal of global health · 2023Article
- The use of nomogram for detecting mild cognitive impairment in patients with type 2 diabetes mellitus.Journal of diabetes · 2023Article
- Spousal loss and cognitive function: the importance of gender and multiple dimensions of marital quality.Aging & mental health · 2023Article
- Association between self-reported oral health and cognitive function among the community-dwelling elderly in Jinan, China: the mediating effect of life satisfaction.Frontiers in psychology · 2023Article
- Association between living arrangements and cognitive decline in older adults: A nationally representative longitudinal study in China.BMC geriatrics · 2022Article
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundEvidence of the association between marital status and cognitive function in Chinese older adults is limited.
aimsTo examine the relationship between marital status and cognitive function and to explore the role of gender amongst older adults from three Chinese communities.
methodsA total of 1376 participants aged 60 years or over were included in this cross-sectional study. Cognitive function was assessed using the Chinese version of the mini-mental state examination (MMSE). Marital status and other variables were collected using a standardized questionnaire. Multiple linear regression models were used to examine associations between marital statuses and cognitive function amongst the target population. The moderating role of gender in these potential associations has also been explored.
resultsIn univariate linear regression models, compared to being married, both being widowed (β [95% CI]: -1.46[-2.78 to - 0.13]) and being single (β [95% CI]: - 4.88[-6.43 to - 3.38]) were associated with lower MMSE scores. After adjustment for confounding factors, the significant association of being widowed with MMSE scores disappeared (β [95% CI: - 0.08[- 1.04 to 0.86]), but the association of being single with MMSE scores still existed (β [95% CI]: - 1.87[- 3.17 to - 0.58]). Furthermore, the association of being single with MMSE scores was statistically significant in men (β [95% CI]: - 5.25[- 7.17 to - 3.33]) but not in women (β [95% CI: 0.88[- 0.87 to 2.64]). DISCUSSION AND
conclusionsBeing single was associated with poorer cognitive function compared with their married counterparts in older Chinese men but not in women. More preventive measurements should be implemented for single men to reduce or delay cognitive decline. This is particularly important in the context of an aging population in China.
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