ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2021
Does Low Subjective Social Status Predict Cognitive Decline in Chinese Older Adults? A 4-Year Longitudinal Study From Hong Kong.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Physical Activity and Cognitive Decline Among Older Adults: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- Trajectories of cognitive ability and attitudes toward own aging in older adults: a conditional parallel latent growth model.BMC geriatrics · 2026Article
- Episodic Memory in Amnestic Mild Cognitive Impairment at Risk for Alzheimer's Disease: Spanish Validation of the TYM-MCI.Journal of clinical medicine · 2026Article
- The importance of modifiable lifestyle factors for episodic memory: a gradient boosted tree analysis.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Subjective social standing and lower urinary tract symptoms among Black and White women and men in four regions of the United States.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- The Relationship Between Socioeconomic Status and Health Behaviors in Older Adults: A Narrative Review.Healthcare (Basel, Switzerland) · 2025Review
- The mediating role of job fairness and job burnout between subjective social status and depressive symptoms in Chinese migrant workers: a generational difference analysis.BMC public health · 2025Article
- Racial and ethnic differences in the relationship between financial worry and white matter hyperintensities in Latinx, non-Latinx Black, and non-Latinx White older adults.Neurobiology of aging · 2023Article
- The effect of subjective social status on health-related quality of life decline in urban Chinese older adults: a four-year longitudinal study from Hong Kong.BMC geriatrics · 2022Article
- Resilience and coping strategies of older adults in Hong Kong during COVID-19 pandemic: a mixed methods study.BMC geriatrics · 2022Article
- Subjective social position and cognitive function in a longitudinal cohort of older, rural South African adults, 2014-2019.Journal of epidemiology and community health · 2022Article
- The relationship between duration of subjective poverty and health among Chinese adults: Evidence from the China Family Panel Study.Frontiers in public health · 2022Article
- Duration of subjective poverty in relation to subsequent cognitive performance and decline among adults aged ≥64 in China, 2005-2018.Social science & medicine (1982) · 2021Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveSubjective social status (SSS), one's self-perceived social position, encompasses not only concrete socio-economic (SES) factors (e.g., income) but also intangible aspects of status (e.g., social capital). In recent years, there has been increasing research interest in SSS as a predictor of a vast array of health outcomes but very few studies examining effects on cognitive functioning. This study's main objective was to examine the association between SSS and long-term cognitive decline in older Chinese adults.
designA 4-year longitudinal study.
settingHong Kong, China.
participantsChinese adults (aged ≥65) (n = 3,153). MEASUREMENTS: This study analyzed baseline SSS-Hong Kong (self-perceived social status within Hong Kong) and SSS-Community (self-perceived status within one's own social network) as predictors of long-term cognitive decline. Multiple-linear-regression was performed on 4-year follow-up Mini-Mental-Status-Examination (MMSE) cognitive function score (score range: 0-30) after adjusting for baseline MMSE scores, traditional SES indicators (e.g., education), demographic variables (e.g., sex), clinical conditions (e.g., stroke history, depression), and lifestyle variables (e.g., physical activity levels).
resultsLower SSS-Community but not SSS-Hong Kong was associated with greater cognitive decline (unstandardized coefficient (95% CI) = 0.13 (0.07, 0.19) standardized β-coefficient = 0.08, after adjusting for objective SES measures and other background and clinical factors. The standardized β-coefficients for the SSS-Community variable were similar in magnitude to those for depression and diabetes.
conclusionCognitive decline is influenced by self-perceived rank in proximal reference groups rather than socioeconomic comparison with society at-large. SSS-Community is a useful, single-item supplementary instrument to improve prediction of cognitive decline in elderly Chinese.
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