Evidence map›Paper›PMID 34099525›Full record

ArticleNeurology2021

Duration of Poverty and Subsequent Cognitive Function and Decline Among Older Adults in China, 2005-2018.

Xuexin Yu, Wei Zhang, Lindsay C Kobayashi

Abstract read
In one paragraph

Article in Neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Xuexin YuFrom the West China Biomedical Big Data Center (X.Y., W.Z.), West China Hospital, Sichuan University; and Department of Epidemiology (X.Y., L.C.K.), University of Michigan School of Public Health, Ann Arbor.ORCID 0000-0002-6484-6035
Wei ZhangFrom the West China Biomedical Big Data Center (X.Y., W.Z.), West China Hospital, Sichuan University; and Department of Epidemiology (X.Y., L.C.K.), University of Michigan School of Public Health, Ann Arbor.ORCID 0000-0003-3113-9577
Lindsay C KobayashiFrom the West China Biomedical Big Data Center (X.Y., W.Z.), West China Hospital, Sichuan University; and Department of Epidemiology (X.Y., L.C.K.), University of Michigan School of Public Health, Ann Arbor. lkob@umich.edu.ORCID 0000-0003-2725-3107

Funding

Socioeconomic, Cardiovascular, and Psychosocial Sources of Cross-National Variation in Cognitive Health Among Older AdultsR01AG070953 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Alden L. Gross, Lindsay C Kobayashi · 2021 to 2026
$4.6M
Cumulative socioeconomic exposures, cash transfer interventions, and later-life cognitive decline and dementia risk in a low-income region of South AfricaR01AG069128 · NIA · TRUSTEES OF INDIANA UNIVERSITY · PI Lindsay C Kobayashi, Molly Sears Rosenberg · 2020 to 2026
$4.1M
NIA NIH HHS R01 AG069128NIA NIH HHS R01 AG070953
6 · The paper itself

Abstract

objectiveTo investigate the relationship between late-life duration of poverty exposure and cognitive function and decline among older adults in China.

methodsData were from 3,209 participants ≥64 years of age in the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Duration of poverty, defined according to urban and rural regional standards from the China Statistical Yearbook, was assessed according to annual household income from 2005 to 2011 (never in poverty; one-third of the period in poverty; two-thirds or more of the period in poverty). Cognitive function was measured by the Chinese Mini-Mental State Examination (CMMSE) from 2011 to 2018. We used attrition-weighted, multivariable mixed-effects Tobit regression to examine the association of duration of poverty with cognitive function and rate of decline.

resultsA total of 1,162 individuals (36.21%) were never in poverty over the period from 2005 to 2011; 1,172 (36.52%) were in poverty one-third of the period; and 875 (27.27%) were in poverty two-thirds or more of the period. A longer poverty duration was associated with lower subsequent CMMSE scores with a dose-response relationship (one-third vs never in poverty: β = -0.98; 95% confidence interval -1.61 to -0.35; two-thirds or more vs never in poverty: β = -1.55; 95% confidence interval -2.29 to -0.81). However, a longer duration of poverty was associated with a slower rate of CMMSE score decline over time from 2011 to 2018.

conclusionThese findings provide valuable evidence for the role of cumulative late-life poverty in relation to cognitive health among older adults in a rapidly urbanizing and aging middle-income country. Our findings may support a compensation hypothesis for cognitive reserve in this setting.

Indexed as

AgedAged, 80 and overAgingChinaCognitionCognitive DysfunctionFemaleHumansLongitudinal StudiesMaleMental Status and Dementia TestsMiddle AgedPovertyTime Factors

Identifiers

PMID34099525
PMCPMC8377873

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.