ArticleSocial science & medicine (1982)2021
Duration of subjective poverty in relation to subsequent cognitive performance and decline among adults aged ≥64 in China, 2005-2018.
Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 16 citations in OpenAlex.
- Financial decision-making power and mental well-being in older adults: a nationwide longitudinal cohort study in China.BMC geriatrics · 2026Article
- Unmet needs for community-based healthcare services and blood pressure among Chinese older adults: A nationwide longitudinal cohort study.BMC public health · 2026Article
- The Role of County-Level Persistent Poverty in Stroke Mortality in the USA.Journal of racial and ethnic health disparities · 2025Article
- A non-linear relationship between blood pressure and mild cognitive impairment in elderly individuals: A cohort study based on the Chinese longitudinal healthy longevity survey (CLHLS).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024Article
- Subjective poverty, mental health, and mortality among Chinese older people: a prospective cohort study from 2008 to 2018.Social psychiatry and psychiatric epidemiology · 2023Article
- The impact of hearing loss on cognitive impairment: The mediating role of depressive symptoms and the moderating role of social relationships.Frontiers in public health · 2023Article
- The associations between cognitive function and depressive symptoms among older Chinese population: A cohort study.Frontiers in psychiatry · 2023Article
- Association of Playing Cards or Mahjong with Cognitive Function in Chinese Older Adults.International journal of environmental research and public 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
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3 authors at 2 institutions in 2 countries.
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Abstract
backgroundThe effects of late-life subjective poverty on brain health are understudied. We aimed to investigate the association between duration of subjective poverty after age 64 and subsequent cognitive function and decline in China.
methodsData were from 4118 adults aged ≥64 at baseline in the population-based China Longitudinal Healthy Longevity Survey (CLHLS), 2005-2018. The duration of subjective poverty was measured from self-rated economic status relative to neighbors in 2005, 2008, and 2011 (never; one time point; two or three time points). Cognitive function was assessed by the Chinese Mini-Mental State Exam (CMMSE; range: 0-30) in 2011, 2014, and 2018. We fitted attrition-weighted, multivariable mixed-effects Tobit regression models to examine the relationship between duration of subjective poverty from 2005 to 2011 and subsequent cognitive function and decline from 2011 to 2018.
resultsA total of 2675 (64.96%) participants never reported subjective poverty over the period 2005-2011, 930 (22.58%) participants reported subjective poverty at one time point, and 513 (12.46%) reported subjective poverty at two or three time points. Compared to those who never reported subjective poverty, participants experiencing subjective poverty at one time point (β = -0.95, 95% CI: -1.48 to -0.41) and two or three time points (β = -2.01; 95% CI: -2.73 to -1.29) had lower CMMSE scores in 2011, indicating a dose-response relationship. Individuals with a longer duration of subjective poverty had a slower rate of decline in CMMSE scores than those never in subjective poverty (β = 1.44; 95% CI: 0.20 to 2.68 for 2018 X Two or three time points).
conclusionSubjective poverty in late life may have unique and cumulative contributions to cognitive aging among older adults in China. The lower level of initial cognitive function but slower rate of cognitive decline observed for those with greater subjective poverty is consistent with theories of cognitive reserve and empirical evidence from Western settings on other socioeconomic markers.
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