ArticleFrontiers in aging neuroscience2022
A Role of Socioeconomic Status in Cognitive Impairment Among Older Adults in Macau: A Decomposition Approach.
Article in Frontiers in aging neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 25 citations in OpenAlex.
- Prevalence of cognitive impairment among older adult Palestinians in community and nursing home settings.PloS one · 2026Article
- A narrative review of health inequalities in dementia care in China: exploring mHealth's potential.mHealth · 2026Review
- Burden of cognitive impairment and its associated factors among patients with rheumatic heart disease at a tertiary cardiac center in Tanzania: A hospital-based cross-sectional study.Heart rhythm O2 · 2025Article
- Household Environments and Cognitive Decline Among Middle-Aged and Older Adults in China: Exploring Gender, Age, and Residential Variations.International journal of aging & human development · 2025Article
- Article
- Psychometric Properties of a Neuropsychological Assessment Scale for Diagnosing Alzheimer's Disease in the Illiterate and Low-Educated Subjects in Iran.Iranian journal of psychiatry · 2025Article
- Prevalence of Cognitive Impairment/Dementia and Associated Risks Factors Among Community-Dwelling Elderly People Aged 65 or Above in the Community Centers in Hong Kong: A Cross-Sectional Study.Brain and behavior · 2025Article
- Relationship Between Socioeconomic Status and Depression in Older Adults: The Roles of Cognitive Function and Sleep Quality.Psychology research and behavior management · 2025Article
- Association Between Socioeconomic Status and Neuropsychiatric Symptoms in the UK Biobank: The Moderating Role of Sociability.Depression and anxiety · 2025Article
- Global burden and cross-national inequalities of tobacco-attributable cancers in adults aged 40 and above, 1990-2021: a population-based study.Frontiers in oncology · 2025Article
- Association of low socioeconomic status with cognitive decline among older persons in underdeveloped areas in China - a data analysis of the Gansu aging study.BMC geriatrics · 2024Article
- Life-Course Socioeconomic Position and Mild Cognitive Impairment in Midlife: Evidence from the 1958 British Birth Cohort.Journal of epidemiology and global health · 2024Article
- Pattern of cognitive impairment among community-dwelling elderly in Egypt and its relation to socioeconomic status.The Journal of the Egyptian Public Health Association · 2024Article
- Social determinants of health and cognitive function: A cross-sectional study among men without dementia.Brain and behavior · 2023Article
- Low neighborhood deprivation buffers against hippocampal neurodegeneration, white matter hyperintensities, and poorer cognition.GeroScience · 2023Article
- Social support and cognitive function in Chinese older adults who experienced depressive symptoms: is there an age difference?Frontiers in aging neuroscience · 2023Article
- Verbal intelligence and leisure activities are associated with cognitive performance and resting-state electroencephalogram.Frontiers in aging neuroscience · 2022Article
- Health beliefs, lifestyle, and cognitive aging among Chinese community residents: A structural equation model analysis.Frontiers in public health · 2022Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo explore the prevalence and inequality of cognitive impairment among older adults in Macau and the contributions of influencing factors to inequality in cognitive impairment.
methodsThe Montreal Cognitive Assessment (MoCA) was used to measure the prevalence of cognitive impairment. Socioeconomic status scores were used to describe economic level of the subjects. The concentration index was applied to measure the inequality of cognitive impairment associated with socioeconomic status (SES) and decomposed into its influencing factors.
resultsThe prevalence of cognitive impairment was 44.35% in Macau. The concentration index of cognitive impairment among the elderly was -0.165 (95% CI: -0.232 to -0.098), indicating that the prevalence of cognitive impairment was concentrated in households with poor SES. Older age, poor SES, long or short sleep duration, other marital status, poor appetite, no tea/coffee drinking, no religious belief, and depression contributed positively to the inequality of cognitive impairment. Among these factors, SES made the largest contribution to inequality, accounting for 76.74%.
conclusionIn Macau, the prevalence of cognitive impairment among people aged 65 years and older is concentrated among those who are in poor economic conditions. Reducing the gap between the rich and the poor at the source, increasing educational level of low SES population and improving their access to healthcare services will help to improve the inequity of cognitive impairment.
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