ArticleBMC geriatrics2022
The association between community-level socioeconomic status and cognitive function among Chinese middle-aged and older adults: a study based on the China Health and Retirement Longitudinal Study (CHARLS).
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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19 citing papers in PubMed.
- Longitudinal dynamic relationships among social frailty, depression, cognitive function, and physical frailty in community-dwelling older adults: A random intercept cross-lagged panel model study.International journal of nursing studies advances · 2026Article
- A longitudinal study of socioeconomic status and cognitive function in middle-aged and older adults in China: random intercept cross-lagged panel analysis.Cognitive processing · 2026Article
- Development and validation of a risk prediction model for mild cognitive impairment in older Chinese adults with chronic diseases.BMC geriatrics · 2026Observational
- Social perceptions, age stereotypes, and health behaviours: an economic and public health perspective from China.Frontiers in public health · 2026Article
- The impact of Internet usage on cognitive impairment among Chinese older people: a social participation perspective.BMC geriatrics · 2025Article
- Physical activity trajectories and cognitive decline among older adults in China: a longitudinal cohort study.BMC geriatrics · 2025Article
- Higher neighborhood deprivation is associated with accelerated disease progression in behavioral-variant frontotemporal degeneration.Alzheimer's & dementia. Behavior & socioeconomics of aging · 2025Article
- Higher neighborhood deprivation is associated with accelerated disease progression in behavioral-variant frontotemporal degeneration.medRxiv : the preprint server for health sciences · 2025Article
- Heterogeneity and the determinants of multidimensional health transition among Chinese middle-aged and older people: a person-centered approach.Frontiers in medicine · 2025Article
- The multiple mediating roles of depression and grandchild care in the relationship between social participation and cognitive function among middle-aged and elderly Chinese: an empirical study based on CHARLS 2020 data.Frontiers in aging neuroscience · 2025Article
- The effect of periodontal status in the associations between socioeconomic status and cognitive performance: a mediation analysis in older adults.Frontiers in aging neuroscience · 2025Article
- Intergenerational Psychological Capital, Disability, and Depressive Symptoms in the Shadow of Functional Deprivation Among Middle-Aged and Older Adults in China.Psychology research and behavior management · 2025Article
- Association between midday napping and long-term trajectories of cognitive function among middle-aged and older Chinese adults.PloS one · 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
- The dilution effect of healthy lifestyles on the risk of cognitive function attributed to socioeconomic status among Chinese older adults: A national wide prospective cohort study.Journal of global health · 2024Article
- Frailty, cognitive impairment, and depressive symptoms in Chinese older adults: an eight-year multi-trajectory analysis.BMC geriatrics · 2023Article
- Relationship between socioeconomic status and cognitive ability among Chinese older adults: the moderating role of social support.International journal for equity in health · 2023Article
- The effects of neighborhood socioeconomic status on ADL/IADL among Chinese older adults-neighborhood environments as mediators.Frontiers in public health · 2023Article
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Abstract
backgroundAlthough numerous studies focused on the relationship between area socioeconomic status (SES) and health, only a few of them investigated how community-level SES was linked to late-life cognitive function as well as the potential pathways underlying this association, and very few of them focused on the context of China. This study examined how community-level SES was linked to cognitive function and the potential pathways underlying this association among middle-aged and older adults in China.
methodsData was drawn from the waves 1-4 of China Health and Retirement Longitudinal Study. We measured cognitive function with the components of the Telephone Interview of Cognitive Status battery. Community-level SES was derived from a sum of z scores of the percentage of the illiterate and the per-capita net income status within communities. We adopted two-level hierarchical linear regression models to explore the associations between community-level SES and cognitive function. A multilevel mediation analysis with structural equation modeling was undertaken to disaggregate the direct and indirect pathways of the associations.
resultsHigher community-level SES was associated with better cognitive function (β = 0.562, 95% CI = 0.390, 0.734), and this significant association was only present in rural participants, not in urban participants. Furthermore, we discovered the mediating effects of outdoor exercise facilities within communities (β = 0.023, 95% CI = 0.000, 0.056) and individual-level SES (β = 0.108, 95% CI = 0.057, 0.156) to explain the relationship between community SES and cognitive function.
conclusionsThese findings highlight the importance of community environmental interventions in maintaining individuals' cognitive health in China, especially for older adults. Our results provided solid empirical evidence for reducing mental health inequalities in China, and suggested that developing an aging-friendly environment and properly distributing community resources are important to improve cognitive function of older adults.
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