ArticleBMJ open2022
Heterogeneous adverse childhood experiences and cognitive function in an elderly Chinese population: a cohort study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Adverse childhood experiences and cognitive outcomes among older adults in low-income and middle-income countries: a systematic review.BMJ open · 2026Pooled it
- A systematic review of latent class analysis in psychology: Examining the gap between guidelines and research practice.Behavior research methods · 2025Pooled it
- Adverse childhood experiences and risk of late-life dementia: a systematic review and meta-analysis.Social psychiatry and psychiatric epidemiology · 2025Pooled it
- Cognitive impairment and dementia-Are they linked to childhood health and socioeconomic status? A systematic review.PloS one · 2025Pooled it
- The association of adverse childhood experiences and life course relationship quality with late-life cognitive health: Moderation by race/ethnicity and gender.Journal of Alzheimer's disease : JAD · 2026Article
- Association of Adverse Childhood Experiences and Cognitive Health in Older Adults: Rush Memory and Aging Project.The American journal of geriatric psychiatry. Open science, education, and practice · 2026Article
- Childhood maltreatment confers long-term risk for cognitive impairment: A prospective investigation.The journal of prevention of Alzheimer's disease · 2025Article
- Longitudinal influences of adverse childhood experience patterns on mental health among older Chinese people.BMC geriatrics · 2025Article
- Study on the age-period-cohort effects of cognitive abilities among older Chinese adults based on the cognitive reserve hypothesis.BMC geriatrics · 2024Article
- Longitudinal association of adverse childhood experiences with cognitive function trajectories among middle-aged and older adults: group-based trajectory modeling.Frontiers in psychiatry · 2024Article
- Prevalence and associated factors of cognitive impairment among the elderly population: A nationwide cross-sectional study in China.Frontiers in public health · 2022Article
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Authors and funding
4 authors.
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Abstract
objectiveTo identify the heterogeneity of adverse childhood experiences (ACEs) as well as their association with cognitive function in an elderly Chinese population.
designA retrospective cohort study.
participantsThe data were from the latest wave of the China Health and Retirement Longitudinal Study and a total of 7222 participants aged ≥60 were included. PRIMARY AND SECONDARY OUTCOME MEASURES: Latent class analysis was used to identify the classes characterised by 11 types of ACEs. Cognitive function was measured by the Mini-Mental State Examination (MMSE) and cognitive impairment was defined by education-specific threshold MMSE scores. Logistic models were constructed to examine the relationship between ACE classes and cognitive impairment. Several childhood and adulthood confounding factors were considered.
resultsThree ACE latent classes were identified. Of them, 76.09% were in the 'Low ACEs' class, 15.43% were in the 'Household dysfunction' class and 8.49% were in the 'Child maltreatment' class. The people in the 'Low ACEs' class seemed to have better childhood family financial situations and higher education levels. The population in the 'Household dysfunction' class tended to live in rural areas and have a higher proportion of men, whereas people in the 'Child maltreatment' class showed a significantly higher proportion of women and higher levels of chronic diseases. 'Child maltreatment' was related to a higher risk of cognitive impairment (OR=1.37, 95% CI: 1.12 to 1.68), while the risk of 'Household dysfunction' was not significantly different from that of the 'Low ACEs' participants (OR=1.06, 95% CI: 0.90 to 1.26).
conclusionsThe findings supported differences in cognitive function in elderly Chinese people exposed to different types of ACEs.
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