ArticleBMC geriatrics2022
Association between living arrangements and cognitive decline in older adults: A nationally representative longitudinal study in China.
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 15 papers.
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Who cites it
15 citing papers in PubMed, 28 citations in OpenAlex.
- Association of serum uric acid levels with cognitive function in the hypertensive population: a cross-sectional study.BMC neurology · 2026Article
- How Changes in Functional Disability Are Associated With Living Arrangements for Chinese Older Adults: Results From a Longitudinal Study (2008-2018).Australasian journal on ageing · 2026Article
- Living Arrangements and Cognitive Impairment Among Mexican American Older Adults: Nativity Differences.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Cognitive Functioning in Rural Older Adults: The Mediating Role of Perceived Social Support.Healthcare (Basel, Switzerland) · 2026Article
- Beyond access: how heterogeneity of internet use differentially shapes cognitive function among Chinese older adults.Frontiers in public health · 2026Article
- The closer, the better? The impact of generational residential distance on older adults' mental health: evidence from China.Frontiers in public health · 2026Article
- Association of weight-adjusted waist index with motoric cognitive risk syndrome in Chinese adults Aged ≥ 60 years.Lipids in health and disease · 2025Article
- The Effect of the Low-Carbon City Pilot Program on the Cognitive Function of Older Adults: Quasi-Experimental Evidence from China.The Gerontologist · 2025Article
- Mapping cognitive diversity in older adults through community-based digital screening via mobile devices: a cross-sectional latent class analysis.Frontiers in digital health · 2025Article
- Exploring the impact of discharged patients' characteristics on online health information-seeking behaviors: insights from patients' dilemmas.Frontiers in psychology · 2025Article
- Impact of living arrangements and internet use on the mental health of Chinese older adults.Frontiers in public health · 2024Article
- The relationship between living alone or not and depressive symptoms in older adults: a parallel mediation effect of sleep quality and anxiety.BMC geriatrics · 2023Article
- Social support and cognitive function in Chinese older adults who experienced depressive symptoms: is there an age difference?Frontiers in aging neuroscience · 2023Article
- Gender differences in the modifying effect of living arrangements on the association of sleep quality with cognitive function among community-dwelling older adults: a cross-sectional study.Frontiers in public health · 2023Article
- Analysis of comorbid characteristics, molecular mechanisms between mild cognitive impairment and Alzheimer's disease with interventions in a community-based population in Shanghai.Frontiers in neurologyArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLiving arrangements are critical to the survival and well-being of older people, especially in China where the filial piety culture demands adult children care for and serve their parents. The study aimed to explore the association between living arrangements and cognitive decline among older people in China.
methodsParticipants included 6,074 older adults over 60 years old (49.65% male, mean age 67.2 years [range 60-98]) from four waves (2011-2018) of the China Health and Retirement Longitudinal Study. Two to four assessments were conducted over a follow-up of an average of 5.3 years (range, 2-7). Cognitive function was assessed using an adapted Chinese version of Mini-Mental State Examination (MMSE). Living arrangements were classified as follows: living alone, living with spouse, living with adult children, living with spouse and adult children and living with others. Multilevel models were used to investigate the relationship between living arrangements and cognitive decline, as well as the gender difference.
resultsAs the main type of living arrangements of the study participants (44.91%), living with spouse was taken as the reference group. Compared to the reference group, living alone (β=-0.126, P < 0.001), living with adult children (β=-0.136, P < 0.001), living with spouse and adult children (β=-0.040, P < 0.05) and living with others (β=-0.155, P < 0.05) were all related to a faster rate of cognitive decline. Further, the association between living arrangements and cognitive decline varied by gender. Living alone (β=-0.192, P < 0.001) was associated with a faster cognitive decline only in older men. Living with spouse and adult children (β=-0.053, P < 0.05) and living with others (β=-0.179, P < 0.05) were associated with faster cognitive decline only in older women.
conclusionThis study suggests that living arrangements in older people in China were associated with cognitive decline, and these associations varied by gender. Greater attention to living arrangements might yield practical implications for preserving the cognitive function of the older population.
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