Evidence map›Paper›PMID 37095501›Full record

ArticleInternational journal for equity in health2023

Relationship between socioeconomic status and cognitive ability among Chinese older adults: the moderating role of social support.

Leiyu Shi, Lei Tao, Nanqian Chen, Hailun Liang

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Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

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20citing papers in PubMed, 1 pooled it
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3 · Its place in the literature

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20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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5 · Who and what money

Authors and funding

4 authors.

Leiyu ShiJohns Hopkins Primary Care Policy Center, 624 N Broadway, Baltimore, USA.
Lei TaoDepartment of Public and International Affairs, City University of Hong Kong, Hong Kong SAR, China.
Nanqian ChenDepartment of Sociology, The Chinese University of Hong Kong, Hong Kong SAR, China.
Hailun LiangSchool of Public Administration and Policy, Renmin University of China, 59 Zhongguancun, Beijing, China. hliang@ruc.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the causes and pathways of cognitive decline among older populations is of great importance in China. This study aims to examine whether the discrepancy in socioeconomic status (SES) makes a difference to the cognitive ability among Chinese older adults, and to disentangle the moderating role of different types of social support in the process in which SES influences cognition.

methodsWe utilized a nationally representative sample from the 2018 Chinese Longitudinal Healthy Longevity Survey. A cumulative SES score was constructed to measure the combined effect of different socioeconomic statuses on the cognitive ability of the elderly. We further examined the moderating role of two types of social support, including emotional support, and financial support. Hierarchical regression analysis was applied to test the direct effect of SES on cognitive ability, and to investigate the moderating role of social support on the association of the SES with the dependent variables.

resultsThe results showed that the higher SES of older adults was significantly associated with better cognitive ability (β = 0.52, p < 0.001) after controlling for age, sex, marital status, living region, Hukou, health insurance, lifestyle factors, and physical health status. Emotional support and financial support were moderated the relationship between SES score and cognitive ability.

conclusionOur results reveal the importance of considering social support in buffering the effects of SES and the associated cognitive ability for aging populations. It highlights the importance of narrowing the socioeconomic gap among the elderly. Policymakers should consider promoting social support to improve the cognitive ability among older adults.

Indexed as

East Asian PeopleSocial ClassAgedAgingChinaCognitionHumansSocial SupportCognitive abilitySocial SupportSocioeconomic status disparities

Identifiers

PMID37095501
PMCPMC10124054

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.