ArticleGeneral psychiatry2023
Relationship between left-behind status and cognitive function in older Chinese adults: a prospective 3-year cohort study.
Article in General psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Cognitive function enhancement in Alzheimer's disease through traditional Chinese medicine rehabilitation nursing: meta-analysis.Frontiers in psychiatry · 2025Pooled it
- Declining Time-Trend in Loneliness Levels Among Migrant Children in Urban China, 2006-2019: A Cross-Temporal Meta-Analysis of 40 Studies Published From 2006 to 2022.Depression and anxiety · 2024Pooled it
- Diagnostic accuracy of digital clock drawing test for Alzheimer disease and mild cognitive impairment.NPJ digital medicine · 2026Article
- Examining the association between neck pain and depressive symptoms in middle-aged and older Chinese adults: findings from the China Health and Retirement Longitudinal Study (CHARLS).BMC public health · 2026Article
- A literature review of dementia literacy in China: From awareness to action as a driver of the 2024-2030 National Dementia Action Plan.General psychiatry · 2026Review
- Depressive symptom trajectories and the association with diabetes and cardiovascular diseases in middle-aged and older Chinese adults: a cohort study.BMC public health · 2026Article
- A narrative review of health inequalities in dementia care in China: exploring mHealth's potential.mHealth · 2026Review
- A Longitudinal Network Analysis of Depressive Symptoms Among Older Adults: Findings From an 8-Year Prospective China National Survey.Depression and anxiety · 2026Article
- Longitudinal investigation of the HbA1c/HDL-c ratio as a potential biomarker of cognitive decline among Chinese older adults: evidence from CHARLS.BMC public health · 2025Article
- Enhancing Dementia Awareness and Screening, and Reducing Stigmatizing Attitudes towards Dementia in Urban China: The Role of Opinion Leader Intervention in Community-Dwelling Older Adults.Alpha psychiatry · 2025Article
- Associations of early-onset coronary heart disease and genetic susceptibility with incident dementia and white matter hyperintensity: A prospective cohort study.The journal of prevention of Alzheimer's disease · 2025Article
- Findings from a social media listening study on Chinese patients with Alzheimer's disease: a content analysis.General psychiatry · 2025Article
- Healthy lifestyle behaviors and depressive symptoms: a national cross-sectional study of the older adults in China.Frontiers in medicine · 2025Article
- From work to community: how social participation and retirement can benefit older adults' depression.Frontiers in psychiatry · 2025Article
- Clinical characteristics of schizophrenia, depression, and Alzheimer's diseases among older adults: a retrospective study of 271 consecutive admissions.Frontiers in psychiatry · 2025Article
- Obesity paradox in cognitive function: a longitudinal study of BMI and cognitive impairment in older adult Chinese population.Frontiers in aging neuroscience · 2025Article
- The longitudinal bidirectional association between cardiovascular disease and depressive symptoms among middle-aged and elderly adults: evidence from a nationwide cohort study in China.Frontiers in psychiatry · 2025Article
- Associations between pulmonary function and depression: evidence from the CHARLS cohort 2015-2018.Frontiers in public health · 2025Article
- Association between depression symptoms and cognitive frailty in chronic kidney disease patients: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Body Pain and Depressive Symptoms: Patterns and Associations in Middle-Aged and Older Chinese Adults.Depression and anxiety · 2025Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Due to the inaccuracy of the traditional geographical distance-based definition of left-behind status, data on the negative effect of left-behind status on cognitive function among older adults are controversial. Aims: This study examined the cross-sectional and longitudinal associations of left-behind status with cognitive function in older Chinese adults. The left-behind status definition was based on the frequency of face-to-face parent-child meetings. Methods: Data from a nationally representative sample of 8 682 older adults (60+ years) in 2015 (5 658 left behind and 3 024 non-left behind), of which 6 933 completed the follow-up in 2018, were obtained from the China Health and Retirement Longitudinal Study. Left-behind older adults were broadly defined as those aged 60+ years who had living adult children and saw their children less than once per month. The cognitive function was assessed with a composite cognitive test with higher total scores indicating better cognitive function. Results: Left-behind older adults had significantly lower cognitive test scores than non-left-behind older adults in both 2015 (11.1 (6.0) vs 13.2 (5.9), t=15.863, p<0.001) and 2018 (10.0 (6.6) vs 12.4 (6.7), t=14.177, p<0.001). After adjusting for demographic factors, lifestyle factors, chronic medical conditions and the baseline cognitive test score (in the longitudinal analysis only), on average, the cognitive test score of left-behind older adults was 0.628 lower than their non-left-behind counterparts in 2015 (t=5.689, p<0.001). This difference in cognitive test scores attenuated to 0.322 but remained significant in 2018 (t=2.733, p=0.006). Conclusions: Left-behind older Chinese adults have a higher risk of poor cognitive function and cognitive decline than their non-left-behind counterparts. Specific efforts targeting left-behind older adults, such as encouraging adult children to visit their parents more regularly, are warranted to maintain or delay the progression of cognitive decline.
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