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Social Support and the Incidence of Cognitive Impairment Among Older Adults in China: Findings From the Chinese Longitudinal Healthy Longevity Survey Study
Yin, Shufei1,2,3; Yang, Quan1; Xiong, Jinli1; Li, Tian1,4; Zhu, Xinyi2,5
First AuthorYin, Shufei
Correspondent Emailtian li endymionse@163.com ; xinyi zhu zhuxy@psych.ac.cn
Contribution Rank2
Abstract

Objective Social support shows a protective effect against cognitive impairment in older adults. However, the longitudinal relationship between the distinct sources of social support and the incidence of cognitive impairment remains unclear. This study aims to investigate the association between different sources of social support and the incidence of cognitive impairment among older adults in China. Method We used longitudinal data (2005-2014) from the Chinese Longitudinal Healthy Longevity Survey (CLHLS, 2005-2014, mean follow-up years 5.32 +/- 2.64). In total, 5897 participants (aged 81.7 +/- 9.7 years, range 65-112 years, 49.0% male) were enrolled. Cognitive impairment was measured by the Mini-Mental State Examination (MMSE). Social support included support from family and friends (marital status; contacts with family and friends; children's visits; siblings' visits, sick care; money received from and money given to children) and the availability of support from social community (social service and social security). We calculated subdistribution hazard ratios (SHR) of cognitive impairment by establishing Cox regression models, adjusting for residence, gender, age, education, participation in physical exercise, activities of daily living, smoking, drinking, negative psychological well-being, baseline cognitive function, occupation, leisure activities, and diseases. Results During a 9-year follow-up, 1047 participants developed cognitive impairment. Participants who were married had a 16.0% lower risk of developing cognitive impairment compared to the widowed older adults after controlling for all covariates, but the protective effect of being married was no longer significant (p = 0.067) when additional adjustment was made for all types of social support. Children's visits were significantly associated with the risk of cognitive impairment after controlling for all types of social support and covariate variables (SHR = 0.808, 95% confidence interval, 0.669-0.975, p = 0.026). Conclusion Children's visits were consistently associated with a lower incidence of cognitive impairment in Chinese older adults.

Keywordsocial support older adults cognitive impairment Chinese Longitudinal Healthy Longevity Survey China
2020-04-07
Language英语
DOI10.3389/fpsyt.2020.00254
Source PublicationFRONTIERS IN PSYCHIATRY
ISSN1664-0640
Volume11Pages:10
Subtypearticle
Indexed BySCI
Funding ProjectNational Natural Science Foundation of China[31600904] ; Humanities and Social Science Research Project of Hubei Provincial Department of Education[18Q017] ; Beijing Key Lab of Applied Experimental Psychology, Scientific Foundation of Institute of Psychology, Chinese Academy of Sciences[Y9CX191005] ; Beijing Postdoctoral Research Foundation
PublisherFRONTIERS MEDIA SA
WOS KeywordALZHEIMERS-DISEASE ; MARITAL-STATUS ; LIFE EVENTS ; RISK ; INTEGRATION ; ENGAGEMENT ; NETWORKS ; DEMENTIA ; DECLINE ; GENDER
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000528857000001
QuartileQ2
Citation statistics
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/31714
Collection中国科学院心理健康重点实验室
Corresponding AuthorLi, Tian; Zhu, Xinyi
Affiliation1.Hubei Univ, Fac Educ, Dept Psychol, Wuhan, Peoples R China
2.Chinese Acad Sci, Inst Psychol, CAS Key Lab Mental Hlth, Ctr Aging Psychol, Beijing, Peoples R China
3.Beijing Normal Univ, Fac Psychol, Beijing Key Lab Appl Expt Psychol, Beijing, Peoples R China
4.Beijing Normal Univ, State Key Lab Cognit Neurosci & Learning, Beijing, Peoples R China
5.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China
Recommended Citation
GB/T 7714
Yin, Shufei,Yang, Quan,Xiong, Jinli,et al. Social Support and the Incidence of Cognitive Impairment Among Older Adults in China: Findings From the Chinese Longitudinal Healthy Longevity Survey Study[J]. FRONTIERS IN PSYCHIATRY,2020,11:10.
APA Yin, Shufei,Yang, Quan,Xiong, Jinli,Li, Tian,&Zhu, Xinyi.(2020).Social Support and the Incidence of Cognitive Impairment Among Older Adults in China: Findings From the Chinese Longitudinal Healthy Longevity Survey Study.FRONTIERS IN PSYCHIATRY,11,10.
MLA Yin, Shufei,et al."Social Support and the Incidence of Cognitive Impairment Among Older Adults in China: Findings From the Chinese Longitudinal Healthy Longevity Survey Study".FRONTIERS IN PSYCHIATRY 11(2020):10.
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