The evolution trend of availability of China’s community-based care services and its impact on the cognitive function of elderly people: 2008-2018

Yue, Zhang; Xiang, Nan; Li, Huwei; Liu, Erpeng

doi:10.1186/s12939-021-01544-w

Cited by 36 publications

(39 citation statements)

References 58 publications

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“…The results of regression analysis also showed that age had significant negative impact on the cognitive function ( p < 0.001), ADL ( p < 0.001), and symptoms of depression ( p < 0.001), which suggest that older adults tend to have worse cognitive function, ADL, and symptoms of depression. This finding was consistent with several studies ( 61 – 63 ). As we all know, age plays a fundamental role in the health of older adults.…”

Section: Discussionsupporting

confidence: 94%

The association between reproductive history and the multidimensional health of older adults in rural China and its gender differences: Evidence from the Chinese longitudinal healthy longevity survey

Chang-yong

Liang

Wang

et al. 2022

Front. Public Health

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BackgroundFew studies have examined the association between reproductive history and the multidimensional health of older adults with more diverse reproductive histories and poorer health status in rural China. The purpose of this study is to explore the effect of parity, sex ratio of children and late childbearing on multidimensional health and its gender differences.MethodsThe analytical sample consisted of 3,377 older adults in rural China who participated in the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2018. Linear regression models were applied to estimate the relationship between reproductive history and multidimensional health, with separate models for each indicator of health outcomes.ResultsOlder adults in rural areas with greater parity were more likely to have better cognitive function (β = 0.409, 95% CI: 0.255–0.563), fewer Activities of Daily Living (ADL) limitations (β = −0.085, 95% CI: −0.137 to −0.034) and symptoms of depression (β = −0.396, 95% CI: −0.577 to −0.216). The social mechanism of intergenerational support from children later in life partly explained the positive effect of parity. Late childbearing had negative effects on cognitive function (β = −1.220, 95% CI: −1.895 to −0.545), ADL (β = 0.253, 95% CI: 0.028–0.478) and symptoms of depression (β = 1.025, 95% CI: 0.237–1.812). Women were more likely to be influenced by the positive effect of parity; the association between late childbearing and health was only significant in the male group.ConclusionsParity and late childbearing are associated with cognitive function, activities of daily living, and symptoms of depression in the older adults in rural China. Older adults with more children might be in better health, and this finding is especially significant in women. However, late childbearing had a negative effect on multidimensional health, especially for men. The social mechanism and gender differences between reproductive history and health need to be further explored.

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Section: Discussionsupporting

confidence: 94%

The association between reproductive history and the multidimensional health of older adults in rural China and its gender differences: Evidence from the Chinese longitudinal healthy longevity survey

Chang-yong

Liang

Wang

et al. 2022

Front. Public Health

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“…In addition, the community environment also affects their cognitive function ( Xiang et al, 2018 ). There is a positive correlation between community infrastructure and cognitive function, especially health and entertainment facilities ( Yue et al, 2021 ). Emotional community support is mainly transferred through the processing of family relations and neighborhood relations, as well as the expansion of social networks.…”

Section: Literature Reviewmentioning

confidence: 99%

Community support and promoting cognitive function for the elderly

Zhang

Tang²,

Wang³

et al. 2022

Front. Psychol.

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Proper cognitive functions are critical to the life of the elderly. With the rapid aging of the population, community support plays an important role in cognitive functioning. This study examines the association between community support and the level of cognitive functioning in the elderly, and the mediating effect of social participation in the relationship. Based on the panel data of China Longitudinal Healthy Longevity Survey (CLHLS) in 2005, 2008, 2011, 2014, and 2018, people aged 65 and over are selected as the research object (N = 35,479). The panel Logit model is used to analyze the influence of community support on their cognitive functioning. In addition, the stepwise regression and KHB decomposition methods are used to test the influence mechanism of community support on their cognitive function. The benchmark regression results show that there is a significant correlation between community support and cognitive function in the elderly (OR: 1.64, 95% CI: 1.41–1.91, p < 0.01). Daily care (OR: 1.75, 95% CI: 1.33–2.29, p < 0.01) has the strongest impact on the cognitive function of the elderly, followed by health care (OR: 1.70, 95% CI: 1.43–2.01, p < 0.01) and legal support (OR: 1.64, 95% CI: 1.37–1.95, p < 0.01), while psychological care (OR: 1.62, 95% CI: 1.31–2.01, p < 0.01) has the weakest impact on the cognitive function of the elderly. The results of the mediation effect test show that social participation plays a significant intermediary role in the impact of community support on the cognitive function of the elderly (mediation percentage: 16.89%), demonstrating that community support can improve the cognitive function of the elderly by promoting the social participation of the elderly. In classified community support, social participation plays a significant intermediary role in the impact of psychological care on cognition (mediation percentage: 46.10%).

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“…Although life expectancy continued to increase, it was necessary to consider adverse outcomes in advance given the increasing likelihood that cognitive ability will decline with age. A previous study showed that deterioration of cognitive ability could lead to physical dysfunction and certain chronic diseases, and severe deterioration of cognitive ability was highly associated with mortality ( Yue et al, 2021 ). Furthermore, the decline of subjective (slight) cognitive ability could be regarded as a precursor of dementia, which seriously impaired the health-related quality of life of older adults ( Pusswald et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

“…Secondly, consequences of cognitive decline in older adults not only damaged physical health, but also significantly increased the probability of Alzheimer’s disease ( Prince et al, 2013 ). Last but not least, deterioration of cognitive ability could lead to physical dysfunction and certain chronic diseases, and severe deterioration of cognitive ability was highly associated with mortality ( Yue et al, 2021 ). Therefore, it was important and urgent to study the changing trajectory of cognitive ability of older adults.…”

Section: Introductionmentioning

confidence: 99%

Effects of Leisure Activities on the Cognitive Ability of Older Adults: A Latent Variable Growth Model Analysis

2022

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Based on the data of four periods of CLHLS (2008, 2011, 2014, 2018), the latent variable growth model (LGCM) was applied to 2344 older adults who completed four follow-up surveys, to study the trajectory of leisure activities and cognitive ability and explore the relationship between leisure activities and cognitive ability of older adults. The results showed that: (1) leisure activities and cognitive ability of older adults showed a non-linear downward trend; (2) leisure activities significantly and positively predicted the cognitive ability of older adults at every time point; (3) the initial level of leisure activity positively predicted the initial level of cognitive ability but negatively predicted the rate of cognitive decline; In addition, cognitive activities had a greater effect on cognitive ability than non-exercise physical activities; (4) the rate of decline of leisure activities also significantly and positively predicted the rate of decline of cognitive ability; (5) cross-lagged regression analysis further suggested the overall positive predictive effect of leisure activity on cognitive ability; (6) overall, education level had a significant contribution to cognitive ability, and the higher the education level, the slower the decline of cognitive ability; and (7) smoking could promote cognitive ability in older adults and no significant effect was found between alcohol drinking and cognitive ability. Accordingly, the government should encourage older adults to do more leisure activities, especially the cognitive activity, to effectively prevent cognitive decline.

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The evolution trend of availability of China’s community-based care services and its impact on the cognitive function of elderly people: 2008-2018

Cited by 36 publications

References 58 publications

The association between reproductive history and the multidimensional health of older adults in rural China and its gender differences: Evidence from the Chinese longitudinal healthy longevity survey

The association between reproductive history and the multidimensional health of older adults in rural China and its gender differences: Evidence from the Chinese longitudinal healthy longevity survey

Community support and promoting cognitive function for the elderly

Effects of Leisure Activities on the Cognitive Ability of Older Adults: A Latent Variable Growth Model Analysis

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