Direct and indirect associations between childhood socioeconomic status and cognitive function in the middle-aged and older adults in China.
Aging Ment Health
; 26(9): 1730-1737, 2022 09.
Article
in En
| MEDLINE
| ID: mdl-34125634
ABSTRACT
OBJECTIVES:
To investigate whether childhood socioeconomic status (SES) is associated with cognitive function, and what factors might mediate the associations.METHOD:
Using data from the China Health and Retirement Longitudinal Study (CHARLS) and within frameworks of the latency model, the pathway model and the accumulation model, we quantified direct and indirect pathways between childhood SES and cognitive function for Chinese middle-aged and older adults aged 45+ by structural equations modeling.RESULTS:
We found significant direct, indirect and total effects of childhood SES on cognitive function at baseline. The indirect effects were mediated through educational attainment, household consumption, smoking behaviors and social engagement. At follow-ups, cognitive enhancement can be made by indirect pathways through educational attainment, improvement of household consumption and social engagement.CONCLUSION:
Our results supported the latency model, the pathway model and the accumulation model when considering pathways linking childhood SES to cognitive function. The findings underscored the value of taking early interventions to improve SES and cognitive function, especially among those with low childhood SES.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Social Class
/
Cognition
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Aged
/
Humans
/
Middle aged
Country/Region as subject:
Asia
Language:
En
Journal:
Aging Ment Health
Journal subject:
GERIATRIA
/
PSICOLOGIA
Year:
2022
Document type:
Article
Affiliation country:
China