Social Engagement and Cognitive Impairment in Older Chinese Adults: The Mediating Role of Psychological Well-Being. (5th April 2019)

• Record Type: Journal Article
• Authors: Zhou, Zi; Mao, Fanzhen; Han, Yaofeng; Fu, Jian; Fang, Ya
• Is Part Of: Journal of aging and health. Volume 32:Number 7/8(2020)
• Page Start: 573
• Page End: 581
• Publication Date: 2019-04-05
• Subjects: social engagement -- cognitive impairment -- psychological well-being -- gender differences -- mediating analysis; Older people -- Health and hygiene -- Periodicals; Geriatrics -- Periodicals; 618.97
• DOI: 10.1177/0898264319839594
• Languages: English
• ISSNs: 0898-2643

Abstract

Objective: The objective of this study was to explore the association between social engagement and cognitive impairment with psychological well-being (PWB) as a mediator in older Chinese adults and to further test the gender differences in this association.Method: Data were drawn from the Chinese Longitudinal Healthy Longevity Survey of older Chinese adults, aged 65 and older ( N = 6, 998). The total effect was decomposed into direct and indirect effects by logistic regression based on the Karlson, Holm, and Breen method.Results: Higher social engagement was significantly associated with lower odds of cognitive impairment, odds ratio (OR) = 0.89, 95% confidence interval (CI) = [0.82, 0.97]. Moreover, a better PWB would decrease the odds of cognitive impairment (OR = 0.96, 95% CI = [0.94, 0.98]). The mediating effect was 15.4% in the full sample and 13.1% in the men subsample. However, mediation was not significant in the women subsample.Discussion: Higher social engagement was associated with a decreased odds of cognitive impairment in older men, and this association was mediated by PWB.