Hanzhang Xu1,2, Matthew E Dupre3,4,5, Truls Østbye1,2,5,6, Allison A Vorderstrasse7, Bei Wu7. 1. 1 School of Nursing, Duke University, Durham, NC, USA. 2. 2 Duke Global Health Institute, Duke University, Durham, NC, USA. 3. 3 Department of Population Health Sciences, Duke University, Durham, NC, USA. 4. 4 Department of Sociology, Duke University, Durham, NC, USA. 5. 5 Duke Clinical Research Institute, Duke University, Durham, NC, USA. 6. 6 Department of Community and Family Medicine, Duke University, Durham, NC, USA. 7. 7 New York University Rory Meyers College of Nursing, New York City, NY, USA.
Abstract
OBJECTIVES: To assess the association between rural and urban residential mobility and cognitive function among middle-aged and older adults in China. METHOD: We used data from the World Health Organization Study on global AGEing and adult health that included adults age 50+ from China ( N = 12,410). We used multivariate linear regressions to examine how residential mobility and age at migration were associated with cognitive function. RESULTS: Urban and urban-to-urban residents had the highest level of cognitive function, whereas rural and rural-to-rural residents had the poorest cognitive function. Persons who migrated to/within rural areas before age 20 had poorer cognitive function than those who migrated during later adulthood. Socioeconomic factors played a major role in accounting for the disparities in cognition; however, the association remained significant after inclusion of all covariates. DISCUSSION: Residential mobility and age at migration have significant implications for cognitive function among middle-aged and older adults in China.
OBJECTIVES: To assess the association between rural and urban residential mobility and cognitive function among middle-aged and older adults in China. METHOD: We used data from the World Health Organization Study on global AGEing and adult health that included adults age 50+ from China ( N = 12,410). We used multivariate linear regressions to examine how residential mobility and age at migration were associated with cognitive function. RESULTS: Urban and urban-to-urban residents had the highest level of cognitive function, whereas rural and rural-to-rural residents had the poorest cognitive function. Persons who migrated to/within rural areas before age 20 had poorer cognitive function than those who migrated during later adulthood. Socioeconomic factors played a major role in accounting for the disparities in cognition; however, the association remained significant after inclusion of all covariates. DISCUSSION: Residential mobility and age at migration have significant implications for cognitive function among middle-aged and older adults in China.
Entities:
Keywords:
China; cognition; mobility; social determinants of health
Authors: Wei Yang; Bei Wu; Si Ying Tan; Bingqin Li; Vivian W Q Lou; Zhuo Adam Chen; Xi Chen; James Rupert Fletcher; Ludovico Carrino; Bo Hu; Anwen Zhang; Min Hu; Yixiao Wang Journal: Res Aging Date: 2020-07-17