Study on the correlation between marital status and mild cognitive impairment in older adults
10.3760/cma.j.issn.0254-9026.2023.04.014
- VernacularTitle:老年人婚姻状况与轻度认知障碍的相关性研究
- Author:
Ling BAI
1
;
Fengya ZHEN
;
Lan WANG
;
Mei SONG
;
Lulu YU
;
Xueyi WANG
;
Cuixia AN
Author Information
1. 河北医科大学第一医院精神卫生中心，河北省精神心理健康评估与干预技术创新中心，石家庄 050031
- Keywords:
Mild cognitive impairment;
Marital status;
Social activities;
Life events;
Gender
- From:
Chinese Journal of Geriatrics
2023;42(4):453-457
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between marital status and mild cognitive impairment in older adults.Methods:This study is a cluster random sampling.From January to December 2020, a questionnaire survey was conducted among older adults aged 60 years and over in four cities of Hebei Province.Finally, 2690 older adults with mild cognitive impairment and normal cognitive function were enrolled.The older adults were divided into 2 groups according to their marital status: married and living with their spouses(group E1), divorced or living alone(group E2). The mini-mental state examination(MMSE)scores of older adults in the two groups were compared.Moreover, the cognitive differences of older adults between the two groups and the interaction of marital status, social activities and life events on cognitive outcomes were analyzed.Results:The married older adults with partners had better cognitive preservation( P<0.01). The more life events were more likely to cause cognitive impairment( P<0.01), and the interaction of marital status, social activities and life events had a significant impact on cognition( P<0.01). Older men who were married and lived with spouse had better cognition than older women who were married and lived with spouse( P<0.05 in Model 3). The cognition of widowed elderly women was better than those of widowed elderly men( P<0.1 in Model 1; P<0.1 in Model 2). Among elderly men, the cognition of those married and living with spouse was better than that those of widowed( P<0.01 in models 1 and 2, P<0.1 in model 3). Among elderly women, those married and living with spouse had better cognitive outcomes than those widowed( P<0.01 in Model 1, P<0.01 in Model 2). Conclusions:Marital companionship is a protective factor for the cognition of older adults, and there are gender differences in the impact of marital status on cognition in late life.
