Family-work history and inequalities in old-age cognition in China

Dados Bibliográficos

ID4593166
AutoresJiawei Wu (0000-0002-3702-292X, Shanghai University), Guillaume Marois (0000-0002-2701-6286, International Institute for Applied Systems Analysis)
Ano2025
Volume381
Páginas118318
Data de publicação2025-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSocial Science & Medicine (JOURNAL)
Identificadores do periódicoISSN: 0277-9536 • E-ISSN: 1873-5347
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2025.118318
PMID40540829
OpenAlexW4411329494
IdiomaEN
Citações recebidas1
Referências citadas75

Prior work showed that an individual's history of partnership, fertility, or employment was separately linked to old-age cognition, but little is known about how family-work history influences later-life cognition, especially in low- and middle-income countries. Our sample comprised respondents aged 50 and above in 2014 interviewed in regular (2011, 2013, 2015, 2018, and 2020) and life-history (2014) waves of the China Health and Retirement Longitudinal Study (CHARLS, n = 8,535). After conducting sequence analysis and identifying six statistically justifiable and context-attuned family-work trajectories, we investigated how Chinese older adults' family-work history (age 18-50) related to their cognition measured by immediate word recall (0-10) and mental status scores (0-11) cross-sectionally (pairwise comparison) and longitudinally (linear mixed-effects models). We found that older adults in the "early marriage, ≥2 children, agriculturally employed" trajectory had lowest baseline immediate recall and mental status scores compared with whom slower declines in immediate recall rather than mental status were found for those in "late marriage, ≥2 children, agriculturally employed (b = 0.02, 95 % confidence interval (CI): 0.00, 0.03)", "married, ≥2 children, not in labour force (mainly early retirees, b = 0.04, 95 % CI: 0.01, 0.06)", and "married, ≥2 children, non-agriculturally employed in public sector (b = 0.04, 95 % CI: 0.03, 0.06)" trajectories. Our findings imply that inequalities in China's pre-1964 birth cohorts' cognition were affected by marriage timing and, to a greater extent, driven by midlife employment sectors which determined substantial inequalities in access to social welfare

China · Cognition · Inequality · Psychiatry · Sociology · Work (physics · Employment and Welfare Studies · Engineering · Gender Studies · History · Intergenerational Family Dynamics and Caregiving · Mathematics · Medicine · Psychology · Retirement, Disability, and Employment · Gerontology