Spousal Caregiving Types and Cognitive Trajectories Among Middle-Aged and Older Adults in China.

IF 1.8 3区社会学 Q2 GERONTOLOGY

Research on Aging Pub Date : 2025-05-01 Epub Date: 2025-02-02 DOI:10.1177/01640275251317544

Yu Guo, Zhenmei Zhang, Quanbao Jiang

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引用次数: 0

Abstract

Objectives: This study investigates the longitudinal association between spousal caregiving types and cognitive trajectories among middle-aged and older Chinese adults, with a focus on gender differences. Method: Data from the China Health and Retirement Longitudinal Study (CHARLS) (2011-2018) were analyzed, covering 4568 couples aged 45 and above. Caregiving types were Activities of Daily Living (ADLs) caregiving, Instrumental Activities of Daily Living (IADLs) caregiving, and both ADLs/IADLs caregiving. Cognitive function was assessed using tests of memory, orientation, numeric ability, and visuospatial ability. Latent growth curve modeling was used to examine associations between caregiving types and cognitive trajectories. Results: Spouses who only provided IADLs caregiving had slower cognitive decline compared to those who did not provide caregiving, regardless of gender. However, those who provided ADLs caregiving had faster cognitive decline compared to non-caregivers, especially in women. Discussion: These findings highlight the importance of caregiving types as well as the gendered effects of caregiving on cognitive trajectories.

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中国中老年人配偶照顾类型与认知轨迹

目的：研究中国中老年人配偶照顾类型与认知轨迹的纵向关系，并关注性别差异。方法：分析中国健康与退休纵向研究（CHARLS）（2011-2018）的数据，涵盖4568对45岁及以上的夫妇。护理类型包括日常生活活动（ADLs）护理、工具性日常生活活动（IADLs）护理和ADLs/IADLs两种类型的护理。认知功能通过记忆、方位、数字能力和视觉空间能力测试来评估。潜在增长曲线模型被用来检验看护类型和认知轨迹之间的关联。结果：无论性别如何，只提供iadl照料的配偶比不提供照料的配偶认知能力下降得更慢。然而，那些提供adl护理的人与不提供护理的人相比，认知能力下降得更快，尤其是女性。讨论：这些发现强调了照顾类型的重要性，以及照顾对认知轨迹的性别影响。

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来源期刊

Research on Aging GERONTOLOGY-

CiteScore

4.50

自引率

0.00%

发文量

期刊介绍： Research on Aging is an interdisciplinary journal designed to reflect the expanding role of research in the field of social gerontology. Research on Aging exists to provide for publication of research in the broad range of disciplines concerned with aging. Scholars from the disciplines of sociology, geriatrics, history, psychology, anthropology, public health, economics, political science, criminal justice, and social work are encouraged to contribute articles to the journal. Emphasis will be on materials of broad scope and cross-disciplinary interest. Assessment of the current state of knowledge is as important as provision of an outlet for new knowledge, so critical and review articles are welcomed. Systematic attention to particular topics will also be featured.