Abstract

BackgroundCognitive functioning is an important measure of intrinsic capacity. In this study, we examine the association of life course socioeconomic status (SES) and height with cognitive functioning among older adults (50+) in India and China. The age pattern of cognitive functioning with measures of life course socioeconomic status has also been examined.MethodsCross-sectional comparative analysis was conducted using the WHO’s Study on global AGEing and adult health (SAGE) data for India and China. Multilevel mixed-effect linear regression analysis was used to examine the association of life course socioeconomic status and adult height with cognitive functioning.ResultsIn both India and China, parental education as a measure of childhood socioeconomic status was positively associated with cognitive functioning. The association between adult socioeconomic status and cognitive functioning was positive and significant. Height was significantly and positively associated with improved cognitive functioning of older adults in India and China. Furthermore, the age-related decline in cognitive functioning score was higher among older adults whose parents had no schooling, particularly in China. The cognitive functioning score with age was much lower among less-educated older adults than those with higher levels of education in China. Wealthier older adults in India had higher cognitive functioning in middle ages, however, wealth differences narrowed with age.ConclusionsThe results of this study suggest a significant association of lifetime socioeconomic status and cumulative net nutrition on later-life cognitive functioning in middle-income settings.

Highlights

  • Cognitive functioning is an important measure of intrinsic capacity

  • We examine the association of childhood socioeconomic status, adult height, and adult socioeconomic status with cognitive functioning among older adults in two middle-income countries, namely, India and China using World Health Organisation (WHO)-Study on global AGEing and adult health (SAGE) Wave 1 data

  • Age was negatively associated with cognitive functioning; this association was stronger for older adults in China

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Summary

Introduction

We examine the association of life course socioeconomic status (SES) and height with cognitive functioning among older adults (50+) in India and China. The age pattern of cognitive functioning with measures of life course socioeconomic status has been examined. Rapid demographic changes such as the reduction in fertility and improvements in health have resulted in the rise of life expectancy both in India and China, the two most populated nations in the world with more than a third of the global population. A growing body of literature suggests a significant association between childhood socioeconomic status and health conditions with cognitive functioning in later life.

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