The association between lifetime marital histories and later-life cognitive function: evidence from the United States and China.

Objectives We adopted a life course perspective to characterize lifetime marital history typologies and examined their associations with later-life cognitive function in two nationally representative cohorts of adults aged 65+ in the United States and China. We also explored whether the associations...

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Publicado en:Journals of Gerontology Series B: Psychological Sciences & Social Sciences Vol. 81; no. 8; pp. 1 - 14
Autores principales: Cheng, Greta Jianjia, Wang, Leping, Cho, Tsai-Chin, Gross, Alden L, Kobayashi, Lindsay C
Formato: Artículo
Publicado: Oxford University Press / USA Aug2026
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: The association between lifetime marital histories and later-life cognitive function: evidence from the United States and China.
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          Cheng, Greta Jianjia
          Wang, Leping
          Cho, Tsai-Chin
          Gross, Alden L
          Kobayashi, Lindsay C
        affil:
          Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, United States
          Department of Sociology, College of Arts and Science, Vanderbilt University, Nashville, Tennessee, United States
          Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, United States
          Department of Epidemiology, School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States
          Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, United StatesDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, United States
      su:
        United States
        China
        Psychological aspects of aging
        Cross-sectional method
        Life change events
        Language & languages
        Marriage
        Executive function
        Sex distribution
        Culture
        Age distribution
        Social norms
        Marital status
        Memory
        Divorce
        Widowhood
        Cognitive testing
        Data analysis
        Cluster analysis (Statistics)
        Research funding
        Questionnaires
        Multiple regression analysis
        Descriptive statistics
        Longitudinal method
        Life course approach
        Statistics
        Comparative studies
        Data analysis software
      sug:
        subj:
          Psychological aspects of aging
          Cross-sectional method
          Life change events
          Language & languages
          Marriage
          Executive function
          Sex distribution
          Culture
          Age distribution
          Social norms
          Marital status
          Memory
          Divorce
          Widowhood
          United States
          China
          Cognitive testing
          Data analysis
          Cluster analysis (Statistics)
          Research funding
          Questionnaires
          Multiple regression analysis
          Descriptive statistics
          Longitudinal method
          Life course approach
          Statistics
          Comparative studies
          Data analysis software
      keyword:
        aged
        china
        Chinese Health and Retirement Longitudinal Study
        cognitive ability
        Cognitive aging
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        Harmonized Cognitive Assessment Protocol (HCAP)
        Health and Retirement Study
        health care-associated pneumonia
        https://dx.doi.org/10.1093/geronb/gbag110
        inLanguage:en
        life event
        Marital history
        marriage
        mental processes
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42308546/
        widowhood
        aged
        china
        Chinese Health and Retirement Longitudinal Study
        cognitive ability
        Cognitive aging
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        Harmonized Cognitive Assessment Protocol (HCAP)
        Health and Retirement Study
        health care-associated pneumonia
        https://dx.doi.org/10.1093/geronb/gbag110
        inLanguage:en
        life event
        Marital history
        marriage
        mental processes
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42308546/
        widowhood
      ab: Objectives We adopted a life course perspective to characterize lifetime marital history typologies and examined their associations with later-life cognitive function in two nationally representative cohorts of adults aged 65+ in the United States and China. We also explored whether the associations vary by gender. Methods We used data from the Harmonized Cognitive Assessment Protocol from the Health and Retirement Study (HRS-HCAP) (n  = 3,318) and the China Health and Retirement Longitudinal Study (CHARLS-HCAP) (n  = 5,766). Cognition was measured by general cognitive function, executive function, memory, language, and orientation. Country-specific marital histories from age 18–65 were constructed using sequence and cluster analysis. Population-weighted linear regression models examined the associations of marital histories with general and domain-specific cognitive outcomes. Results Marital histories in the United States are more heterogeneous than in China. Relative to lifelong marriage with a normative age at onset (mid- to late-20s and 30s in both the United States and China), lifelong marriage with an onset in early 20s and premature widowhood by age 50 were associated with worse cognitive function in both countries. American older adults divorced and remarried, or divorced by age 40 without remarrying, did not perform worse across all cognitive outcomes, compared to the normatively married. Lifelong singlehood was associated with worse general cognitive function in China, but not in the United States. Discussion Our findings demonstrate that marital histories, including timing, sequence, and transition, have enduring implications for later-life cognitive health, with patterns shaped by cultural norms and the timing of marital transition.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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