Association between marital status and dementia among older adults population: the Chinese longitudinal healthy longevity survey.

Y. Niu,Jianfeng Gao,Dechen Liu,Jinjin Wang

Published 2025 in Geriatric Nursing

ABSTRACT

OBJECTIVE This paper describes the association between marital status and dementia in older Chinese adults. METHODS Using the 2018 Chinese Longitudinal Healthy Longevity Survey dataset, we conducted a cross-sectional study involving 13,982 older adults with dementia. Marital status was categorized as married and unmarried (divorced, widowed, or never married). An adjusted logistic regression model was employed to examine the association between marital status and dementia. Additionally, interaction and subgroup analyses were utilized to explore the effects of marital status and other factors on the occurrence of dementia. RESULTS After confounder adjusting, unmarried participants exhibited higher odds ratio (OR:1.46, 95 % CI:1.06-1.99) for dementia. Interaction analysis revealed both multiplicative and additive interactions between being unmarried and being aged ≥ 85 years. Subgroup analysis results indicated that unmarried participants (specifically those aged ≥ 85 years, males, living in town or rural areas, not currently exercising, and having a sleep duration of ≥ 8 h) were more significantly associated with dementia prevalence. CONCLUSION Unmarried status is a significant risk factor for dementia among older adults in China.

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