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Area-socioeconomic disadvantage and cognitive function among Chinese older adults: the mediating role of healthcare resources and the moderating role of individual socioeconomic status

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  • Jiang, Xiaqing
  • Zhang, Yuying
  • Gao, Jiamin

Abstract

This study examines how city-level socioeconomic status (SES) is associated with cognitive function among older adults in China, and explores the mediating role of healthcare resources and the moderating role of individual SES in this context.

Suggested Citation

  • Jiang, Xiaqing & Zhang, Yuying & Gao, Jiamin, 2026. "Area-socioeconomic disadvantage and cognitive function among Chinese older adults: the mediating role of healthcare resources and the moderating role of individual socioeconomic status," Social Science & Medicine, Elsevier, vol. 392(C).
  • Handle: RePEc:eee:socmed:v:392:y:2026:i:c:s0277953626000626
    DOI: 10.1016/j.socscimed.2026.118987
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    References listed on IDEAS

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    1. Shih, R.A. & Ghosh-Dastidar, B. & Margolis, K.L. & Slaughter, M.E. & Jewell, A. & Bird, C.E. & Eibner, C. & Denburg, N.L. & Ockene, J. & Messina, C.R. & Espeland, M.A., 2011. "Neighborhood socioeconomic status and cognitive function in women," American Journal of Public Health, American Public Health Association, vol. 101(9), pages 1721-1728.
    2. Verbrugge, Lois M. & Jette, Alan M., 1994. "The disablement process," Social Science & Medicine, Elsevier, vol. 38(1), pages 1-14, January.
    3. Lee, Yeonjin & Jean Yeung, Wei-Jun, 2019. "Gender matters: Productive social engagement and the subsequent cognitive changes among older adults," Social Science & Medicine, Elsevier, vol. 229(C), pages 87-95.
    4. Angrisani, Marco & Lee, Jinkook & Meijer, Erik, 2020. "The gender gap in education and late-life cognition: Evidence from multiple countries and birth cohorts," The Journal of the Economics of Ageing, Elsevier, vol. 16(C).
    5. Denton, Margaret & Walters, Vivienne, 1999. "Gender differences in structural and behavioral determinants of health: an analysis of the social production of health," Social Science & Medicine, Elsevier, vol. 48(9), pages 1221-1235, May.
    6. Veenstra, Gerry & Vanzella-Yang, Adam, 2022. "Interactions between parental and personal socioeconomic resources and self-rated health: Adjudicating between the resource substitution and resource multiplication theories," Social Science & Medicine, Elsevier, vol. 292(C).
    7. Rui Zhao & Yaohui Zhao, 2018. "The Gender Pension Gap in China," Feminist Economics, Taylor & Francis Journals, vol. 24(2), pages 218-239, April.
    8. Gudrun Svavarsdottir & Tinna Laufey Asgeirsdottir & Andrew E. Clark & Gunnar Stefansson, 2026. "Equivalence scales revisited: Evidence from subjective data," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 24(1), pages 57-79, March.
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