Perceptions of Childhood Neighborhood Social Cohesion and Cognitive Function in Middle and Late Adulthood

Framed within the life course perspective and the neighborhood stress model, this study investigated the association between perceptions of childhood neighborhood social cohesion and cognitive function among middle-aged and older Chinese adults. We also examined whether gender, childhood hukou status, the Chinese national administrative household registration system, and birth cohort moderated the association.

This study used 3 waves of nationally representative data from the China Health and Retirement Longitudinal Study (2011-2015; N = 11,469). Cognitive function was measured with the Telephone Interview for Cognition Status instrument. Two-level multilevel modeling was employed to address the research questions.

A higher overall level of childhood neighborhood social cohesion was associated with a higher baseline level of cognitive function (b = 0.26, p < .001) and a slower rate of cognitive decline (b = 0.10, p = .010). Birth cohort membership moderated the linkage between childhood neighborhood social cohesion and the level of cognitive function (b = 0.35, p < .001) and cognitive decline (b = 0.19, p = .014). Gender and childhood hukou status did not moderate these associations.

These findings underscored the long-term ramifications of childhood conditions for later-life cognitive function. Social cohesion at the neighborhood level during childhood may be a factor that promotes healthy cognitive aging.