{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T17:20:47Z","timestamp":1793726447278,"version":"4.6.1"},"reference-count":51,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Aging Neurosci."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Studies have shown the positive impact of perceived social support on cognitive function among older adults in rural areas. However, existing studies often overlook the impact of different support sources. This study aimed to explore the relationship between the diverse sources of perceived social support and cognitive function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were drawn from the Guizhou Rural Older Adults\u2019 Health Study (HSRO) in China. We included 791 participants who participated in a baseline survey in 2019 and a 3-year follow-up survey. Perceived social support was investigated from the six main sources (friend, relative, children, spouse, sibling, and neighbor). Hierarchical linear regression models were used to observe the effects of diverse sources of perceived social support and their combinations on cognitive function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Cognitive function was positively associated with perceived support from children, friends, and neighbors. A positive association was found between cognitive function and increases in each additional source [\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.75 (95%CI: 0.51, 0.98),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001]. Older adults who perceived support from both children and friends showed better cognitive function [\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20092.53 (95%CI: 1.35, 3.72),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001]. The perception of support from spouse, siblings, and relatives did not show a statistically significant association with cognitive function among older adults in rural areas.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study found that the association between different sources of perceived social support and cognitive function was varied. This study provides scientific evidence that personalized support strategies may benefit in promoting cognitive health in rural older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnagi.2024.1443689","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:33:16Z","timestamp":1728433996000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Sources of perceived social support and cognitive function among older adults: a longitudinal study in rural China"],"prefix":"10.3389","volume":"16","author":[{"given":"Shiqi","family":"Gui","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiushuo","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiyue","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xing","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingyuan","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1016\/s0277-9536(00)00065-4","article-title":"From social integration to health: Durkheim in the new millennium","volume":"51","author":"Berkman","year":"2000","journal-title":"Soc. 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Ther."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"22133","DOI":"10.1038\/s41598-023-49285-w","article-title":"Low levels of free triiodothyronine are associated with risk of cognitive impairment in older euthyroid adults","volume":"13","author":"Chen","year":"2023","journal-title":"Sci. Rep."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e233978","DOI":"10.1001\/jamanetworkopen.2023.3978","article-title":"Perception of social support and cognitive performance in older adults with depression","volume":"6","author":"Doreste-Mendez","year":"2023","journal-title":"JAMA Netw. Open"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1496","DOI":"10.1080\/13607863.2022.2126433","article-title":"Source of perceived social support and cognitive change: an 8-year prospective cohort study","volume":"27","author":"Du","year":"2023","journal-title":"Aging Mental Health"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e3410","DOI":"10.1002\/dmrr.3410","article-title":"Burden and management of type 2 diabetes in rural United States","volume":"37","author":"Dugani","year":"2021","journal-title":"Diabetes Metab. Res. Rev."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.socscimed.2014.05.007","article-title":"The mix matters: complex personal networks relate to higher cognitive functioning in old age","volume":"125","author":"Ellwardt","year":"2015","journal-title":"Soc. Sci. Med."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/j.arr.2015.08.003","article-title":"A research agenda for aging in China in the 21st century","volume":"24","author":"Fang","year":"2015","journal-title":"Ageing Res. Rev."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","article-title":"Mini-mental state","volume":"12","author":"Folstein","year":"1975","journal-title":"J. Psychiatr. Res."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1016\/s0140-6736(00)02113-9","article-title":"Influence of social network on occurrence of dementia: a community-based longitudinal study","volume":"355","author":"Fratiglioni","year":"2000","journal-title":"Lancet"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1248291","DOI":"10.3389\/fpubh.2023.1248291","article-title":"Socioeconomic status and quality of life among older adults with hypertension in rural Shandong, China: a mediating effect of social capital","volume":"11","author":"Fu","year":"2023","journal-title":"Front. 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Sci."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e0189849","DOI":"10.1371\/journal.pone.0189849","article-title":"Testing the stress-buffering hypothesis of social support in couples coping with early-stage dementia","volume":"13","author":"Gellert","year":"2018","journal-title":"PLoS One"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"106989","DOI":"10.1016\/j.ypmed.2022.106989","article-title":"The role of neighborhood social capital on health and health inequality in rural and urban China","volume":"156","author":"Han","year":"2022","journal-title":"Prev. Med."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"113167","DOI":"10.1016\/j.socscimed.2020.113167","article-title":"Social contact, social support, and cognitive health in a population-based study of middle-aged and older men and women in rural South Africa","volume":"260","author":"Harling","year":"2020","journal-title":"Soc. Sci. Med."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1159\/000530961","article-title":"Rural versus urban residence in adulthood and incident cognitive impairment","volume":"57","author":"Harris","year":"2023","journal-title":"Neuroepidemiology"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1080\/02815739608730394","article-title":"Strong ties or weak ties? Neighbourhood networks in a new perspective","volume":"13","author":"Henning","year":"1996","journal-title":"Scand. Hous. Plan. Res."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"659","DOI":"10.1146\/annurev-psych-020821-103525","article-title":"Catching up on multilevel modeling","volume":"73","author":"Hoffman","year":"2022","journal-title":"Annu. Rev. Psychol."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1159\/000501293","article-title":"The longitudinal relationship of perceived stress predicting subsequent decline in executive functioning in old age is attenuated in individuals with greater cognitive reserve","volume":"66","author":"Ihle","year":"2020","journal-title":"Gerontology"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1046\/j.1365-2648.2002.02196.x","article-title":"Deciphering the 4 D's: cognitive decline, delirium, depression and dementia\u2013a review","volume":"38","author":"Insel","year":"2002","journal-title":"J. Adv. Nurs."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1186\/s13643-017-0632-2","article-title":"The impact of social activities, social networks, social support and social relationships on the cognitive functioning of healthy older adults: a systematic review","volume":"6","author":"Kelly","year":"2017","journal-title":"Syst. Rev."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1080\/13607863.2011.569479","article-title":"Does filial piety decrease depression among family caregivers?","volume":"15","author":"Khalaila","year":"2011","journal-title":"Aging Mental Health"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"99","DOI":"10.3233\/jad-161160","article-title":"Positive and negative experiences of social support and risk of dementia in later life: an investigation using the English longitudinal study of ageing","volume":"58","author":"Khondoker","year":"2017","journal-title":"J. Alzheimers Dis."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"854","DOI":"10.1007\/s11606-016-3696-0","article-title":"Social function and cognitive status: results from a US nationally representative survey of older adults","volume":"31","author":"Kotwal","year":"2016","journal-title":"J. Gen. Intern. Med."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1093\/geronj\/41.4.512","article-title":"Social support, stress, and well-being among older adults","volume":"41","author":"Krause","year":"1986","journal-title":"J. Gerontol."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1284","DOI":"10.1097\/01.mlr.0000093487.78664.3c","article-title":"The patient health Questionnaire-2","volume":"41","author":"Kroenke","year":"2003","journal-title":"Med. Care"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.1002\/gps.4567","article-title":"The relationship between social functioning and subjective memory complaints in older persons: a population-based longitudinal cohort study","volume":"32","author":"Kuiper","year":"2017","journal-title":"Int. J. Geriatr. Psychiatry"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1093\/geront\/9.3_Part_1.179","article-title":"Assessment of older people: self-maintaining and instrumental activities of daily living","volume":"9","author":"Lawton","year":"1969","journal-title":"Gerontologist"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1007\/s10964-015-0395-9","article-title":"Loneliness, stress, and social support in young adulthood: does the source of support matter?","volume":"45","author":"Lee","year":"2016","journal-title":"J. Youth Adolesc."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"487","DOI":"10.3233\/jad-160119","article-title":"Mini-mental state examination in elderly Chinese: a population-based normative study","volume":"53","author":"Li","year":"2016","journal-title":"J. Alzheimers Dis."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1111\/j.1600-0447.1989.tb10303.x","article-title":"An epidemiological survey of age-related dementia in an urban area of Beijing","volume":"79","author":"Li","year":"1989","journal-title":"Acta Psychiatr. Scand."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"502","DOI":"10.2188\/jea.JE20200602","article-title":"Rural-urban disparities in the prevalence of mild cognitive impairment and dementia in Taiwan: a door-to-door Nationwide study","volume":"32","author":"Liu","year":"2022","journal-title":"J. Epidemiol."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1016\/j.jad.2019.04.003","article-title":"Moderating effect of social support on depression and health promoting lifestyle for Chinese empty nesters: a cross-sectional study","volume":"256","author":"Lu","year":"2019","journal-title":"J. Affect. Disord."},{"key":"ref37","doi-asserted-by":"crossref","DOI":"10.4135\/9781412985147","volume-title":"Multilevel modeling","author":"Luke","year":"2004"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"1735","DOI":"10.2105\/ajph.2011.300163","article-title":"Relations among home-and community-based services investment and nursing home rates of use for working-age and older adults: a state-level analysis","volume":"101","author":"Miller","year":"2011","journal-title":"Am. J. Public Health"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"e1322","DOI":"10.1212\/wnl.0000000000007021","article-title":"Cognitive and physical activity and dementia: a 44-year longitudinal population study of women","volume":"92","author":"Najar","year":"2019","journal-title":"Neurology"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1007\/s10902-015-9626-8","article-title":"Social support from family and friends and subjective well-being of older African Americans","volume":"17","author":"Nguyen","year":"2016","journal-title":"J. Happiness Stud."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1177\/1043659616657877","article-title":"The relationship between mutuality, filial piety, and depression in family caregivers in China","volume":"28","author":"Pan","year":"2017","journal-title":"J. Transcult. Nurs."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1080\/13607863.2022.2088693","article-title":"Cognitive function and cognitive decline among older rural Chinese adults: the roles of social support, pension benefits, and medical insurance","volume":"27","author":"Peng","year":"2023","journal-title":"Aging Ment. Health"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1093\/geront\/gnab112","article-title":"Social networks and cognitive function: an evaluation of social bridging and bonding mechanisms","volume":"62","author":"Perry","year":"2022","journal-title":"The Gerontologist"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"1107","DOI":"10.3233\/jad-220967","article-title":"Association of Social Support with mild cognitive impairment and dementia among older women: the Women\u2019s Health Initiative memory study","volume":"91","author":"Posis","year":"2023","journal-title":"J. Alzheimers Dis."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1093\/geront\/gnx063","article-title":"Neighborhood and depressive symptoms: a comparison of rural and urban Chinese older adults","volume":"58","author":"Wang","year":"2018","journal-title":"Gerontologist"},{"key":"ref46","year":"2021"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"e0291231","DOI":"10.1371\/journal.pone.0291231","article-title":"Health and wellbeing among the empty nest and non-empty nest elderly in China-results from a national cross-sectional study","volume":"18","author":"Xu","year":"2023","journal-title":"PLoS One"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"254","DOI":"10.3389\/fpsyt.2020.00254","article-title":"Social support and the incidence of cognitive impairment among older adults in China: findings from the Chinese longitudinal healthy longevity survey study","volume":"11","author":"Yin","year":"2020","journal-title":"Front. Psych."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1016\/j.jad.2020.12.111","article-title":"Cognitive frailty and suicidal ideation among Chinese rural empty-nest older adults: parent-child geographic proximity as a possible moderator?","volume":"282","author":"Zhao","year":"2021","journal-title":"J. Affect. Disord."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"2118","DOI":"10.1111\/j.1365-2702.2012.04178.x","article-title":"Role of social support in cognitive function among elders","volume":"21","author":"Zhu","year":"2012","journal-title":"J. Clin. Nurs."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"1678","DOI":"10.2105\/ajph.2020.305868","article-title":"A century later: rural public Health's enduring challenges and opportunities","volume":"110","author":"Ziller","year":"2020","journal-title":"Am. J. 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