Sons and parental cognition in mid-life and older adulthood.
Sons and parental cognition in mid-life and older adulthood.
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DOI：
10.1016/j.jpsychires.2022.10.026
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发表时间：
2022-12
影响因子：
4.8
通讯作者：
Tom, Sarah E.
中科院分区：
文献类型：
--
作者：
Wolfova, Katrin;Wu, Di;Weiss, Jordan;Cermakova, Pavla;Kohler, Hans-Peter;Skirbekk, Vegard Fykse;Stern, Yaakov;Gemmill, Alison;Tom, Sarah E.
先前的研究表明，儿子的数量与母亲的长期健康状况（包括痴呆症）之间存在关系。我们评估了生儿子与父母认知衰老之间的关系。具体来说，我们调查了至少有 1 个儿子与父母基线认知水平和认知下降率之间的关系，并考虑了美国健康与退休研究中 13 222 名 50 岁以上成年人的生命历程社会人口学特征。我们只纳入了至少有一个孩子的参与者。我们进一步探讨了这种关系是否因父母性别而异，以及这种关系的程度是否随着每多一个儿子而增加。每两年评估一次认知能力，最多进行九次，即立即和延迟的 10 个名词自由回忆测试、连续 7 秒减法测试和倒数计数测试的分数总和。使用线性混合效应模型评估关联性，逐步调整社会人口统计和健康相关因素。在我们的父母分析样本中，共有 82.3% 的受访者至少有 1 个儿子，其中 61.6% 的受访者是女性。与没有儿子的父母相比，至少有 1 个儿子的父母认知能力下降的速度更快。我们的研究结果还表明，与只有女儿的父母相比，多儿子的父母认知能力下降更快。因此，结果支持了这样的理论：生儿子可能会对父母的认知产生长期的负面影响。
Prior research suggests a relationship between number of sons and maternal long-term health outcomes, including dementia. We assessed the relationship between having sons and parental cognitive aging. Specifically, we investigated the relationship between having at least 1 son and parental baseline cognition level and rate of cognitive decline, accounting for life course sociodemographic characteristics in a cohort of 13 222 adults aged ≥50 years from the US Health and Retirement Study. We included only participants with at least one child. We further explored whether this relationship varies by parental sex and whether the magnitude of the relationship increases with each additional son. Cognition was assessed biennially for a maximum of nine times as a sum of scores from immediate and delayed 10-noun free recall tests, a serial 7s subtraction test, and a backwards counting test. Associations were evaluated using linear mixed-effects models, stepwise adjusting for sociodemographic and health-related factors. In our analytic sample of parents, a total of 82.3% of respondents had at least 1 son and 61.6% of respondents were female. Parents of at least 1 son had a faster rate of cognitive decline in comparison to parents without any son. Our results also suggest that cognitive decline was faster among parents of multiple sons, compared to parents with only daughters. Thus, the results support the theory that having sons might have a long-term negative effect on parental cognition.
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