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What doesn't kill you makes you “smarter”: The long-term association between exposure to epidemic and cognition

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  • Wen, Sha
  • Zou, Hong
  • Xu, Hongwei

Abstract

Emerging epidemics have devastating impacts on people's lives and livelihoods. However, acting as a severe health shock, exposure to an epidemic may induce positive changes in health behaviors among survivors, thereby leading to long-lasting improvement in population health. This study examined the long-term association between exposure to the 2002–2004 severe acute respiratory syndrome outbreak and middle-aged and older Chinese adults' cognition assessed in 2011–2015. Drawing on data from the 2011–2015 China Health and Retirement Longitudinal Study, we found that community exposure to the outbreak was associated with significantly higher scores on episodic memory, after adjusting for demographic characteristics, adulthood socioeconomic status and health, and community socioeconomic conditions. No such a significant association was found for mental intactness. Mediation analysis showed that community exposure to the epidemic was associated with increased participation in social activities, maintaining close family relationships with adult children and grandchildren, and increased participation in regular physical exercise, all of which were positively associated with cognitive functioning in middle-aged and older Chinese adults. These findings suggest that positive post-epidemic behavioral changes are possible and may have long-term health benefits for survivors.

Suggested Citation

  • Wen, Sha & Zou, Hong & Xu, Hongwei, 2021. "What doesn't kill you makes you “smarter”: The long-term association between exposure to epidemic and cognition," Social Science & Medicine, Elsevier, vol. 291(C).
    • Handle: RePEc:eee:socmed:v:291:y:2021:i:c:s0277953621007218
    DOI: 10.1016/j.socscimed.2021.114389
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    References listed on IDEAS

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    1. Bennett, Daniel & Chiang, Chun-Fang & Malani, Anup, 2015. "Learning during a crisis: The SARS epidemic in Taiwan," Journal of Development Economics, Elsevier, vol. 112(C), pages 1-18.
    2. Eiji Yamamura, 2016. "Natural disasters and social capital formation: The impact of the Great Hanshin-Awaji earthquake," Papers in Regional Science, Wiley Blackwell, vol. 95, pages 143-164, March.
    3. Luo, Ye & Pan, Xi & Zhang, Zhenmei, 2019. "Productive activities and cognitive decline among older adults in China: Evidence from the China Health and Retirement Longitudinal Study," Social Science & Medicine, Elsevier, vol. 229(C), pages 96-105.
    4. Hong Zou & Sha Wen & Hongwei Xu & Deborah S Carr, 2021. "Is Exposure to Epidemic Associated With Older Adults’ Health Behavior? Evidence From China’s 2002–2004 SARS Outbreak," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(7), pages 300-305.
    5. Agüero, Jorge M. & Beleche, Trinidad, 2017. "Health shocks and their long-lasting impact on health behaviors: Evidence from the 2009 H1N1 pandemic in Mexico," Journal of Health Economics, Elsevier, vol. 54(C), pages 40-55.
    6. Kate E. Jones & Nikkita G. Patel & Marc A. Levy & Adam Storeygard & Deborah Balk & John L. Gittleman & Peter Daszak, 2008. "Global trends in emerging infectious diseases," Nature, Nature, vol. 451(7181), pages 990-993, February.
    7. Hilbrand, Sonja & Coall, David A. & Meyer, Andrea H. & Gerstorf, Denis & Hertwig, Ralph, 2017. "A prospective study of associations among helping, health, and longevity," Social Science & Medicine, Elsevier, vol. 187(C), pages 109-117.
    8. Atanu Sengupta & Sanjoy De, 2020. "Review of Literature," India Studies in Business and Economics, in: Assessing Performance of Banks in India Fifty Years After Nationalization, chapter 0, pages 15-30, Springer.
    Full references (including those not matched with items on IDEAS)

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