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The Associations of Loneliness and Social Support with Cognitive Impairment among Middle-Aged and Older Individuals with Diabetes

Author

Listed:
  • Ella Cohn-Schwartz

    (Department of Epidemiology, Biostatistics, and Community Health Sciences, Faculty of Health Sciences, Ben-Gurion University, Beer-Sheva 8410501, Israel)

  • Rennie Joshi

    (Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA)

  • Leslie A. McClure

    (Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA)

Abstract

Diabetes mellitus is a chronic disease with significant morbidity and mortality and it is associated with poor cognitive performance in later life. This study seeks to determine the relationship between social support and cognitive function among participants with type 2 diabetes mellitus (T2DM). We used data from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, including participants with T2DM aged 45 and older (n = 4821). We examined different aspects of perceived social support, measured as structural social support (e.g., marital status), functional social support (having a caregiver in case of sickness or disability), and loneliness. We examined cognitive functioning using a six-item screener. Our results indicate that adults who felt lonely for 5–7 days per week had almost double the odds of cognitive impairment compared to those who didn’t feel lonely. These results suggest that among middle-aged and older individuals with T2DM, interventions targeting lonely adults and which aim to reduce loneliness may combat some of the risks of cognitive decline.

Suggested Citation

  • Ella Cohn-Schwartz & Rennie Joshi & Leslie A. McClure, 2023. "The Associations of Loneliness and Social Support with Cognitive Impairment among Middle-Aged and Older Individuals with Diabetes," IJERPH, MDPI, vol. 20(3), pages 1-10, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:1885-:d:1041537
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    References listed on IDEAS

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    1. Li Zhang & Jiao Yang & Zhangyi Liao & Xiaomeng Zhao & Xuefeng Hu & Wenli Zhu & Zhaofeng Zhang, 2019. "Association between Diabetes and Cognitive Function among People over 45 Years Old in China: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(7), pages 1-12, April.
    2. Bao-Liang Zhong & Shu-Lin Chen & Xin Tu & Yeates Conwell, 2017. "Loneliness and Cognitive Function in Older Adults: Findings From the Chinese Longitudinal Healthy Longevity Survey," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(1), pages 120-128.
    3. Crooks, V.C. & Lubben, J. & Petitti, D.B. & Little, D. & Chiu, V., 2008. "Social network, cognitive function, and dementia incidence among elderly women," American Journal of Public Health, American Public Health Association, vol. 98(7), pages 1221-1227.
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