Intergenerational financial exchange and cognitive impairment among older adults in China.

Objective: This study investigated the relationship between intergenerational financial exchange patterns and cognitive impairment among older Chinese adults. The study also explored potential pathways linking financial exchanges to cognitive health. Method: Data were taken from the 2005 and 2008 Chinese Longitudinal Healthy Longevity Survey. Three patterns of financial exchange (i.e., low receiving, high receiving, and reciprocity) based on a latent profile analysis were examined as predictors. Logistic regression models were employed to analyze variation in the Chinese version of the mini-mental status exam, taking into consideration the financial exchange patterns and a set of covariates. Results: Older adults with a reciprocity exchange pattern with their adult children had a lower likelihood of being cognitively impaired, supporting our hypotheses drawn from social exchange theory. Nutrition was found to mediate the relationship between financial exchange and cognition. Discussion: The inclusion of adequate nutrition intake as a means of maintaining cognitive well-being may help communities and families, as well as older Chinese adults, promote well-being and live a higher quality of life.