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September 17, 2025CureusOpen Access

The overall prevalence of cognitive impairment was 27%, and never-married older adults had significantly higher odds of cognitive impairment compared to those who were ever married (AOR 23.809).

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Population

175 adults aged 60 years and above in a rural region of Ernakulam district, Kerala, India.

Design

Cross-sectional

Key result

The overall prevalence of cognitive impairment was 27%, and never-married older adults had significantly higher odds of cognitive impairment compared to those who were ever married (AOR 23.809).

Authors

VJVishaka Kiran JeejeGVGayathri VimalVBVasanth Bharathidasan

Discussion

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Overview

May support cognitive screening in rural elderly; cross-sectional data leaves open causal roles of education and marital status.

Study Design

Type

Cross-Sectional (n=175)

Multicenter

No

Structured PICO

P
Population
175 older adults aged 60 years and above residing in a rural area of Ernakulam district, Kerala, India, assessed for cognitive impairment.
O
Outcome
Prevalence of cognitive impairment assessed using the Mini-Mental State Examination (MMSE)

Main Result

Odds Ratio: 23.809 (95% CI 1.445–392.218)

Absolute Event Rate: 52% vs 16.8%

p-value: p=0.027

In a rural Indian population aged 60 and older, cognitive impairment is highly prevalent (27%) and strongly associated with lower educational attainment and being never-married.

Limitations

  • Short duration of data collection and reliance on available participants may limit generalisability
  • Use of self-reported physical activity data through the GPAQ may be prone to recall and reporting bias

Cite This Study

Jeeje et al. (2025) conducted a cross-sectional in Cognitive impairment (n=175). Never married status vs. Married at least once was evaluated on Cognitive impairment (AOR 23.809, 95% CI 1.445-392.218, p=0.027). The overall prevalence of cognitive impairment was 27%, and never-married older adults had significantly higher odds of cognitive impairment compared to those who were ever married (AOR 23.809).

synapsesocial.com/papers/6aab442dab1f44a3940fb820https://doi.org/10.7759/cureus.92583
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