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February 22, 2026BMC Psychology0 citationsOpen Access

Cognitive impairment among widowed older adults in India: a decomposition analysis of gender gap

JBJ. Mufina BegamPLP. Padma Sri LekhaEAE P. Abdul Azeez

Key Points

  • The study aims to investigate the gender gap in cognitive impairment among widowed older adults in India, with a focus on influencing factors.
  • Analyzed data from the Longitudinal Ageing Study in India (LASI) Wave 1, focusing on individuals aged 60 and above
  • Conducted descriptive statistical analysis to characterize the sample
  • Employed multiple logistic regression and decomposition analysis to assess factors impacting cognitive impairment
  • Being female is associated with increased odds of cognitive impairment (OR = 1.77)
  • Education level was a major contributing factor to the gender gap, particularly among those with no schooling (42.64%)
  • Depressive symptoms and low social participation also significantly increased odds (OR = 1.38 and OR = 1.72, respectively)

Abstract

Various physiological, psychological, and social changes accompany the process of aging. Widowhood, a significant life event, can profoundly influence the well-being of older adults. The loss of a spouse often leads to emotional distress, social isolation, and increased health risks. Therefore, the present study tried to explore the gender gap using decomposition analysis to understand the influence of duration of widowhood, psychosocial factors, health-related factors, and health behaviours on cognitive impairment among older widows. This study utilized data from the Longitudinal Ageing Study in India (LASI) Wave 1, focusing on widowed older adults aged 60 and above (N = 7221). We conducted descriptive statistical analysis to understand the characteristics of the samples. Furthermore, multiple logistic regression with odds ratio (OR) and decomposition analysis were employed. The results suggest that being female likely increased the odds of cognitive impairment (OR = 1.77, 99% CI = 1.26 – 2.47). The gender gap was mainly attributed to education level (no schooling; 42.64%), along with depressive symptoms, social participation, and functionality. In addition, the presence of everyday discrimination, depressive symptoms (OR = 1.38, 99% CI = 1.13 – 1.69), and low social participation (OR = 1.72, 99% CI = 1.42 – 2.09) increased the odds of cognitive impairment among widowed older adults. The education level was the major factor in the gender gap in cognitive impairment among widowed older adults in India. The results indicate a need for tailored educational programs to promote lifelong learning among widowed older women.

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Cite This Study

Begam et al. (2026) studied this question.

synapsesocial.com/papers/699a9ceb482488d673cd2930https://doi.org/10.1186/s40359-026-04145-w
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