Abstract
The Social Architecture of Cognitive Health: Bridging Morbidity, Mental Wellbeing, and Policy in Aging Populations
As global populations undergo a rapid demographic shift, the rising prevalence of multi-morbidity and cognitive impairment presents an urgent challenge to healthcare sustainability. Moving beyond a siloed clinical view of pathology, this presentation argues that cognitive health is fundamentally shaped by a "social architecture", a multifaceted web of social determinants, mental wellbeing, and environmental factors. Drawing upon extensive longitudinal research and recent systematic reviews, we examine the critical intersection between physical morbidities, specifically the systemic oral-brain axis, and neurodegeneration. We highlight how the "joint effect" of chronic conditions, such as diabetes and edentulism, accelerates cognitive decline, while identifying social isolation and socioeconomic disparities as potent catalysts for both mental health challenges and cognitive impairment. Crucially, the discussion introduces "neighborhood cohesion" as a vital moderator that can attenuate the impact of physical loss on brain health, suggesting that social environments can serve as a biological buffer. Finally, we pivot from individual pathology to systemic solutions, evaluating how integrated healthy aging policies and global health equity frameworks can foster cognitive resilience. By bridging clinical care and social support, we move beyond "lifespan" toward a holistic model of longevity centered on healthspan and psychological flourishing.
Speaker
Bei Wu, PhD, FGSA, FAGHE, FAAN (Hon), is the Provost and Distinguished Global Professor of Public Health at NYU Shanghai. An internationally recognized leader in gerontology, Professor Wu’s career is defined by her multidisciplinary approach to global health and aging. Prior to her current role, she served as Vice Dean for Research and Dean’s Professor in Global Health at the NYU Rory Meyers College of Nursing, and previously held the Pauline Gratz Professorship at Duke University.
With a prolific body of scholarship exceeding 800 peer-reviewed publications, her research spans the critical intersections of dementia caregiving, geriatric oral health, long-term care policy, and immigrant health. In recognition of her extraordinary global contributions to health care, she was named an Honorary Fellow of the American Academy of Nursing. She is also a Fellow of the Gerontological Society of America and the New York Academy of Medicine, as well as an Honorary Member of the Sigma Theta Tau International Honor Society of Nursing.
Professor Wu’s global impact is reflected in her numerous accolades, including the Maxwell A. Pollack Award for Contributions to Healthy Aging (2023), the Public Service Award from the American Association for Dental, Oral, and Craniofacial Research (2024), and the World Perio Research Award (2025).
Prof. Bei Wu

Panel Discussion
Following Professor Bei Wu's presentation, there will be a panel discussion.
Moderator: Professor Andy Ho
Discussants: Assoc Prof Lim Ni Eng, Asst Prof Michelle Chiang
For more information, please contact Dr Swapna Kona Nayudu (swapna.kona@ntu.edu.sg)