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75%). A stratified analyses showed greater effect estimates of cognitive impairment in the older people that lived in the rural areas (aHR 1.444, 95% CI 1.08-3.9 and never smoked (aHR 1.33, 95% CI 1.04-1.71). These findings demonstrated that biomass fuel used for cooking was associated with cognitive impairment, as defined by MMSE, in a population-based study of elderly in China. To prevent cognitive impairment, the structure of cooking fuels requires improvements. These findings demonstrated that biomass fuel used for cooking was asso