Marital breakup in later adulthood and self-rated health: a cross-sectional survey in Switzerland
In: International journal of public health, Band 61, Heft 3, S. 357-366
ISSN: 1661-8564
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In: International journal of public health, Band 61, Heft 3, S. 357-366
ISSN: 1661-8564
Cognitive aging is characterized by large heterogeneity, which may be due to variations in childhood socioeconomic conditions (CSC). Although there is substantial evidence for an effect of CSC on levels of cognitive functioning at older age, results on associations with cognitive decline are mixed. We examined by means of an accelerated longitudinal design the association between CSC and cognitive trajectories from 50 to 96 years. Cognition included two functions generally found to decline with aging: delayed recall and verbal fluency. Data are from six waves of the Survey of Health, Aging, and Retirement in Europe (SHARE), conducted between 2004 and 2015 (n = 24,066 at baseline; 56% female, age 50+). We found a consistent CSC pattern in levels of cognitive functioning in later life. Older people with disadvantaged CSC had lower levels of cognitive functioning than those with more advantaged CSC. We also find that decline is almost 1.6 times faster in the most advantaged group compared with the most disadvantaged group. The faster decline for people with more advantaged CSC becomes less pronounced when we additionally control for adulthood socioeconomic conditions and current levels of physical activity, depressive symptoms, and partner status. Our findings are in line with the latency, pathway, and cumulative model and lend support to theories of cognitive reserve, stating that neuronal loss can no longer be repaired in people with more cognitive reserve once the underlying pathology is substantial and speed of decline is accelerated. ; We are grateful to the Swiss National Science Foundation (SNSF) for financial assistance. This paper uses data from SHARE waves 1, 2, 3 (SHARELIFE), 4, 5, and 6 (DOIs 10.6103/SHARE.w1.600, 10.6103/ SHARE.w2.600, 10.6103/SHARE.w3.600, 10.6103/SHARE.w4.600, 10.6103/SHARE. w5.600, and 10.6103/SHARE.w6.600). The SHARE data collection was primarily funded by the European Commission through FP5 (QLK6-CT-2001-00360), FP6 (SHARE-I3, RII-CT-2006-062193; COMPARE, CIT5-CT-2005-028857; and SHARELIFE, CIT4-CT-2006-028812), and FP7 (SHARE-PREP, 211909; SHARE-LEAP, 227822; and SHARE M4, 261982). Additional funding from the German Ministry of Education and Research, the Max Planck Society for the Advancement of Science, the US National Institute on Ageing (U01_AG09740-13S2, P01_AG005842, P01_AG08291, P30_AG12815, R21_AG025169, Y1-AG-4553-01, IAG_BSR06-11, OGHA_04-064, and HHSN271201300071C), and various national funding sources is gratefully acknowledged (see www.share-project.org). This work was supported by the Swiss National Centre of Competence in Research LIVES–Overcoming Vulnerability: Life Course Perspectives, which is financed by the SNSF (51NF40-160590). M.J.A. was supported by a grant from the Research Council of Norway (Grant 228664) and from Nordforsk (Grant 74637). B.W.V.d.L. is supported by the European Union Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie Grant Agreement 676060. ; publishedVersion
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