The Mediating Effects of Education and Occupational Complexity Between Race and Longitudinal Change in Late Life Cognition in Active
Bibliographic Data
| ID | 21460970 |
|---|---|
| Authors | Joshua H Owens (0000-0001-5892-5442, University of Florida, corresponding author), Jacob Fiala (0000-0002-0430-869X, University of Florida), Richard N Jones (0000-0002-1049-218X, Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, USA), Michael Marsiske (0000-0001-5973-2116, University of Florida) |
| Year | 2024 |
| Volume | 46 |
| Issue | 9-10 |
| Pages | 492-508 |
| Publication date | 2024-10-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Research on Aging (JOURNAL) |
| Journal identifiers | ISSN: 0164-0275 • E-ISSN: 1552-7573 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/01640275241248825 |
| PMID | 38648193 |
| OpenAlex | W4394996284 |
| Language | EN |
| References cited | 76 |
This study examined educational and occupational inequality as two aspects of social determinants of health that might mediate the longitudinal relationship between racialization and late life cognitive level and change. Participants were 2371 individuals racialized as Black and White from the ACTIVE study who provided occupational data. Data were analyzed from baseline and five assessments over 10-years using structural equation modeling. Black/White race served as the predictor, occupational complexity (OC) and years of education as mediators, and cognitive (memory, reasoning, and speed of processing) intercept, linear slope, and quadratic slope as the dependent variables. Black/White race showed significant indirect associations through education and OC on level of performance in cognition, linear change in reasoning and memory, and quadratic change in reasoning. Education and OC accounted for 11–16% of the association between race and cognitive level and represent modifiable social determinants of health that are associated with disparities in cognitive aging
Cognition · Developmental psychology · Health and Retirement Study · Inequality · Psychiatry · Racialization · Socioeconomic status · Sociology · Structural equation modeling · Aging and Gerontology Research · Clinical Psychology · Demography · Health disparities and outcomes · Medicine · Psychology · Retirement, Disability, and Employment · Gerontology
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| Highly cited | No |
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