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Disparities in the Life Course Origins of Dual Functionality

Bibliographic Data

ID2316953
AuthorsKenneth F Ferraro (0000-0003-3692-5235, Purdue University, West Lafayette, IN, USA, corresponding author), Madison R Sauerteig-Rolston (0000-0002-3768-3744, Indiana University School of Medicine), Shawn Bauldry (0000-0002-6679-3125, Purdue University, West Lafayette, IN, USA), P A Thomas (0000-0002-5699-9779, Purdue University, West Lafayette, IN, USA)
Year2025
Volume66
Issue3
Pages393-409
Publication date2025-09-01
Open AccessYes
TypeARTICLE
VenueJournal of Health and Social Behavior (JOURNAL)
Journal identifiersISSN: 0022-1465 • E-ISSN: 2150-6000
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/00221465241293191
PMID39540688
OpenAlexW4404378077
LanguageEN
Citations received1
References cited47

Although research has identified how stressors are related to either physical or cognitive function in later life, we bridge these literatures by examining dual functionality (neither physical nor cognitive impairment) among Black, White, and Hispanic adults. Using data from the Health and Retirement Study (2006-2016), we investigated whether stressors and resources during childhood and adulthood are related to functional loss at baseline and longitudinally. Analyses revealed that lifetime trauma was associated with dual functionality impairment at baseline, but childhood stressors and everyday discrimination were prospectively associated with loss of dual functionality. Black and foreign-born Hispanic adults experienced earlier loss of dual functionality than White adults, and the effect of childhood stressors on the transition to impairment occurred earlier for U.S.-born Hispanic adults. Findings reveal the influence of exposures in childhood and adulthood on functional health in later life-and how resources may be a counterbalance to functional loss

Cognition · Developmental psychology · Health and Retirement Study · Life course approach · Psychiatry · Stressor · Young adult · Clinical Psychology · Health disparities and outcomes · Medicine · Migration, Health and Trauma · Psychology · Racial and Ethnic Identity Research · Gerontology

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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