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1.
Ann Epidemiol ; 45: 69-75.e1, 2020 05.
Article in English | MEDLINE | ID: mdl-32336656

ABSTRACT

PURPOSE: We examine widowhood effects on mortality across gender and race-ethnicity, with attention to variation in the mediating role of economic resources. METHODS: Data were drawn from the Health and Retirement Study (1992-2016). The analytic sample included 34,777 respondents aged 51 years and older who contributed 208,470 person-period records. Discrete-time hazard models were estimated to predict the odds of death among white men, black men, Hispanic men, white women, black women, and Hispanic women separately. The Karlson-Holm-Breen analysis was conducted to examine the mediating role of economic resources across groups. RESULTS: Across all gender and racial-ethnic subgroups, widowhood effects on mortality were largest for Hispanic men. Black women and Hispanic women also suffered stronger effects of widowhood on mortality than white women. For both men and women, economic resources were an important pathway through which widowhood increased mortality risk for whites and blacks but not for Hispanics. CONCLUSIONS: Findings highlight that gender and race-ethnicity intersect with widowhood status to disadvantage some groups more than others. It is important to explore the complex pathways that contribute to the higher mortality risk of racial-ethnic minorities, especially Hispanic men, after widowhood so that effective interventions can be implemented to reduce those risks.


Subject(s)
Ethnicity/statistics & numerical data , Mortality/ethnology , Poverty , Retirement , Widowhood/ethnology , Widowhood/statistics & numerical data , Aged , Aged, 80 and over , Black People/statistics & numerical data , Female , Hispanic or Latino/statistics & numerical data , Humans , Male , Middle Aged , Residence Characteristics , Sex Factors , United States/epidemiology , White People/statistics & numerical data , Widowhood/psychology
2.
J Gerontol B Psychol Sci Soc Sci ; 75(7): e141-e150, 2020 08 13.
Article in English | MEDLINE | ID: mdl-30715517

ABSTRACT

OBJECTIVES: Numerous studies have documented the relationship between education and cognitive functioning at the individual level. Yet few studies have examined whether a spouse's education spills over to influence the other spouse's cognitive functioning. This study, therefore, investigates the association between spousal education and cognitive functioning, the pathways that may account for this association, and gender differences in this association. METHOD: Growth curve models were analyzed by using longitudinal couple data from the Health and Retirement Study (N = 5,846 individuals). RESULTS: More years of spousal education are associated with higher level of cognitive functioning at age 65 (γ000 = 0.0532, 95% confidence interval [CI] = 0.0163-0.0901) and slower decline in cognitive functioning in later adulthood (γ100 = 0.0054, 95% CI = 0.0026-0.0082). The positive association between spousal education and the level of cognitive functioning at age 65 is fully explained by economic resources. The association of spousal education with the rate of change in cognitive functioning decreases but remains significant after controlling for economic resources and health behaviors (γ100 = 0.0043, 95% CI = 0.0014-0.0072). The association between spousal education and cognitive functioning is similar for men and women. DISCUSSION: Findings suggest that more years of spousal education may slow decline in cognitive functioning for men and women in later life.


Subject(s)
Spouses/education , Aged , Cognition , Cognitive Aging/psychology , Educational Status , Female , Humans , Longitudinal Studies , Male , Middle Aged , Sex Factors , Spouses/psychology , Spouses/statistics & numerical data , United States
3.
J Gerontol B Psychol Sci Soc Sci ; 75(9): 1983-1995, 2020 10 16.
Article in English | MEDLINE | ID: mdl-31760426

ABSTRACT

OBJECTIVES: This study considers whether experiencing the death of a child prior to midlife (by parental age 40) is associated with subsequent dementia risk, and how such losses, which are more common for black than for white parents, may add to racial disparities in dementia risk. METHODS: We use discrete-time event history models to predict dementia incidence among 9,276 non-Hispanic white and 2,182 non-Hispanic black respondents from the Health and Retirement Study, 2000-2014. RESULTS: Losing a child prior to midlife is associated with increased risk for later dementia, and adds to disparities in dementia risk associated with race. The death of a child is associated with a number of biosocial variables that contribute to subsequent dementia risk, helping to explain how the death of child may increase risk over time. DISCUSSION: The death of a child prior to midlife is a traumatic life course stressor with consequences that appear to increase dementia risk for both black and white parents, and this increased risk is explained by biosocial processes likely activated by bereavement. However, black parents are further disadvantaged in that they are more likely than white parents to experience the death of a child, and such losses add to the already substantial racial disadvantage in dementia risk.


Subject(s)
Aging , Dementia , Family , Life Change Events , Race Factors , Adult , Black or African American/psychology , Black or African American/statistics & numerical data , Aged , Aging/physiology , Aging/psychology , Child , Child Mortality , Dementia/ethnology , Dementia/prevention & control , Dementia/psychology , Family/ethnology , Family/psychology , Health Status Disparities , Hispanic or Latino/psychology , Hispanic or Latino/statistics & numerical data , Humans , Male , Risk Assessment/ethnology , Risk Assessment/statistics & numerical data , Risk Factors , Social Determinants of Health/ethnology , White People/psychology , White People/statistics & numerical data
4.
J Gerontol B Psychol Sci Soc Sci ; 71(1): 165-76, 2016 Jan.
Article in English | MEDLINE | ID: mdl-25765315

ABSTRACT

OBJECTIVES: Identifying factors associated with cognitive limitations among older adults has become a major public health objective. Given the importance of marital relationships for older adults' health, this study examines the association between marital quality and change in cognitive limitations in late life, directionality of the relationship between marital quality and cognitive limitations, and potential gender differences in these associations. METHOD: Latent growth curve models were used to estimate the association of marital quality with change in cognitive limitations among older adults and the direction of the association between marital quality and cognitive limitations using 4 waves of the Americans' Changing Lives survey (N = 841). RESULTS: Results indicate that more frequent negative (but not positive) marital experiences are associated with a slower increase in cognitive limitations over time, and the direction of this association does not operate in the reverse (i.e., cognitive limitations did not lead to change in marital quality over time). The association between negative marital experiences and cognitive limitations is similar for men and women. DISCUSSION: The discussion highlights possible explanations for the apparent protective effect of negative marital experiences for older adults' cognitive health over time, regardless of gender.


Subject(s)
Aging/psychology , Cognition Disorders , Family Conflict/psychology , Marriage/psychology , Aged , Cognition , Cognition Disorders/diagnosis , Cognition Disorders/epidemiology , Cognition Disorders/psychology , Female , Health Surveys , Humans , Intelligence Tests , Interview, Psychological , Male , Marriage/statistics & numerical data , Protective Factors , United States
5.
J Marriage Fam ; 77(1): 96-111, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25598552

ABSTRACT

Research on same-sex relationships has informed policy debates and legal decisions that greatly affect American families, yet the data and methods available to scholars studying same-sex relationships have been limited. In this article the authors review current approaches to studying same-sex relationships and significant challenges for this research. After exploring how researchers have dealt with these challenges in prior studies, the authors discuss promising strategies and methods to advance future research on same-sex relationships, with particular attention given to gendered contexts and dyadic research designs, quasi-experimental designs, and a relationship biography approach. Innovation and advances in the study of same-sex relationships will further theoretical and empirical knowledge in family studies more broadly and increase understanding of different-sex as well as same-sex relationships.

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