The Mediating Effects of Education and Occupational Complexity Between Race and Longitudinal Change in Late Life Cognition in ACTIVE

  • 0Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.

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Summary

This summary is machine-generated.

Racial disparities in cognitive aging are linked to education and occupational complexity. These social determinants of health explain 11-16% of race-related differences in cognitive function over time.

Area Of Science

  • Gerontology
  • Public Health
  • Sociology

Background

  • Social determinants of health significantly influence health outcomes, including cognitive aging.
  • Racial disparities in health are well-documented, necessitating investigation into mediating factors.

Purpose Of The Study

  • To examine how educational and occupational inequality mediate the relationship between racialization and cognitive level and change in later life.
  • To identify modifiable social determinants of health contributing to cognitive aging disparities.

Main Methods

  • Longitudinal analysis of 2371 Black and White participants from the ACTIVE study over 10 years.
  • Structural equation modeling to assess indirect associations between race, education, occupational complexity, and cognitive outcomes.
  • Cognitive outcomes included memory, reasoning, and speed of processing, analyzed for level, linear, and quadratic change.

Main Results

  • Racialization (Black/White) showed significant indirect effects on cognitive level and change through education and occupational complexity.
  • Education and occupational complexity accounted for 11-16% of the association between race and cognitive level.
  • These mediators were associated with disparities in cognitive aging trajectories.

Conclusions

  • Educational and occupational inequalities are significant mediators of racial disparities in cognitive aging.
  • Addressing these modifiable social determinants of health may help reduce cognitive aging inequalities.
  • Findings highlight the importance of social factors in understanding and mitigating race-based differences in cognitive health.

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