Racial/Ethnic and Nativity Differences in Cognitive Life Expectancies among Older Adults in the United States

Marc A. Garcia, Brian Downer, Chi Tsun Chiu, Joseph L. Saenz, Sunshine Rote, Rebeca Wong

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background and Objectives To document racial/ethnic and nativity differences by gender in cognitive life expectancies among older adults in the United States. Research Design and Methods Sullivan-based life tables were used to estimate cognitively normal, cognitively impaired/no dementia (CIND), and dementia life expectancies by gender for White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults 50 years and older in the Health and Retirement Study. Results Among women, the number of years spent living with dementia for Whites, Blacks, U.S.-born Hispanics, and foreign-born Hispanics was 1.6, 3.9, 4.7, and 6.0 years, respectively. For men, Whites lived 1.1 years with dementia compared to 3.1 years for Blacks, 3.0 years for U.S.-born Hispanics and 3.2 years for foreign-born Hispanics. Similar patterns were observed for race/ethnic and nativity differences in CIND life expectancies. Blacks and Hispanics spend a larger fraction of their remaining years with CIND and dementia relative to Whites, regardless of gender. Foreign-born Hispanic men and women and Black men are particularly disadvantaged in the proportion of years spent after age 50 with CIND and/or dementia. Discussion and Implications Disparities in cognitive life expectancies indicate that intervention strategies should target the specific needs of minority and immigrant older adults with dementia. Given that education is a strong predictor of cognitive health, improving access to the social and economic resources that delay dementia onset is key to improving the well-being of diverse older adults.

Original languageEnglish (US)
Pages (from-to)281-289
Number of pages9
JournalGerontologist
Volume59
Issue number2
DOIs
StatePublished - Mar 14 2019

Fingerprint

Life Expectancy
Dementia
Hispanic Americans
Life Tables
Retirement
Health
Vulnerable Populations
Research Design
Economics
Education

Keywords

  • Cognitive impairment
  • Dementia
  • Life expectancy
  • Nativity
  • Race/ethnicity

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Racial/Ethnic and Nativity Differences in Cognitive Life Expectancies among Older Adults in the United States. / Garcia, Marc A.; Downer, Brian; Chiu, Chi Tsun; Saenz, Joseph L.; Rote, Sunshine; Wong, Rebeca.

In: Gerontologist, Vol. 59, No. 2, 14.03.2019, p. 281-289.

Research output: Contribution to journalArticle

Garcia, Marc A. ; Downer, Brian ; Chiu, Chi Tsun ; Saenz, Joseph L. ; Rote, Sunshine ; Wong, Rebeca. / Racial/Ethnic and Nativity Differences in Cognitive Life Expectancies among Older Adults in the United States. In: Gerontologist. 2019 ; Vol. 59, No. 2. pp. 281-289.
@article{0b47630aeffe4766a27e7f0117dbc2c3,
title = "Racial/Ethnic and Nativity Differences in Cognitive Life Expectancies among Older Adults in the United States",
abstract = "Background and Objectives To document racial/ethnic and nativity differences by gender in cognitive life expectancies among older adults in the United States. Research Design and Methods Sullivan-based life tables were used to estimate cognitively normal, cognitively impaired/no dementia (CIND), and dementia life expectancies by gender for White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults 50 years and older in the Health and Retirement Study. Results Among women, the number of years spent living with dementia for Whites, Blacks, U.S.-born Hispanics, and foreign-born Hispanics was 1.6, 3.9, 4.7, and 6.0 years, respectively. For men, Whites lived 1.1 years with dementia compared to 3.1 years for Blacks, 3.0 years for U.S.-born Hispanics and 3.2 years for foreign-born Hispanics. Similar patterns were observed for race/ethnic and nativity differences in CIND life expectancies. Blacks and Hispanics spend a larger fraction of their remaining years with CIND and dementia relative to Whites, regardless of gender. Foreign-born Hispanic men and women and Black men are particularly disadvantaged in the proportion of years spent after age 50 with CIND and/or dementia. Discussion and Implications Disparities in cognitive life expectancies indicate that intervention strategies should target the specific needs of minority and immigrant older adults with dementia. Given that education is a strong predictor of cognitive health, improving access to the social and economic resources that delay dementia onset is key to improving the well-being of diverse older adults.",
keywords = "Cognitive impairment, Dementia, Life expectancy, Nativity, Race/ethnicity",
author = "Garcia, {Marc A.} and Brian Downer and Chiu, {Chi Tsun} and Saenz, {Joseph L.} and Sunshine Rote and Rebeca Wong",
year = "2019",
month = "3",
day = "14",
doi = "10.1093/geront/gnx142",
language = "English (US)",
volume = "59",
pages = "281--289",
journal = "The Gerontologist",
issn = "0016-9013",
publisher = "Oxford University Press",
number = "2",

}

TY - JOUR

T1 - Racial/Ethnic and Nativity Differences in Cognitive Life Expectancies among Older Adults in the United States

AU - Garcia, Marc A.

AU - Downer, Brian

AU - Chiu, Chi Tsun

AU - Saenz, Joseph L.

AU - Rote, Sunshine

AU - Wong, Rebeca

PY - 2019/3/14

Y1 - 2019/3/14

N2 - Background and Objectives To document racial/ethnic and nativity differences by gender in cognitive life expectancies among older adults in the United States. Research Design and Methods Sullivan-based life tables were used to estimate cognitively normal, cognitively impaired/no dementia (CIND), and dementia life expectancies by gender for White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults 50 years and older in the Health and Retirement Study. Results Among women, the number of years spent living with dementia for Whites, Blacks, U.S.-born Hispanics, and foreign-born Hispanics was 1.6, 3.9, 4.7, and 6.0 years, respectively. For men, Whites lived 1.1 years with dementia compared to 3.1 years for Blacks, 3.0 years for U.S.-born Hispanics and 3.2 years for foreign-born Hispanics. Similar patterns were observed for race/ethnic and nativity differences in CIND life expectancies. Blacks and Hispanics spend a larger fraction of their remaining years with CIND and dementia relative to Whites, regardless of gender. Foreign-born Hispanic men and women and Black men are particularly disadvantaged in the proportion of years spent after age 50 with CIND and/or dementia. Discussion and Implications Disparities in cognitive life expectancies indicate that intervention strategies should target the specific needs of minority and immigrant older adults with dementia. Given that education is a strong predictor of cognitive health, improving access to the social and economic resources that delay dementia onset is key to improving the well-being of diverse older adults.

AB - Background and Objectives To document racial/ethnic and nativity differences by gender in cognitive life expectancies among older adults in the United States. Research Design and Methods Sullivan-based life tables were used to estimate cognitively normal, cognitively impaired/no dementia (CIND), and dementia life expectancies by gender for White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults 50 years and older in the Health and Retirement Study. Results Among women, the number of years spent living with dementia for Whites, Blacks, U.S.-born Hispanics, and foreign-born Hispanics was 1.6, 3.9, 4.7, and 6.0 years, respectively. For men, Whites lived 1.1 years with dementia compared to 3.1 years for Blacks, 3.0 years for U.S.-born Hispanics and 3.2 years for foreign-born Hispanics. Similar patterns were observed for race/ethnic and nativity differences in CIND life expectancies. Blacks and Hispanics spend a larger fraction of their remaining years with CIND and dementia relative to Whites, regardless of gender. Foreign-born Hispanic men and women and Black men are particularly disadvantaged in the proportion of years spent after age 50 with CIND and/or dementia. Discussion and Implications Disparities in cognitive life expectancies indicate that intervention strategies should target the specific needs of minority and immigrant older adults with dementia. Given that education is a strong predictor of cognitive health, improving access to the social and economic resources that delay dementia onset is key to improving the well-being of diverse older adults.

KW - Cognitive impairment

KW - Dementia

KW - Life expectancy

KW - Nativity

KW - Race/ethnicity

UR - http://www.scopus.com/inward/record.url?scp=85060068457&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060068457&partnerID=8YFLogxK

U2 - 10.1093/geront/gnx142

DO - 10.1093/geront/gnx142

M3 - Article

VL - 59

SP - 281

EP - 289

JO - The Gerontologist

JF - The Gerontologist

SN - 0016-9013

IS - 2

ER -