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Gbab 003
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Gbab 003
cite as: J Gerontol B Psychol Sci Soc Sci, 2021, Vol. 76, No. 8, 1489–1498
doi:10.1093/geronb/gbab003
Advance Access publication January 6, 2021
Editor’s choice
Shyuan Ching Tan, MA,1,*, Alyssa A. Gamaldo, PhD,1,2, Timothy Brick, PhD,1,
Roland J. Thorpe, Jr. PhD,3 Jason C. Allaire, PhD,4 and Keith E. Whitfield, PhD5
Human Development and Family Studies, Pennsylvania State University, University Park, USA. 2School of Aging Studies,
1
University of South Florida, Tampa, USA. 3Bloomberg School of Public Health, Johns Hopkins University, Baltimore,
Maryland, USA. 4Department of Psychology, North Carolina State University, Raleigh, USA. 5Department of Psychology,
University of Nevada, Las Vegas, USA.
*Address correspondence to: Shyuan Ching Tan, MA, Human Development and Family Studies, Penn State University, 115 Health & Human
Development Building, University Park, PA 16802, USA. E-mail: shyuanching@gmail.com
Received: August 11, 2020; Editorial Decision Date: December 21, 2020
Abstract
Objectives: The theory of selective survival suggests that possibly around 70–75 years of age, Blacks may display substan-
tive changes in their pattern of cognitive decline. This study examined the age-graded pattern of cognitive decline within
older Blacks by describing a trend that characterizes differences in the change of cognitive decline from ages 51.5 to 95.5,
and hypothesized that this age-graded pattern is nonlinear.
Method: Utilizing 2 waves of longitudinal data from the Baltimore Study of Black Aging, this study used multilevel mod-
eling to test whether the interaction between age and the 3-year study period (time between waves) had a positive effect on
changes in inductive reasoning, declarative memory, working memory, and perceptual speed.
Results: A significant positive interaction between age and wave was found for inductive reasoning, demonstrating an
age-grade pattern of change/decline in cognitive pattern for Blacks aged 51.5–95.4. Simple slope probing via the Johnson–
Neyman Technique suggested that Black adults ~64 years and younger experienced significant decline in inductive rea-
soning across study time, whereas for those older than 63.71, the decline was nonsignificant. No significant age–wave
interactions were found for declarative memory, working memory, or perceptual speed.
Discussion: Findings suggest a selective survival effect for inductive reasoning ability among Blacks. With decline evident
so early, common cognitive intervention programs targeting adults 65+ may come too late for Blacks, signifying the impor-
tance and urgency for early health interventions and public policy designed to promote cognitive reserve.
Keywords: Age-graded pattern, Cognitive change, Early cognitive and educational intervention
While most studies found that racial/ethnic older adults 2018). In general, studies have shown that older Blacks
had a higher risk for cognitive impairment compared to had lower initial scores compared to older Whites, but
non-Hispanic Whites (Manly & Mayeux, 2004), some they did not agree on the Blacks versus Whites rates (i.e.,
cross-racial comparisons, particularly between Blacks and slopes) of decline (Alley et al., 2007; Weuve et al., 2018).
Whites, have shown mixed results regarding differences For example, Lee and colleagues (2012) concluded that
in decline in global cognition (measured by the Telephone a 3-year average decline in general cognitive status for
Interview for Cognitive Status and Mini-Mental State older (mean age 79 years) African Americans was faster
Examination) and in executive function (Weuve et al., than that for non-African Americans, while Weuve and
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1490 Journals of Gerontology: PSYCHOLOGICAL SCIENCES, 2021, Vol. 76, No. 8
colleagues (2018) found that a 5-year rate of decline in decline among older Blacks had often led to diagnoses or
global cognition did not differ significantly between Blacks classifications of older Blacks as cognitively impaired (see
and Whites adults 65 years and older. Another study (Alley Aiken-Morgan et al., 2008 and Aiken-Morgan et al., 2010
et al., 2007) looking at older Americans aged 70–103 re- for their review and summary of this literature). Borrowing
vealed that racial differences in the rate of decline varied by from the theories of persistent inequalities (Bénabou, 1994),
cognitive tasks. Specifically, while there was no difference bias classification like this creates uncalled for social strat-
likely to be a selective group of robust, healthier, and pos- believed that this age-graded pattern would not be linear but
sibly also higher-educated and higher-socioeconomic status rather, there would be a substantive difference in the linear
(SES) individuals. Although selective survival is often prof- decline between Waves 1 and 2 around/after age 70–75
fered as an explanation for the narrowing gaps in mortality due to the selective survival effect. That is, the change/de-
and health disparities between Blacks and Whites with cline rate for young-old individuals would be faster but the
advancing age, the theory necessarily implies an aggregate change/decline rate for individuals after age 75 would be
of Living Scale Abstraction Test. Declarative memory excluded due to errors in/missing date of birth informa-
measured participants’ semantic processing ability and tion, leaving n = 444 (76.1% female, n = 338), meas-
memory, and was assessed using the Hopkins Verbal ured ages ranged from 51.5 to 95.5 years old (M = 70.1;
Learning Task, Rey Auditory Verbal Learning Task, and SD = 9.2) included for analyses. Participants’ demo-
Immediate Recall Test. Working memory required at- graphic, health, and cognitive information can be found
tention and short-term memory as it measured parti- in Table 1.
memory and perceptual speed composite score as out- cognitive abilities, and much of the variabilities in scores
come variable. The effect of age on the Wave 1 to Wave (~59%–74%) were due to between-person differences (see
2 change in outcome variables was tested in each model. Table 2 for parameter estimates of the unconditional means
A significant positive effect of age on the change means models). A moderately low ICC of .305 indicates less clus-
that the older a person was, the less they declined be- tering of Wave 1 and 2 scores within-person for inductive
tween the first and second time they were tested. Such a reasoning. The inductive reasoning scales used in this study
Fixed effects
Initial status
Intercept 101.49*** (0.76) 150.77*** (0.97) 150.60*** (0.86) 150.81*** (1.07)
Variance components
Within-person 236.81*** (19.19) 192.79*** (13.49) 251.20*** (18.94) 154.44*** (10.60)
Between-person
Initial level/intercept 103.05*** (20.35) 316.69*** (28.87) 176.43*** (24.15) 427.78*** (34.62)
significance was estimated using the Plot of Conditional likely that older Blacks’ cognitive health does not follow
Effects and Johnson–Neyman Technique in R (Bachl, 2015; the accelerated decline trend found in general older White
Figure 2). The conditional effect suggests that for Black population across tasks of fluid intelligence.
adults ~64 years and younger, the change in inductive rea- This study looked only within Black adults to examine
soning ability across study time was significantly nega- if, as a group, their cognitive change across adulthood
tive, whereas for those older than 63.71, the change was (in various domains) shows a unique age-graded pattern
Fixed effects
Initial status
Intercept 100.43*** (1.67) 145.05*** (1.97) 146.71*** (1.72) 144.46*** (1.86)
Age −0.44*** (0.12) −0.27* (0.12) −0.28* (0.12) −0.81*** (0.11)
Sex 1.25 (1.72) 8.57*** (2.21) 5.26** (1.84) 9.14*** (2.08)
Education 1.92*** (0.27) 1.67*** (0.34) 2.16*** (0.30) 2.76*** (0.32)
Perceived stress −0.07 (0.09) −0.25** (0.09) −0.02 (0.09) −0.30*** (0.08)
Financial strain 0.22 (0.83) −0.44 (0.87) 0.38 (0.87) 0.22 (0.81)
Support received −0.54* (0.21) −0.50* (0.23) −0.53* (0.22) −0.57** (0.20)
Support given 0.30 (0.23) 0.25 (0.25) 0.60* (0.24) 0.62** (0.22)
Cardiovascular risk 0.25 (0.52) −0.54 (0.61) −1.10* (0.55) −1.53** (0.58)
Slope
Intercept/wave −0.89 (1.26) −1.15 (1.04) 0.10 (1.27) −1.44 (0.94)
Age (interaction) 0.34* (0.14) −0.17 (0.11) 0.03 (0.14) 0.15 (0.10)
Variance components
Within-person 240.15*** (20.63) 184.79*** (14.70) 269.91*** (21.74) 159.81*** (12.44)
Between-person
Initial level/intercept 53.11** (18.50) 263.65*** (27.39) 86.64*** (20.82) 240.35*** (24.45)
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