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Journals of Gerontology: Psychological Sciences

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

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Research Article

The Effects of Selective Survival on Black Adults’ Cognitive


Development

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

Decision Editor: Angela Gutchess, PhD

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-

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found for the decline rate for the Serial 7’s task (a task of ification, and stratification helps perpetuate the persistent
working memory), Black participants had slower decline inequalities and discriminations in our society and in many
rate for word recall tasks. aspects of Black individuals’ life. Aiken-Morgan and col-
This conflicting evidence suggests that our under- leagues (2008, 2010), in their effort to disentangle race and
standing of older individuals’ cognitive development is in- cognitive ability, examined the role of early education at-
complete and not generalizable to all racial groups. One tainment in explaining racial differences. However, much
possible reason is that most cognitive aging studies mod- remains to be learned about how older Blacks, as a group,
eling the slope of change/decline across adulthood were experience cognitive change/decline at different times
based on samples comprised predominantly of Whites during their adulthood (specifically, at different ages when
(e.g., Alley et al.’s (2007) and Wilson et al.’s (2002) studies). they enter a study for testing). Additionally, it is likely that
With few cognitive aging studies including large samples intervention programs based upon narrowly supported
of Black adults of various demographic characteristics conclusions about older Blacks’ cognitive changes at best
(e.g., age, gender, and education), we have a limited un- will result in ineffective preventive efforts, but at worst, can
derstanding of older Black adults’ cognitive health and further perpetuate inequalities and discriminations through
development. To better account for the interindividual dif- strengthening a wrong perception about older Blacks’ cog-
ferences in sociodemographic, health, and behaviors com- nitive ability. Lastly, limited effort to elucidate the scientific
monly observed within the Black communities (Whitfield understanding of cognitive aging in Blacks will further per-
et al., 2008), studies using a within-racial group approach petuate unnecessary and/or inadequate health procedures
have been conducted to further elucidate racially/ethnically often experienced by Blacks (Evans et al., 2020; Grady &
relevant factors that might account for between-person Edgar, 2003). These unwarranted health practices facilitate
differences in cognitive change solely among older Blacks. inequitable and uneconomical health care services that neg-
For example, Aiken-Morgan and colleagues (2018) exam- atively impact Black adults and families as well as our soci-
ined the patterns of global cognitive stability and change etal health care system (LaVeist et al., 2011).
in urban, community-dwelling Blacks aged 48–95. The Hence, to continue the effort of scholars endorsing
authors discovered that over a 3-year period, older Blacks the within-racial group approach, this study utilized the
who had declining (from normal to mild cognitively im- Baltimore Study of Black Aging (BSBA), which consists
paired) cognitive status had fewer years of education; of only Black adults from 50 to 95 years old at baseline.
whereas those who maintained normal cognitive status had Primarily, to capitalize on the study’s two-wave (approx-
healthier lung function. Furthermore, any inference and imately 3 years apart) longitudinal data and its wide age
conclusion regarding the cognitive development of racial range, we attempted to characterize an age-graded pattern
minority groups based on existing conflicting literature are of cognitive change/decline. That is, if the slope of change/
likely confounded by differences in participants’ age range decline in performance scores from Wave 1 to 2 was correl-
between studies. Some studies consisted of participants ated with the age they entered and stayed in our study for
from mid-50s to mid-80s (e.g., Goh et al., 2012), while testing, we should see an age-graded pattern if all partici-
others included participants from ages 70 to 100+ (e.g., pants’ two-point changes were plotted on the same graph
Alley et al., 2007). If individuals’ rate of change/decline in (i.e., visualizing older Blacks’ cognitive change as a group
performance score is contingent upon the age at which they from ages 50 to 95). Understanding this age-graded pattern
entered a study for testing, having participants with varying can improve the ways researchers approach age-related
ages at baseline makes findings generated from studies not cognitive health issues among older Blacks and better
well calibrated for consistency. Comparison based on these adapt preventive efforts while offering a different perspec-
studies is unlikely to yield a definitive age-graded pattern of tive to disentangle the race–cognitive ability phenomenon.
cognitive change/decline within Blacks. This study further hypothesized that this age-graded pat-
Given the prior literature, it is warranted to incorpo- tern would not follow a strict linear decline line due to the
rate scientific approaches that go beyond those utilized in theory of selective survival.
prior studies to better understand cognitive aging in Blacks. According to the theory of selective survival (Dupre,
By not pivoting towards this new direction, the scientific 2007; Kim & Miech, 2009; Markides & Machalek, 1984),
community is likely to continue to have an obscured un- Black adults who have accumulated a lifetime of socioec-
derstanding which can result in bias conclusions regarding onomic disadvantages and unfavorable health behaviors
cognitive functioning and changes within Blacks. For ex- will experience disability and mortality at a younger age
ample, research implicating lower performance or faster (Lariscy, 2017). Those who survive to advanced old age are
Journals of Gerontology: PSYCHOLOGICAL SCIENCES, 2021, Vol. 76, No. 8 1491

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

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change within older Blacks, given the healthier surviving less steep when the effect begins to manifest. BSBA–PCA
population. When the survival effect begins to manifest, the data allowed us to account for the unique effects of stress,
impact of additional cumulative disadvantages diminishes financial strain, social support, and cardiovascular diseases
(Kim & Miech, 2009), instantiating the age-as-leveler hy- risk that are often experienced by Blacks (Hummer et al.,
pothesis in comparison between Blacks and Whites. Thus, 2004). Therefore, perceived stress, financial strain, social
looking solely within Blacks, it is reasonable to expect that support received and given, and cardiovascular risk were
as a group, their cognitive change may show a substantive included in the analyses, together with sex, as covariates.
difference around/after certain advanced age as the sur- Furthermore, in light of the evidence (Aiken-Morgan et al.,
vival effect begins to manifest in cognitive health (Zahodne 2018) that years of education have an effect on the global
et al., 2016) and as additional disadvantages start to wane cognitive stability in Blacks, education was also included
in influence. That is, when frail/disadvantaged individuals as a covariate.
become unavailable for study, we may see the cognitive
health and changes of oldest Blacks to be different—specif-
ically, the slope will be less steep, showing a nonlinear age- Method
graded pattern. In addition, based on previous studies (Kim
Participants
& Miech, 2009; Lariscy, 2017; Markides & Machalek,
1984), it is likely that the survival effect for health occurs At Wave 1, the BSBA–PCA had 602 participants (74.58%
earlier (possibly in mid-70) than for mortality (~85). female, n = 449), reported ages ranged from 48 to 95
Based on this central framework guiding the analyses (M = 69.12; SD = 9.76). At Wave 2, there were 450 partici-
of this study, we explored whether this nonlinear age pat- pants (77.3% female, n = 348), reported ages ranged from
tern holds across four cognitive domains/abilities—in- 51 to 96 (M = 71.43, SD = 9.21). One hundred and fifty-
ductive reasoning, declarative and working memory, and two individuals were excluded after Wave 1 due to death
perceptual speed. These measures were chosen for several (n = 58), unable to be found (n = 54), moved out beyond
reasons. First, reasoning, memory, and speed are domains recruitment area (n = 21), too sick to participate (n = 13),
of cognitive ability considered to be sensitive to aging and refusal (n = 6). T test analyses showed that individuals
(Salthouse, 2010). Additionally, previously published who were excluded were not significantly different from
studies using the BSBA data (e.g., Allaire et al., 2009) had those who stayed in terms of sex, age, years and quality
used these cognitive domains as part of their criteria for of education, financial strain (measured by income needs),
mild cognitive impairment classification. Second, to facil- perceived stress, working memory score, and social sup-
itate ease of comparison across studies as these are com- port received. However, they had a lower family income
monly explored domains and commonly used measures in (t(576) = −2.09, p = .037), lower baseline Mini-Mental
cognitive aging literature. For example, in Tucker-Drob State Examination scores (t(600) = −2.23, p = .026), in-
and colleagues’ (2019) meta-analysis of the cognitive ductive reasoning (t(423) = −2.61, p = .009), declarative
change literature, the domains derived for evaluation in- memory (t(575) = −2.74, p = .006), and perceptual speed
cluded speed, memory, and reasoning. Third, to ensure a (t(583) = −2.80, p = .005), showed higher scores for car-
more comprehensive coverage as variability across cog- diovascular risk (t(584) = 2.06, p = .039), and provided
nitive domains/tasks was also evidenced in the literature less social support to friends and family (t(600) = −3.59,
(Hultsch et al., 2002; Mella et al., 2018). p < .001). For more details of the study procedure, refer to
In sum, this study utilized data from the BSBA–Patterns Aiken-Morgan and colleagues (2018).
of Cognitive Aging (BSBA–PCA), which was initiated to ex-
amine changes in the relationships between health, psycho-
social factors, and cognition in Blacks across two waves at Measures
approximately 3 years (33 months) apart. We hypothesized Cognitive measures
that participants’ change/decline in cognitive performance The four cognitive domains were defined following the
from Wave 1 to 2 across four domains/abilities (inductive procedure outlined by prior published studies using the
reasoning, declarative and working memory, and percep- BSBA–PCA data (Allaire et al., 2009; Gamaldo et al.,
tual speed) is contingent upon the age at which they en- 2010). Inductive reasoning tested participants’ logical
tered our study for testing, hence, attempted to characterize ability to identify related items. It required abstract
an age-graded pattern of change/decline visualizing older reasoning and problem-solving skills, and was as-
Blacks’ cognitive change as a group from ages 50 to 95. We sessed using the Letter Series Test and Shipley Institute
1492 Journals of Gerontology: PSYCHOLOGICAL SCIENCES, 2021, Vol. 76, No. 8

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.

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cipants’ ability to retain and manipulate information. The data have a hierarchical structure in which the
It was assessed using the Alpha Span Task, Operation repeated measures are nested within individuals. We hy-
Span Task, and Backward Digit Span task. Perceptual pothesized that at least for some domains/abilities, Black
speed was assessed using the Number Comparison Test, adults’ slope of cognitive change/decline is contingent
Identical Pictures Test, and Digit Symbol Substitution upon the age at which they entered our study for testing.
Test, which tested participants’ ability to accurately and This contingency should yield an age-graded pattern
logically compare and react to stimuli. All the tests were slopes from the age of 50 to 95 such that across this age
assessed as total scores and all test scores were stand- distribution, the trend is nonlinear or does not follow
ardized to a mean of 50 and an SD of 10. Composite an accelerated declining pattern. To test this, a multilevel
scores for the cognitive domains were computed by model (MLM), allowing for simultaneous modeling of
taking the sum of all the standardized test scores as- the within-person (level 1) two-wave effect, between-
sessing that domain. High scores represent high cogni- person (level 2) individual differences, and cross-level
tive performance. interaction (age-effect), was fitted separately with each
of the inductive reasoning, declarative memory, working

Education and Covariates Table 1. Demographic, Health, and Cognitive Characteristics


Number of years of education was assessed. Sex was of the Samples (n = 444)
coded as 0 = male and 1 = female. The Perceived Stress
Frequency Range Mean SD
Scale (Cohen et al., 1983) was used to measure the global
feelings and thoughts about one’s situation in life during Average age, yearsa 51.5–95.5 70.7 9.2
the past month. It has 14 items and participants were >50–55 31
asked to appraise on a 5-point scale (0 = never to 4 = very >55–65 39
often) how often they perceived situations such as “un- >65–70 43
able to control important things,” “unable to control irri- >70–75 89
tations,” and “felt difficulties were piling up so high and >75–80 87
could not be overcome” happened. Total possible score >80–85 83
ranged from 0 to 48. Participants were asked to rate how >85–90 51
well their income covered needs (financial strain) on a >95 5
4-point scale (0 = not very well, 1 = poorly but I get by, Education 3–20 11.7 2.9
2 = pretty well, and 3 = very well). Social support was Average perceived stress 3.5–44.5 18.7 7.4
Average financial strain 0–3 1.4 0.7
measured by five items asking participants how frequently
Average support received 0–14.5 7.6 3.0
(0 = never to 3 = often) they provided/received household
Average support given 0–15 7.6 2.9
services, financial assistance, transportation, and com-
Average cardiovascular 0–6 2.1 1.4
panionship and advice to/from friends and family. Total
risk
possible score ranged from 0 to 15. Cardiovascular risk
Wave 1 cognitive
factor (CVRFS) was measured as a sum of self-reported
composites
number of diagnoses including diabetes, cardiovascular Inductive reasoning 74–170 103.2 18.7
disease, high blood pressure, stroke, heart attack, angina, Declarative memory 96–224 152.1 23.1
and circulation problems. The CVRFS composite score Working memory 110–271 151.7 20.9
ranged from 0 = no/low risk to 7 = high risk. Covariates Perceptual speed 88–245 151.9 24.9
were assessed at both waves and the averages were used Wave 2 cognitive
for analyses. composites
Inductive reasoning 67–178 100.7 18.2
Declarative memory 100–252 150.1 22.1
Statistical Analyses Working memory 89–212 150.1 20.5
Perceptual speed 97–222 150.2 23.3
Participants’ Wave 1 and 2 ages in year (to the nearest
two decimals) on testing dates were calculated. Average Notes: Average = average across Waves 1 and 2.
age during the study period was used as the age variable a
Age in fraction of a year calculated as the difference between testing/survey
for analyses. For the present study, six participants were date and date of birth.
Journals of Gerontology: PSYCHOLOGICAL SCIENCES, 2021, Vol. 76, No. 8 1493

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

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result indicates a nonlinear age-graded pattern across the are well-established measures that have high (~.90) test–re-
entire age distribution. test reliability (Kaya et al., 2012; Kyllonen et al., 2019).
Following the procedures outlined by Singer and Thus, despite this lower ICC that suggests high within-person
Willett (2003), PROC MIXED on SAS 9.4 (SAS variability, a prior study (Allaire & Marsiske, 2005) has ar-
Institute, 2013) with full information maximum likeli- gued that within-person variability might be a consistent
hood was used to generate parameter estimates and sig- and reliable feature within a particular measure rather than
nificance scores for all analyses. A variable for wave of an indication of random error or noise. In addition, litera-
measurement (0 = Wave 1 and 1 = Wave 2) was created ture has documented an ICC of .36 for inductive reasoning
to assess changes in outcome variables within-person (Dzierzewski, 2007), which puts our moderately low ICC in
across study time. Average age during the study was alignment with previous work.
grand-mean centered at 70.71, and treated as a person- The random intercept only Age as Moderator models in-
level variable, along with years of education at Wave dicate that age (on its own) had a significant negative main
0 and sex. All other covariates (perceived stress, finan- effect on how individuals performed over the study time
cial strain, support received/given, and cardiovascular (see Table 3). For every additional year in average age in the
risk) were grand-mean centered and entered as within- study, an average person’s cognitive score in each domain/
person variables. Mixed (fixed and random) effect un- ability decreased by between 0.27 and 0.81 points (spe-
conditional means models were first fitted to partition cifically: inductive reasoning: −0.44, SE = 0.12, p < .001;
the outcome variances and examine whether there were declarative memory: −0.27, SE = 0.12, p = .029; working
sufficient clustering and between-person changes to be memory: −0.28, SE = 0.12, p = .020; perceptual speed:
explained by additional predictors. Intraclass correla- −0.81, SE = 0.11, p < .001). The time predictor, wave, did
tion coefficients (ICCs) were computed using level 1 not significantly characterize changes in inductive rea-
and level 2 variance parameters from the MLMs. Then, soning, declarative memory, working memory, and percep-
mixed-effect unconditional growth models were fitted tual speed abilities, possibly because of the hypothesized
with wave as the time predictor. This allowed for esti- interaction between age and wave. Indeed, for inductive
mation of within-person changes across the study time reasoning, there was a significant positive interaction be-
points. All covariates were simultaneously added to this tween age and wave (0.34, SE = 0.14, p = .015), suggesting
unconditional growth model and a cross-level interac- that older individuals in this study tended to have less neg-
tion (between average study age and wave) was tested to ative change in inductive reasoning ability across an ap-
see if the rate of change was nonuniform (i.e., nonlinear) proximate 3-year period. Using predicted scores generated
across the age distribution. from the Age as Moderator model for inductive reasoning,
Figure 1 visualizes this age-graded trend across the entire
age distribution, indicating a leveling of decline at approx-
Results imately 70–75 years old.
ICCs of .622 for declarative memory, .587 for working To further explore the effect of the approximately
memory, and .735 for perceptual speed indicate fair amounts 3-year study time period on change in inductive reasoning
of clustering of Waves 1 and 2 scores within-person for these ability conditioned on different average ages, the region of

Table 2. Unconditional Means Models

Inductive reasoning Declarative memory Working memory Perceptual speed

Coefficient (SE) Coefficient (SE) Coefficient (SE) Coefficient (SE)

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)

Note: ***p < .001.


1494 Journals of Gerontology: PSYCHOLOGICAL SCIENCES, 2021, Vol. 76, No. 8

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

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nonsignificant. rather than a linear or accelerated decline across the age
distribution. As hypothesized, cognitive change over an
approximately 3-year period assessed by inductive rea-
Discussion soning ability showed age-graded differences in the rate
Longitudinal studies have shown that cognitive de- of decline. After accounting for the effects of education
cline in older adulthood is inevitable and becomes faster and health and social stressors/supports unique to Blacks,
with increasing age. Studies using data from the Swedish advancing age actually moderated the negative effect of
Adoption/Twin Study of Aging (e.g., Finkel et al., 2007) the 3-year time period on inductive reasoning ability such
and the Seattle Longitudinal Study (SLS; e.g., Gerstorf that around 70–75, the decline leveled out and around
et al., 2011) demonstrate that older cohorts decline 80–85, there was a slight general upward tendency. This
faster than younger in many cognitive domains/abilities. is akin to and consistent with Kim and Miech’s (2009)
However, given the literature in cognitive aging and spe- study looking at the age trajectories difference in func-
cifically these two longitudinal data sets, which captured tional health between Blacks and Whites. They found that
predominately White participants, this conclusion is not after controlling for SES, the effect of cumulative disad-
necessarily generalizable to other racial groups. Literature vantages still exits among young and middle-aged Black
looking at the disparity between Blacks and Whites sug- adults—that is, their slope of health change remained
gests that during late adulthood, differences in mortality steep until after ~71, Blacks’ slope of health change be-
rates and functional and health disadvantages disappear came less steep.
(Kim & Miech, 2009; Markides & Machalek, 1984). The However, we did not find significant age-graded differ-
convergence point for mortality rates is said to be around ences in cognitive ability assessed by declarative memory,
85 and for health and functional disadvantages is around working memory, or perceptual speed. These findings did
71. This leveling phenomenon is supported by the selec- not complement the literature that suggests a single general
tive survival theory (Markides & Machalek, 1984), which factor of cognitive ability (see Tucker-Drob et al., 2019).
implies that Blacks who survive past an advancing age are Tucker-Drob and colleagues’ (2019) meta-analysis indicates
healthier and more robust (Gibson, 1994). Thus, it is very that studies found significant correlations in longitudinal

Table 3. Age as Moderator Models

Inductive reasoning Declarative memory Working memory Perceptual speed

Coefficient (SE) Coefficient (SE) Coefficient (SE) Coefficient (SE)

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)

Note: *p < .05. **p < .01. ***p < .001.


Journals of Gerontology: PSYCHOLOGICAL SCIENCES, 2021, Vol. 76, No. 8 1495

Aiken-Morgan, 2008). Second, it is also possible that early-


life education attainment played a role in older individ-
uals’ reasoning ability. Studies (Gerstorf et al., 2011; Schaie
et al., 2005) have suggested that educational processes and
structures at different historical times may have bestowed
individuals with different training and analytic ability that

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is subsequently reflected in cohort differences in psycho-
metric tests. Whitfield and colleagues (2010) also found
that education can be a source of variability across fluid
mechanic and crystallized-pragmatic abilities among Black
adults. In addition, some consider education as reflective of
life experience beyond age and this often serves as a proxy
for cognitive reserves that protect against manifestation of
brain disease (Siedlecki et al., 2009). Third, the results of
Figure 1. Visualizing change in inductive reasoning. Note: Change in in-
survival effect might simply manifest more strongly on in-
ductive reasoning across study time by age (average age in the study as
moderator) shows an age-graded trend, indicating a leveling of decline
ductive reasoning because of the required problem-solving
at approximately 70–75 years old. skill that often builds on life experience. Notwithstanding,
studies not supporting a single general factor of cognitive
ability are not unprecedented in the literature. For example,
Finkel and colleagues’ (2007) Swedish Adoption/Twin
Study of Aging did not find a significant difference between
younger and older age cohorts in the rate of decline for
processing speed ability despite finding significant cohort
differences for several other abilities.
Gerstorf and colleagues’ (2011) study looking at cohort
differences in the rate of cognitive aging found typical linear
decline with acceleration in five cognitive domains: spatial ori-
entation, word fluency, verbal meaning, number ability, and
inductive reasoning. One reason this study found the opposite
pattern for the rate of change/decline for inductive reasoning
may be that, as emphasized throughout, the age-graded pat-
tern found seems to be unique to older Black adults. Gerstorf
Figure 2. Conditional effect of study time on change in inductive rea-
and colleagues’ (2011) study utilized data from the SLS, the
soning. Note: Conditional effect of the time predictor (wave) as a
function of average age during study time. Gray area denotes the confi-
racial breakdown of which was not clearly stated. Using a
dence intervals. Significance region is denoted by area where the con- population sample like the SLS can produce nationally rep-
fidence intervals do not cross zero. resentative results, but because the Black sample size may be
relatively small, it could easily mask the unique effect specific
changes among cognitive abilities, suggesting age-related to the population of older Black adults.
cognitive changes are likely to occur in tandem such that Taken together, there are clinical and preventive im-
individuals who show decline in one domain are likely to plications for Blacks’ cognitive health if as a racial group
show decline in another domain as well. The reasons for our they do not follow the general linear or accelerated cog-
contrasting results can elude simple answers, as Salthouse nitive age-graded pattern. Common cognitive intervention
(2010) pointed out that we may never have a definitive programs generally target older adults 65+ years old, but if
answer as to the number of different types of age-related decline is most significant among younger and middle-aged
cognitive and neuropsychological variables influencing Blacks, these help and prevention efforts may come too late.
changes. Nonetheless, we speculate the following for why Early interventions for cognitive maintenance or improve-
age-graded pattern was only found for inductive reasoning ment may be more relevant and urgently needed for Black
in this study. First, it is possible that some crystallized intel- adults. Besides maintenance and preventive efforts, equally
ligent abilities (e.g., experience and logical strategy which important is the effort to improve early life and equal ed-
tend to improve with age) were used to facilitate the comple- ucational opportunity and quality for Blacks. Among the
tion of reasoning tasks such that participants in this study covariates examined in this study, education appears to be
showed a slower rate of decline in inductive reasoning with a clear protective factor against cognitive decline. Prior re-
advanced age. This might be particularly salient within search has also demonstrated the well-established and cu-
the Black population because they often acquire unidenti- mulative association between educational attainment in
fied learning strategies from life experiences that common early life and better health-related outcomes in later life
neuropsychological testing does not assess (Whitfield & (Kye et al., 2014), and education as a proxy for cognitive
1496 Journals of Gerontology: PSYCHOLOGICAL SCIENCES, 2021, Vol. 76, No. 8

reserve (Siedlecki et al., 2009). Irrefutably, societal and in- Acknowledgments


stitution efforts to push for equitable educational resources
Special thanks to the BSBS-PCA staff for data collection
for Black youth are much needed (Orfield & Lee, 2005). and data entry. The data will be made available upon re-
Furthermore, this negative decelerating age-graded pattern quest. The study reported in this manuscript was not
of change/decline in Black adults also raises the question preregistered.
of whether there are specific sociodemographic or psycho-

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logical characteristics associated with those oldest Blacks
who defy the negative effect of chronological age on cogni-
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