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HANDBOOK OF AGING
AND THE SOCIAL SCIENCES
EIGHTH EDITION
THE HANDBOOKS
OF AGING
Consisting of Three Volumes
Editors-in-Chief
Laura L. Carstensen
and
Thomas A. Rando
Associate Editors
The near-doubling of life expectancy in the Attention to the science of aging involves a
20th century represents extraordinary oppor- concomitant increase in the number of college
tunities for societies and individuals. Just as and university courses and programs focused
sure, it presents extraordinary challenges. In on aging and longevity. With this expansion
the years since the last edition of the Handbook of knowledge, the Handbooks play an increas-
of Aging series was published, the United States ingly important role for students, teachers
joined the growing list of “aging societies” and scientists who are regularly called upon
alongside developed nations in Western Europe to synthesize and update their comprehen-
and parts of Asia; that is, the U.S. population sion of the broader field in which they work.
has come to include more people over the age The Handbook of Aging series provides knowl-
of 60 than under 15 years of age. This unprec- edge bases for instruction in these continually
edented reshaping of age in the population will changing fields, both through reviews of core
continue on a global scale and will fundamen- and newly emerging areas, historical synthe-
tally alter all aspects of life as we know it. ses, methodological and conceptual advances.
Science is responsible for the extension of Moreover, the interdisciplinary nature of aging
life-expectancy and science is now needed more research is exemplified by the overlap in con-
than ever to ensure that added years are high cepts illuminated across the Handbooks, such
quality. Fortunately, the scientific understanding as the profound interactions between social
of aging is growing faster than ever across social worlds and biological processes. By continu-
and biological sciences. Along with the phe- ally featuring new topics and involving new
nomenal advances in the genetic determinants authors, the series has pushed innovation and
of longevity and susceptibility to age-related fostered new ideas.
diseases has come the awareness of the critical One of the greatest strengths of the chapters
importance of environmental and psychologi- in the Handbooks is the synthesis afforded by
cal factors that modulate and even supersede preeminent authors who are at the forefront of
genetic predispositions. The Handbooks of Aging research and thus provide expert perspectives
series, comprised of three separate volumes, the on the issues that current define and challenge
Handbook of the Biology of Aging, the Handbook each field. We express our deepest thanks to
of the Psychology of Aging, and the Handbook of the editors of the individual volumes for their
Aging and the Social Sciences, is now in its eighth incredible dedication and contributions to the
edition and continues to provide foundational series. It is their efforts to which the excellence
knowledge that fosters continued advances in of the products is largely credited. We thank
the understanding of aging at the individual Drs. Matt Kaeberlein and George M. Martin
and societal levels. editors of the Handbook of the Biology of Aging;
xi
xii Foreword
Drs. K. Warner Schaie and Sherry L. Willis, edi- whose profound interest and dedication has
tors of the Handbook of the Psychology of Aging; facilitated the publication of the Handbooks
and Drs. Linda K. George and Kenneth F. through their many editions. And we continue
Ferraro, editors of the Handbook of Aging and the to extend our deepest gratitude to James Birren
Social Sciences. We would also like to express for establishing and shepherding the series
our appreciation to our publishers at Elsevier, through the first six editions.
Thomas A. Rando
Laura L. Carstensen
Stanford Center on Longevity,
Stanford University
Preface
Social science scholarship on aging is expand the field in exciting ways. This edition
alive and well. Although the last edition of of the Handbook includes 23 chapters. Seventeen
the Handbook of Aging and the Social Sciences of these chapters address topics that did not
appeared only 5 years ago, the growth of appear in the seventh edition; most of them
research since then on aging individuals, popu- address topics that did not appear in any pre-
lations, and as a dynamic culmination of the life vious edition of the Handbook. Of the six topics
course has been extraordinary. There are many covered in this edition that also appeared in the
reasons for this stunning growth in the quantity seventh edition, four were written by different
and quality of aging research. Infrastructure authors.
and the methodological tools necessary for rig- Because each edition of the Handbook
orous, sophisticated research have increased includes chapters that differ from the previous
and become widely available to the scientific edition, each edition is a stand-alone volume.
community. In the social sciences, the increase Thus, chapters in the seventh edition, as well
in data sources covering significant portions of as even earlier ones, remain important compila-
the life course from a broad spectrum of socie- tions of aging research.
ties, the increased coupling of social and bio- Just as the majority of chapters in this edi-
logical data, and statistical advances have been tion of the Handbook address new topics, most
especially important. New, energetic cohorts of of the chapter authors also are new to this edi-
scholars have posed fresh, innovative research tion. Specifically, of the 47 chapter authors who
questions to the field and demonstrated the contributed to this edition, 40 of them did not
importance of those questions for a deeper participate in the previous edition. Most of the
understanding of aging. And, of course, the new chapter authors are well-established schol-
complexities of population dynamics, cohort ars, but they are also relatively young. Without
succession, and policy changes modify the question, they will be among the premier schol-
world and its inhabitants in ways that must ars of aging for decades to come and it has been
be vigilantly monitored so that aging research a great pleasure to include their impressive
remains relevant and accurate. contributions to this edition of the Handbook.
This is the eighth edition of the Handbook Unlike the Handbook of the Biology of Aging
of Aging and the Social Sciences and we have and the Handbook of the Psychology of Aging,
endeavored to do justice to the research topics this Handbook is intended to cover a spec-
and questions that, in our judgment, represent trum of disciplines. As a result, the chapters
both foundational, classic, and ever-important in this volume were written by scholars that
topics critical to aging research in the social include demographers, economists, epidemi-
sciences and emerging and timely topics that ologists, gerontologists, political scientists,
xiii
xiv Preface
psychologists, social workers, sociologists, and Cohort succession signifies the entrance
statisticians. Likewise, chapters address topics of fresh, new generations, but also brings the
at the micro- and macro-levels, as well as top- exit of those who created the world that new
ics that address the intersection of individual cohorts enter. Bob Binstock was the senior
and aggregate factors. The result is a rich array editor of the seven previous editions of the
of topics and perspectives that cover much, Handbook of Aging and the Social Sciences. Bob
though by no means all, of the landscape of died in 2011. Bob was, without question, the
aging research in the social sciences. guiding spirit and the meticulous work-horse
Chapter authors were asked to contribute of the Handbook of Aging and the Social Sciences
scholarly reviews of their topics, devoting spe- series. And this was but one of his monu-
cial attention to what is new and exciting (theo- mental contributions to aging research and
retically, methodologically, and substantively) policy. Linda George had the privilege of co-
and to priority issues for future research. They editing the third through seventh editions of
meticulously crafted chapters that stand as the Handbook with Bob. They had a wonderful
exemplary reviews of the state-of-the-science working partnership that she will always treas-
and point the way to exciting ways to advance ure. She agreed to serve as senior editor of this
the field. We found reading these chapters and edition only if she succeeded in recruiting a co-
corresponding with the authors to be enlighten- editor in whose intelligence, research contribu-
ing and we stand in awe of the knowledge and tions, service to the field, and judgment she had
insights that the authors generously shared. total trust. Ken Ferraro was her choice and he
We also owe huge debts of gratitude to our graciously accepted the call. Her choice could
Associate Editors: Deborah Carr, Janet Wilmoth, not have been better. How fortunate she’s been
and Doug Wolf. They were involved in every to work with two remarkable men who did
part of this Handbook, including selection of top- their share of the work and more.
ics and authors, providing feedback to chapter This Handbook is intended to serve as a use-
authors, and writing superb chapters themselves. ful resource, an inspiration to those searching
As a group, they beautifully buttressed us in for ways to contribute to the aging enterprise,
areas where our knowledge was less extensive and a tribute to the rich bodies of scholar-
than theirs and provided insights and sugges- ship that comprise aging research in the social
tions that improved the volume in multiple ways. sciences.
Linda K. George is professor of Sociology early origins of adult health, health disparities,
at Duke University where she also serves and the health consequences of obesity. With
as associate director of the Duke University interests in how stratification processes unfold
Center for the Study of Aging and Human over the life course, he has developed cumula-
Development. She is a fellow and past presi- tive inequality theory for the study of human
dent of the Gerontological Society of America development, aging, and health. A fellow of
(GSA). She is former chair of the Aging and the Gerontological Society of America (GSA),
Life Course Section and the Sociology of Mental he formerly edited Journal of Gerontology: Social
Health Section of the American Sociological Sciences and chaired the Behavioral and Social
Association (ASA). She is former editor of the Sciences section of GSA. He also is a member of
Journal of Gerontology, Social Sciences. She is the honorary Sociological Research Association
currently associate editor of Social Psychology and former chair of the Section on Aging
Quarterly and former associate editor of and Life Course of the American Sociological
Demography. She is the author or editor of 8 Association (ASA). GSA has honored him with
books and author of more than 250 journal arti- the Distinguished Mentor Award, Richard
cles and book chapters. She co-edited the third, Kalish Innovation Publication Award, and the
fourth, fifth, sixth, and seventh editions of the Best Paper Award for Theoretical Developments
Handbook of Aging and the Social Sciences. Her in Social Gerontology. ASA honors from the
major research interests include social fac- Section on Aging and the Life Course include
tors and illness, stress and social support, and Outstanding Publication Award and Matilda
mental health and well-being across the life White Riley Distinguished Scholar Award.
course. Among the honors she has received Deborah Carr is professor of Sociology at
are Phi Beta Kappa, the Duke University Rutgers University where she also is a faculty
Distinguished Teaching Award, the Mentorship member at the Institute for Health, Health Care
Award from the Behavioral and Social Sciences Policy & Aging Research, and holds a second-
Section of GSA, the Dean’s Mentoring Award ary appointment at the School of Social Work.
from the Graduate School of Duke University, She is a fellow of the Gerontological Society
the Kleemeier Award from the GSA, and the of America (GSA) and a member of the hon-
Matilda White Riley Award from the ASA. orary Sociological Research Association. She
Kenneth F. Ferraro is distinguished profes- is the 2014–15 chair of the Aging and Life
sor of Sociology and founding director of the Course Section of the American Sociological
Center on Aging and the Life Course at Purdue Association (ASA). She is editor of the Journal of
University. He is the author of over 100 peer- Gerontology: Social Sciences for the 2015–18 term
reviewed articles and 2 books and has edited 4 and formerly served as deputy editor of Journal
editions of Gerontology: Perspectives and Issues. of Marriage and Family, and Social Psychology
His recent research focuses on health inequality Quarterly. She is the author or editor of five
over the life course. Current projects examine the books including the Encyclopedia of the Life
xv
xvi About the Editors
Course and Human Development (Cengage, 2009). shapes various life course outcomes related to
She has authored 70 journal articles and more marriage and family, economic well-being, health
than 2 dozen book and encyclopedia chap- conditions, and disability. She has received sev-
ters. She is an investigator on several major eral teaching awards, including the School of
studies of aging and the life course including Liberal Arts Excellence in Education Award at
the Midlife in the United States (MIDUS) and Purdue University and the Chancellor’s Award
Wisconsin Longitudinal Study (WLS), and is for Public Engagement and Scholarship-Faculty
chair of the Board of Overseers of the General and Staff Inspiration at Syracuse University.
Social Survey (GSS). Her major research inter- Douglas Wolf is the Gerald B. Cramer
ests include stress, health and well-being over Professor of Aging Studies and a professor
the life course. Her specific research projects of Public Administration and International
focus on death, dying and bereavement; fami- Affairs at the Maxwell School of Citizenship
lies and health; and the psychosocial conse- and Public Affairs at Syracuse University.
quences of body weight over the life course. Previously he was a senior research associate
Janet M. Wilmoth received a Ph.D. in and director of the Population Studies Center
Sociology and Demography, with a minor at the Urban Institute, and was a research sci-
in Gerontology, from the Pennsylvania State entist at the International Institute of Applied
University. She is professor of Sociology at Systems Analysis in Laxenburg, Austria. His
Syracuse University where she also serves as research focusses mainly on family and house-
the director of the Aging Studies Institute, sen- hold demography, late-life disability, and
ior research affiliate in the Center for Policy informal care and its consequences for care
Research, and senior fellow in the Institute for providers and care receivers. His research has
Veterans and Military Families. She is a fellow been published in demography, gerontology,
of the Gerontological Society of America (GSA), public policy, economics, health, and evalua-
current secretary/treasurer of GSA’s Behavioral tion journals. He has served on the editorial
and Social Science Section, and past secretary/ boards of Demography, Journal of Gerontology:
treasurer of the Section on Aging and the Life Social Sciences, Journal of Marriage and the Family,
Course of the American Sociological Association Journal of Population Aging, Population Research
(ASA). She has authored of over 50 articles and Policy Review, and Demographic Research,
and book chapters, and co-edited Gerontology: and as director of the Center for Aging and
Perspectives and Issues (third and fourth editions) Policy Studies at Syracuse University. At pre-
and Life Course Perspectives on Military Service. sent he is a co-investigator for the National
Her research examines older adult migration and Health and Aging Trends Study (NHATS), a
living arrangements, health status, and finan- longitudinal study that collects data on a sam-
cial security, and explores how military service ple of Medicare beneficiaries ages 65 and older.
List of Contributors
xvii
xviii List of Contributors
1
Aging and the Social Sciences:
Progress and Prospects
Linda K. George1 and Kenneth F. Ferraro2
1
Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA
2
Center on Aging and the Life Course, Purdue University, West Lafayette, IN, USA
O U T L I N E
“The only constant is change.” This quote, that he was not the same person today that he
heard frequently today, is attributed to was yesterday or would be tomorrow? At any
Heraclitis of Ephesus, a Greek philosopher who rate, it is clear that humans have long been
lived from approximately 535 BC to 475 BC. aware that change is ubiquitous.
One wonders what it was about life at about Scholars of aging arguably devote more
500 years before the birth of Christ that led of their intellectual activity to studying and
Heraclitis to that conclusion. Was the pace of understanding change than those in any other
social change so rapid that it led to this infer- field. Aging itself is change – some of it eas-
ence? Was it the rhythms of nature that trig- ily observable; some of it occurring at the cel-
gered this observation? Or, perhaps, was it the lular and molecular levels and requiring years
flow of everyday life that convinced Heraclitis or even decades to be measurable and the
fodder for scientific inquiry. Aging individu- theme being “big picture” influences on aging.
als are embedded in macro-, meso-, and micro- Undoubtedly, other scholars would have
environments in which change also is omni- selected other developments in the field. Other
present. And a fundamental assumption of the scholars may disagree with our labeling these
social sciences is that those constantly changing research topics as “recent” or “new.” This is
environments affect the ways in which people inevitable. Nonetheless, we hope that this
age. Thinking seriously about the complex- chapter captures much of the theoretical, meth-
ity of change leads to the conclusion that con- odological, and substantive “action” of the past
siderable audacity and fortitude are required two decades in social science research on aging.
to study aging and lay claim to understand-
ing or explaining its dynamics. And yet that is
precisely what aging researchers do. THEORETICAL AND CONCEPTUAL
Audacity and fortitude also are required DEVELOPMENTS
in any attempt to summarize the state-of-the-
science with regard to social science aging Arguably, the biggest “story” in aging
research. Yet, the goal of this chapter is to pro- research for the past several decades has been
vide a partial summary of the state-of-the-field. developments in, advances in, and the greatly
More specifically, the purpose of this chapter increased volume of research that incorporates
is to review, in broad brush, recent theoreti- the life course perspective. The life course per-
cal, methodological, and selected substantive spective is not a theory per se; rather, it is a set
developments in aging research in the social of five principles that contextualize individual
sciences. We used the approximate dates of lives in a number of ways (Elder, Johnson, &
1996–2015 as the focus of this review. This is an Crosnoe, 2003). The principle of life span devel-
arbitrary window of time, but we believe that it opment states that human development and
is a reasonable temporal scope for summarizing aging are lifelong processes – that patterns
current significant issues in aging research. observable over time link distal and proximal
The chapter is organized into four sections. events and experiences across the life course.
The first section reviews theoretical and con- The principle of agency focuses on the ways that
ceptual developments in the field; the second individuals construct their own lives by the
provides an update of advances in data, meth- choices they make within the opportunities and
ods, and statistical techniques that have become constraints of their environments. The prin-
central in aging research. The third and long- ciple of time and place states that human lives
est section reviews three thematic topics that develop in historical and geographic contexts
have emerged as cutting-edge issues in social that strongly affect the opportunities and con-
research on aging and the life course. In the straints available. The principle of timing states
concluding section, we briefly comment upon that the effects of events and other experiences
the broader issue of how aging research con- vary, depending on the individuals’ ages or
tributes to major issues and assumptions in the life stages. Finally, the principle of linked lives
social sciences. focuses on the social networks and relation-
Considerable subjectivity was employed ships that also structure the opportunities and
in developing this chapter, especially in iden- constraints available to individuals. Although
tifying emerging substantive issues. It is pos- temporality, especially biographical and histori-
sible to produce a veritable “laundry list” of cal time, is widely viewed as the hallmark of
recent and emerging themes in aging research. the life course perspective, context is its major
We selected only three, with the unifying foundation.
the trajectories may resemble straightforward in later life (i.e., typically underestimating
cumulative advantage and disadvantage, but inequality).
there will be other meaningful trajectories as Several longitudinal studies testing elements
well. Despite its shortcomings as a universally of the theory reveal the importance of inter-
applicable theory, CA/DT has been tremen- generational influences on health outcomes –
dously useful in emphasizing the importance ranging from adult depression (Goosby, 2013)
of early social status and cohort membership on to myocardial infarction (Morton, Mustillo, &
life course trajectories and has generated a large Ferraro, 2014) – but also how those health risks
volume of important research. may be amplified or diminished by resources
and lifestyle choices. Indeed, in a study of racial
disparities in health, Kail and Taylor (2014,
Cumulative Inequality Theory p. 805) reported that “mobilizing financial
To capture more of the contingencies resources into insurance coverage is protective”
involved in how status and life experience against functional limitations. Other studies
influence the aging process, cumulative ine- testing elements of the theory reveal that both
quality theory (CIT) integrates elements from psychosocial resources and how one interprets
multiple conceptual approaches, most nota- life experiences are consequential to status
bly but not limited to: life course perspective attainment and health (Wickrama & O’Neal,
(Elder, 1998), CA/DT, and stress process theory 2013; Wilkinson, Shippee, & Ferraro, 2012).
(Pearlin, Schieman, Fazio, & Meersman, 2005). The emerging picture from empirical tests of
Formulated in five axioms and 19 proposi- the theory is that there are powerful systemic
tions, the theory builds upon but is distinctive influences on exposure to risk, opportunity,
from prior approaches in several ways (Ferraro, and inequality but that these influences on
Shippee, & Schafer, 2009). well-being in later life are often contingent on
First, CIT prioritizes perceptions of the aging how the exposures are interpreted and whether
experience while juxtaposing the systemic resources can be activated to address them.
generation of inequality with human agency
(Schafer, Ferraro, & Mustillo, 2011). Social struc-
tures constrain choices, and both influence METHODS AND DATA
aging. Second, rather than assume inexorable
effects of early disadvantage, CIT specifies that
Data Developments
exposures to risks and resources also shape
life trajectories. Indeed, the timely activation One of the greatest boons to aging research
of resources may nullify or compensate for the has been the proliferation of longitudinal
effects of negative exposures. Third, the influ- data sets covering long periods of time. The
ence of family lineage is emphasized in the increased availability of high-quality data sets
theory, noting the roles that genes and environ- in the past two decades or so has transformed
ment have on status differentiation. It calls for aging research. Space limitations preclude a
more attention to the intergenerational trans- description of all the valuable longitudinal data
mission of risks and resources. Finally, the the- sets available. Several major differences in data
ory integrates selection processes into the study sources, however, will be reviewed. With few
of inequality. Given that inequality itself is an exceptions, we focus on data sets with three
engine of mortality and other forms of nonran- or more times of measurement, which is the
dom selection, failure to consider selection pro- minimum number of data points for modeling
cesses may lead to misrepresenting inequality trajectories.
been merging survey data from older adults Non-US Databases. An important and rela-
with federal and, occasionally, state adminis- tively new resource for research on aging is the
trative data. Merging data from these sources availability of large-scale longitudinal studies
greatly expand the research questions that can conducted in countries other than the United
be addressed. The most frequently used admin- States. Especially rich data are available from
istrative data base is the National Death Index Europe and the Pacific Rim. European exam-
(NDI), which includes data from death certifi- ples include the English Longitudinal Study
cates in all 50 US states. Investigators routinely of Ageing (ELSA) and the Survey of Health,
use the NDI to determine study participants’ Ageing, and Retirement in Europe (SHARE).
mortality status and date of death and can use The ELSA began in 2002, conducts interviews
the NDI Plus for cause-of-death data. Although biannually, and has completed six waves of
not every name submitted to the NDI can be data, with a seventh in progress (ELSA, 2014).
definitively matched, the overall accuracy of SHARE also interviews participants biannu-
the NDI is excellent (e.g., Lash & Silliman, ally; it began in 2004 and five waves are com-
2001). The other major administrative data set plete. SHARE’s baseline sample included older
often merged with longitudinal survey data is adults from 11 countries. By Wave 5, 15 coun-
Medicare claims data, which include detailed tries had participated (SHARE, 2014). Both the
information about the use and costs of inpatient ELSA and SHARE are modeled on the HRS
and outpatient health care (CDC, 2014a). Most in design and content. Two studies from the
major longitudinal studies use the NDI and Pacific Rim are especially rich in times of meas-
many (e.g., the HRS and EPESE) also obtain urement. The Australian Longitudinal Study
Medicare claims data. of Aging (ALSA) began in 1992 and completed
Biomarker, Genetic, and Physical Performance 12 times of measurement (Luszcz et al., 2014).
Data. Another important trend in longitudinal The Chinese Longitudinal Healthy Longevity
studies of aging is the collection of biological Study (CLHLS) has conducted six waves to
and physical performance data. Advances in date (1998, 2000, 2002, 2005, 2008–2009, and
data collection methods now allow biological 2014) and focuses on the oldest-old (Chinese
data to be easily obtained via non- or minimally Longitudinal Healthy Longevity Survey, 2014).
invasive methods, including buccal swabs for All four of these data sets include biomarker
DNA and urine and saliva samples for selected and physical performance tests at one or more
biomarkers. Highly trained interviewers often times of measurement.
collect blood samples; measure height, weight,
waist circumference, and blood pressure; and/
Statistical Sophistication
or administer physical performance tests. To
date, the genetic and biomarker data typically The statistical armamentarium for analysis
have been collected at a single point in time. An of three or more waves of longitudinal data
exception is the National Social Life, Health, and has grown in volume and sophistication over
Aging Project (NSHAP; NORC, 2014). To date, the past two decades. The concept of trajec-
NSHAP has collected two waves of data and tory – a distinct temporal pattern observed over
biomeasures were collected at both test dates, multiple times of measurement – has become a
permitting longitudinal analyses spanning about staple of aging research. Some studies include
5 years. This trend will undoubtedly continue multiple times of measurement over a rela-
in other longitudinal studies, resulting in multi- tively short period of time, permitting estima-
ple waves of biological and genetic data that are tion of fine-grained trajectories (e.g., patterns
linked to rich survey and administrative data. of onset, stability, and recovery of disability).