The Influence of Education and Occupation Type on Birth Cohort Differences in Cognitive Function of Mexican Older Adults

Author:

Gutierrez Mariela1,Wahrendorf Morten2,Milani Sadaf34ORCID,Mejia-Arango Silvia5,Wong Rebeca14ORCID,Downer Brian14

Affiliation:

1. Department of Population Health and Health Disparities, The University of Texas Medical Branch , Galveston , Texas , USA

2. Institute of Medical Sociology, Center for Health and Society, Medical Faculty, Heinrich-Heine-University of Düsseldorf , Düsseldorf , Germany

3. Department of Epidemiology, The University of Texas Medical Branch , Galveston, Texas , USA

4. Sealy Center on Aging, The University of Texas Medical Branch , Galveston , Texas , USA

5. Department of Neuroscience, School of Medicine, The University of Texas Rio Grande Valley , Brownsville, Texas , USA

Abstract

Abstract Objectives Mexico’s population aging is occurring in the context of social changes such as increased educational attainment and occupational shifts from agriculture to service and industry. The current study compares cognitive function between two birth cohorts of Mexican adults aged 60–76 to determine if population-level changes in education and occupation type contribute to cohort differences in cognitive function. Methods We used the Mexican Health and Aging Study to examine adults aged 60–76 in 2001 (men: 2,309; women: 2,761) and 2018 (men: 2,842; women: 3,825). Global cognition was calculated from five measures. Five main lifetime occupation types were created: no main job; agriculture; service; professional; and industrial. Ordinary least squares regression and structural equation models (SEM) were used to examine cohort differences in cognitive functioning. Results Ordinary least squares models that adjusted for age, community size, and marital status indicated that men and women had higher global cognition in 2018 than 2001 (men: b = 0.44, p < .01; women: b = 0.54, p < .01). These differences were reduced after adjusting for education and occupation type (men: b = 0.27, p < .01; women: b = 0.37, p < .01). Results from SEM indicated that the indirect effects of education on cognitive functioning were larger than occupation type for men (education: b = 0.18, p < .05; occupation: b = 0.001, p = .91) and women (education: b = 0.18, p < .05; occupation: b = 0.002, p = .22). Discussion Cognitive functioning is higher among more recent birth cohorts of older adults in Mexico. These cohort differences are partially mediated by education but not main lifetime occupation. Additional factors may contribute to cohort differences in cognitive function for older adults in Mexico.

Funder

National Institute on Aging

National Institutes of Health

Mexican National Institute of Statistics and Geography

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Gerontology,Clinical Psychology,Social Psychology

Reference49 articles.

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3. Aging in Mexico: Population trends and emerging issues;Angel,2017

4. Dementia and cognitive decline in older adulthood: Are agricultural workers at greater risk;Arora,2021

5. The effect of diabetes on the cognitive trajectory of older adults in Mexico and the United States;Avila,2021

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