Max Planck Institute for Demographic Research.
University of St Andrews.
Popul Stud (Camb). 2024 Mar;78(1):167-177. doi: 10.1080/00324728.2023.2174267. Epub 2023 Feb 22.
Cognitively impaired adults without a partner are highly disadvantaged, as partners constitute an important source of caregiving and emotional support. With the application of innovative multistate models to the Health and Retirement Study, this paper is the first to estimate joint expectancies of cognitive and partnership status at age 50 by sex, race/ethnicity, and education in the United States. We find that women live a decade longer unpartnered than men. Women are also disadvantaged as they experience three more years as both cognitively impaired and unpartnered than men. Black women live over twice as long as cognitively impaired and unpartnered compared with White women. Lower-educated men and women live around three and five years longer, respectively, as cognitively impaired and unpartnered than more highly educated men and women. This study addresses a novel facet of partnership and cognitive status dynamics and examines their variations by key socio-demographic factors.
认知能力受损且没有伴侣的成年人处于高度不利地位，因为伴侣是提供照顾和情感支持的重要来源。本文应用创新的多状态模型对健康与退休研究进行分析，首次估计了美国不同性别、种族/族裔和受教育程度的人在 50 岁时认知和伴侣状况的联合预期。我们发现，女性在没有伴侣的情况下比男性多活十年。女性还处于不利地位，因为她们经历的认知能力受损且没有伴侣的时间比男性多三年。与白人女性相比，黑人女性认知能力受损且没有伴侣的时间是其两倍多。受教育程度较低的男性和女性分别比受教育程度较高的男性和女性多活三到五年的时间，认知能力受损且没有伴侣。本研究探讨了伴侣和认知状况动态的一个新方面，并按关键社会人口因素考察了它们的变化。
