Evidence map›Paper›PMID 31713126›Full record

ArticleDemography2019

Gradual Change, Homeostasis, and Punctuated Equilibrium: Reconsidering Patterns of Health in Later Life.

Michal Engelman, Heide Jackson

Open access · bronzeAbstract read
In one paragraph

Article in Demography, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Temporary Setback or Lasting Challenge? The Impact of Transient and Persistent Functional Disability on Later-Life Well-Being.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  3. Review
  4. Age Profiles of Cognitive Decline and Dementia in Late Life in the Aging, Demographics, and Memory Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  5. Health, Wealth, and Voting Trajectories in Later Life.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  6. Deaths, Disparities, and Cumulative (Dis)Advantage: How Social Inequities Produce an Impairment Paradox in Later Life.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Michal EngelmanDepartment of Sociology, Center for Demography of Health and Aging, and Center for Demography and Ecology, University of Wisconsin-Madison, Madison, WI, 53706, USA. mengelman@wisc.edu.
Heide JacksonDepartment of Sociology, Center for Demography of Health and Aging, and Center for Demography and Ecology, University of Wisconsin-Madison, Madison, WI, 53706, USA.
University of Maryland, College Park · USUniversity of Wisconsin–Madison · US

Funding

Statistical Data Enclave CoreP30AG017266 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Michal Engelman · 1999 to 2026
$17.0M
EPIDEMIOLOGY AND BIOSTATISTICS OF AGINGT32AG000247 · NIA · JOHNS HOPKINS UNIVERSITY · PI Karen J. Bandeen-Roche · 1996 to 2026
$13.2M
POPULATION, LIFE COURSE, AND AGINGT32AG000129 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Michal Engelman · 1986 to 2026
$6.0M
Network on Life Course Health Dynamics and Disparities in 21st Century America RenewalR24AG045061 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE, Sarah A. Burgard · 2014 to 2026
$5.2M
NIA NIH HHS P30 AG017266NIA NIH HHS R24 AG045061NIA NIH HHS T32 AG000129NIA NIH HHS T32 AG000247
6 · The paper itself

Abstract

Longitudinal methods aggregate individual health histories to produce inferences about aging populations, but to what extent do these summaries reflect the experiences of older adults? We describe the assumption of gradual change built into several influential statistical models and draw on widely used, nationally representative survey data to empirically compare the conclusions drawn from mixed-regression methods (growth curve models and latent class growth analysis) designed to capture trajectories with key descriptive statistics and methods (multistate life tables and sequence analysis) that depict discrete states and transitions. We show that individual-level data record stasis irregularly punctuated by relatively sudden change in health status or mortality. Although change is prevalent in the sample, for individuals it occurs rarely, at irregular times and intervals, and in a nonlinear and multidirectional fashion. We conclude by discussing the implications of this punctuated equilibrium pattern for understanding health changes in individuals and the dynamics of inequality in aging populations.

Indexed as

AgingHealth StatusHomeostasisAdultAgedAge FactorsFemaleHumansLife TablesLongitudinal StudiesMaleMiddle AgedModels, StatisticalSequence Analysis, DNASurveys and QuestionnairesUnited StatesHealthLongitudinal analysisMultistateSequence analysisTrajectory

Identifiers

PMID31713126
PMCPMC6917959
OpenAlexW2984348637

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.