Evidence map›Paper›PMID 32833008›Full record

ArticleThe Gerontologist2021

Educational Benefits and Cognitive Health Life Expectancies: Racial/Ethnic, Nativity, and Gender Disparities.

Marc A Garcia, Brian Downer, Chi-Tsun Chiu, Joseph L Saenz, Kasim Ortiz, Rebeca Wong

Open access · bronzeAbstract read
In one paragraph

Article in The Gerontologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.3field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Cognitive difficulties among middle-aged and older Latino adults: within-group variation across U.S. states.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
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  7. Disparities in the Life Course Origins of Dual Functionality.Journal of health and social behavior · 2025
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  8. Article
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  10. Cognitive Performance of Latino and White Non-Latino Individuals With Parkinson's Disease.The Journal of neuropsychiatry and clinical neurosciences · 2025
    Article
  11. A Lack of Food for Thought: Midlife Food Insecurity and Its Association With Subsequent Cognitive Ability of Older Americans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  12. Article
  13. Article
  14. Educational Inequalities in Dual-Function Life Expectancy.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  15. Article
  16. Dual Functionality in Later Life.The Gerontologist · 2023
    Article
  17. Racial-Ethnic Disparities in Dual-Function Life Expectancy.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  18. Article
  19. Caregiving for Foreign-Born Older Adults With Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  20. Cognitive Impairment and Supplemental Nutrition Assistance Program Take-Up Among the Eligible Older Americans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    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

6 authors at 5 institutions in 2 countries.

Marc A GarciaDepartment of Sociology and Institute for Ethnic Studies, University of Nebraska-Lincoln.
Brian DownerDivision of Rehabilitation Sciences, University of Texas Medical Branch, Galveston.
Chi-Tsun ChiuInstitute of European and American Studies, Academia Sinica, Taipei, Taiwan.
Joseph L SaenzDavis School of Gerontology, University of Southern California, Los Angeles.
Kasim OrtizDepartment of Sociology & Criminology, University of New Mexico, Albuquerque.
Rebeca WongDepartment of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston.
The University of Texas Medical Branch at Galveston · USInstitute of European and American Studies, Academia Sinica · TWUniversity of Nebraska–Lincoln · USUniversity of New Mexico · USUniversity of Southern California · US

Funding

RESEARCH TRAINING IN GERONTOLOGYT32AG000037 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE, EILEEN M CRIMMINS · 1985 to 2026
$13.2M
USC Resource Center for Minority Aging Research (US-RCMAR)P30AG043073 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI EMMA AGUILA, JENNIFER A AILSHIRE · 2012 to 2026
$10.1M
Transdisciplinary Research, Equity and Engagement Center for Advancing Behavioral HealthU54MD004811 · NIMHD · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CACARI STONE, LISA MARIE, CRUZ, THERESA · 2017 to 2022
$8.7M
Research Education ComponentP30AG059300 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KRISTINE J. AJROUCH · 2018 to 2026
$7.0M
HEALTH OF OLDER MINORITIEST32AG000270 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI Brian Gregory Downer, NEIL MEHTA · 1999 to 2026
$5.2M
The Texas Resource Center on Minority Aging Research (RCMAR)P30AG059301 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI Kyriakos S Markides, Fernando Riosmena · 2018 to 2026
$5.2M
An Experimental Investigation into the Impact of Socioeconomic Context on Biological Markers of Aging, Health and MortalityR01AG054466 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ALLEN, HEIDI LYNN, MUENNIG, PETER A · 2016 to 2021
$3.0M
Enhancing CBPR Practice through Provision of Expert Information SkillsR01NR015241 · NINR · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI WALLERSTEIN, NINA B · 2015 to 2019
$2.7M
Education and the Life-Course Pathways of Cognitive Impairment, Dementia, and Cognitive Decline in the United States and MexicoR00AG058799 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SAENZ, JOSEPH · 2020 to 2022
$745k
Improvement in Patients' Cognition and Relationship with SNF Quality MeasuresK01AG058789 · NIA · UNIVERSITY OF TEXAS MED BR GALVESTON · PI DOWNER, BRIAN GREGORY · 2019 to 2023
$613k
NIA NIH HHS K01 AG058789NIA NIH HHS P30 AG043073NIA NIH HHS P30 AG059300NIA NIH HHS P30 AG059301NIA NIH HHS R00 AG058799NIA NIH HHS R01 AG054466NIA NIH HHS T32 AG000037NIA NIH HHS T32 AG000270NIMHD NIH HHS U54 MD004811NINR NIH HHS R01 NR015241
6 · The paper itself

Abstract

BACKGROUND AND

objectivesTo examine racial/ethnic, nativity, and gender differences in the benefits of educational attainment on cognitive health life expectancies among older adults in the United States. RESEARCH DESIGN AND

methodsWe used data from the Health and Retirement Study (1998-2014) to estimate Sullivan-based life tables of cognitively healthy, cognitively impaired/no dementia, and dementia life expectancies by gender for older White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults with less than high school, high school, and some college or more.

resultsWhite respondents lived a greater percentage of their remaining lives cognitively healthy than their minority Black or Hispanic counterparts, regardless of level of education. Among respondents with some college or more, versus less than high school, Black and U.S.-born Hispanic women exhibited the greatest increase (both 37 percentage points higher) in the proportion of total life expectancy spent cognitively healthy; whereas White women had the smallest increase (17 percentage points higher). For men, the difference between respondents with some college or more, versus less than high school, was greatest for Black men (35 percentage points higher) and was lowest for U.S.-born Hispanic men (21 percentage points higher). DISCUSSION AND IMPLICATIONS: Our results provide evidence that the benefits of education on cognitive health life expectancies are largest for Black men and women and U.S.-born Hispanic women. The combination of extended longevity and rising prevalence of Alzheimer's disease points to the need for understanding why certain individuals spend an extended period of their lives with poor cognitive health.

Indexed as

Life ExpectancyRacial GroupsAgedCognitionEducational StatusEthnicityFemaleHispanic or LatinoHumansMaleUnited StatesCognitive impairmentDementiaLife expectancyNativityRace/ethnicity

Identifiers

PMID32833008
PMCPMC8023372
OpenAlexW3081021813

What OpenQuestion holds

Textmetadata
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.