ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2021
Same-Sex Couples and Cognitive Impairment: Evidence From the Health and Retirement Study.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Overlooked cases of mild cognitive impairment: Implications to early Alzheimer's disease.Ageing research reviews · 2024Pooled it
- Recruiting Sexual and Gender Minority Older Adults With and Without Dementia in Long-Term Care: Overcoming Barriers and Lessons Learned.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- The Alzheimer's Association TrialMatch-Increasing awareness of all dementia trials.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Marital dynamics and daily memory among aging same-sex and different-sex couples.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- A comparison of partner resemblance trends across putative same-sex and opposite-sex couples in the UK biobank.Scientific reports · 2025Article
- Effects of Unequal Treatment, Verbal Harassment, and Physical Violence on Subjective Cognitive Health Among Middle-Aged and Older LGBTQ Adults: Variation by Type and Basis of Victimization.Annals of LGBTQ public and population health · 2025Article
- Linked Lives: Dyadic Trajectories of Cognitive Function Among Middle-Aged and Older Couples.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Risk of impairment in cognitive instrumental activities of daily living for sexual and gender minority adults with reported Parkinson's disease.The Clinical neuropsychologist · 2025Article
- True inner self or fantasies and fabulation? Discourses on gender identity, sexuality, and LGBTQ among care workers in Swedish dementia care.Dementia (London, England) · 2025Article
- Differential Impact of Risk Factors for Cognitive Decline in Heterosexual and Sexual Minority Older Adults in England.Brain sciences · 2025Article
- A critique and examination of the polysocial risk score approach: predicting cognition in the Health and Retirement Study.American journal of epidemiology · 2024Article
- "Going Back in the Closet": Addressing Discrimination Against Sexual and Gender Minority Residents in Long-Term Services and Supports by Providing Culturally Responsive Care.Journal of aging & social policy · 2024Article
- Aging in isolation: Sexual orientation differences in navigating cognitive decline.SSM - population health · 2024Article
- 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- Scoping Literature Review: Experiences of Sexual and Gender Minority Older Adults, With Diagnoses of Dementia, Who Use Residential Long-Term Services and Supports.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Spouses of individuals living with mild cognitive impairment or dementia in the United States: A descriptive, population-based study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- A national longitudinal dyadic analysis of spousal education and cognitive decline in the United States.Social science & medicine (1982) · 2024Article
- Neurocognitive health in LGBTQIA+ older adults: current state of research and recommendations.Frontiers in human neuroscience · 2024Article
- Cognitive Decline After Divorce and Widowhood: Is Marital Loss Always a Loss?Innovation in aging · 2024Article
- Do supportive work environments matter for minority aging? Work stress and subjective cognitive impairment among middle-age and older lesbian, gay, bisexual, transgender, and queer adults.Acta psychologica · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesWe provide the first nationally representative population-based study of cognitive disparities among same-sex and different-sex couples in the United States.
methodsWe analyzed data from the Health and Retirement Study (2000-2016). The sample included 23,669 respondents (196 same-sex partners and 23,473 different-sex partners) aged 50 and older who contributed to 85,117 person-period records (496 from same-sex partners and 84,621 from different-sex partners). Cognitive impairment was assessed using the modified version of the Telephone Interview for Cognitive Status. Mixed-effects discrete-time hazard regression models were estimated to predict the odds of cognitive impairment.
resultsThe estimated odds of cognitive impairment were 78% (p < .01) higher for same-sex partners than for different-sex partners. This disparity was mainly explained by differences in marital status and, to a much lesser extent, by differences in physical and mental health. Specifically, a significantly higher proportion of same-sex partners than different-sex partners were cohabiting rather than legally married (72.98% vs. 5.42% in the study sample), and cohabitors had a significantly higher risk of cognitive impairment than their married counterparts (odds ratio = 1.53, p < .001). DISCUSSION: The findings indicate that designing and implementing public policies and programs that work to eliminate societal homophobia, especially among older adults, is a critical step in reducing the elevated risk of cognitive impairment among older same-sex couples.
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Registered trials
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.