ArticleInternational journal of epidemiology2025
Heterogeneity in the association between retirement and cognitive function: a machine learning analysis across 19 countries.
Article in International journal of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundRising state pension ages in many developed countries may influence cognitive aging by delaying retirement, yet the cognitive consequences of retirement likely vary across individuals and contexts. This study investigates the heterogeneous association between retirement and cognitive function.
methodsWe analyzed harmonized data from three longitudinal studies: the Health and Retirement Study, the English Longitudinal Study on Ageing, and the Survey of Health, Ageing and Retirement in Europe. The dataset encompassed three waves across 19 counties from 2014 to 2019. Our study included 12 811 individuals who worked in the first wave, from whom each survey collected covariate information. We assessed retirement status among participants aged 50-80 years in the second wave and measured cognitive function using word recall tests in the third wave. The analysis employed instrumental variable causal forests estimation, utilizing state pension age as an instrument for retirement.
resultsAmong 7432 individuals with retirement propensity scores between 0.1 and 0.9, 2165 (29.1%) retired during the second wave. Analysis revealed that retirees recalled 1.348 more words than workers on average. The association between retirement and cognitive function was heterogeneous; greater cognitive benefits were observed among women, individuals with higher socioeconomic status, those with robust pre-retirement health, and those who engaged in physical activity before retirement.
conclusionsThe observed heterogeneous associations suggest policymakers should consider incorporating early retirement options into the pension system, allowing individuals to make retirement decisions based on their circumstances.
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