Retirement age and disability status as pathways to later-life cognitive impairment: Evidence from the Norwegian HUNT Study linked with Norwegian population registers.

BACKGROUND: Research shows that retirement age is associated with later-life cognition but has not sufficiently distinguished between retirement pathways. We examined how retirement age was associated with later-life dementia and mild cognitive impairment (MCI) for people who retired via the disability pathway (received a disability pension prior to old-age pension eligibility) and those who retired via the standard pathway. METHODS: The study sample comprised 7210 participants from the Norwegian Trøndelag Health Study (HUNT4 70+, 2017-2019) who had worked for at least one year in 1967-2019, worked until age 55+, and retired before HUNT4. Dementia and MCI were clinically assessed in HUNT4 70+ when participants were aged 69-85 years. Historical data on participants' retirement age and pathway were retrieved from population registers. We used multinomial regression to assess the dementia/MCI risk for women and men retiring via the disability pathway, or early (<67 years), on-time (age 67, old-age pension eligibility) or late (age 68+) via the standard pathway. RESULTS: In our study sample, 9.5% had dementia, 35.3% had MCI, and 28.1% retired via the disability pathway. The disability retirement group had an elevated risk of dementia compared to the on-time standard retirement group (relative risk ratio [RRR]: 1.64, 95% CI 1.14-2.37 for women, 1.70, 95% CI 1.17-2.48 for men). MCI risk was lower among men who retired late versus on-time (RRR, 0.76, 95% CI 0.61-0.95). CONCLUSION: Disability retirees should be monitored more closely, and preventive policies should be considered to minimize the dementia risk observed among this group of retirees.

Attitudes towards seeking mental health services among older adults: personal and contextual correlates.

OBJECTIVES: Especially older adults underutilize professional mental health services. However, little is known about the factors associated with older adults' attitudes towards seeking mental health services (ATSMHS). We therefore investigated a wide range of contextual (e.g. physical access, residence) and personal (e.g. perceived social support, life satisfaction, openness to experience) predictors of ATSMHS in a sample of older community-dwelling adults in Germany. We predicted that representations of old age as well as perceptions of (younger) psychotherapists would be uniquely important for determining ATSMHS. METHOD: A diverse sample of N = 156 older adults (Mage = 71.5 years, SD = 6.4, range: 60-92) completed questionnaire measures. We used hierarchical linear regression analyses to identify predictors of ATSMHS. RESULTS: In the final saturated model, female gender, urban residence, personal and vicarious experience with psychotherapy, and higher perceived social support were each associated with more positive ATSMHS. In addition, more positive representations of old age and less negative perceptions of (younger) psychotherapists explained unique variance in ATSMHS over and above the other predictors. The overall model was significant and explained 49% of the variance in ATSMHS. CONCLUSION: Our findings can be used to inform interventions to improve older adults' ATSMHS. Interventions that seek to improve older adults' representations of their own aging as well as of psychotherapists may be useful for reducing the treatment gap.

Marital Histories and Associations With Later-Life Dementia and Mild Cognitive Impairment Risk in the HUNT4 70+ Study in Norway.

Objectives: Earlier studies suggest that being married in later life protects against dementia, and that being single in old age increases the risk of dementia. In this study, we examine midlife marital status trajectories and their association with dementia and mild cognitive impairment (MCI) at ages 70 plus using a large population based sample from Norway. Methods: Based on a general population sample linked to population registries (N = 8706), we used multinomial logistic regression to examine the associations between six types of marital trajectories (unmarried, continuously divorced, intermittently divorced, widowed, continuously married, intermittently married) between age 44 and 68 years from national registries and a clinical dementia or a MCI diagnosis after age 70. We estimated relative risk ratios (RRR) and used mediation analyses adjusting for education, number of children, smoking, hypertension, obesity, physical inactivity, diabetes, mental distress, and having no close friends in midlife. Inverse probability weighting and multiple imputations were applied. The population attributable fraction was estimated to assess the potential reduction in dementia cases due to marital histories. Results: Overall, 11.6% of the participants were diagnosed with dementia and 35.3% with MCI. Dementia prevalence was lowest among the continuously married (11.2%). Adjusting for confounders, the risk of dementia was higher for the unmarried (RRR = 1.73; 95% CI: 1.24, 2.40), continuously divorced (RRR = 1.66; 95% CI: 1.14, 2.43), and intermittently divorced (RRR = 1.50; 95% CI: 1.09, 2.06) compared to the continuously married. In general, marital trajectory was less associated with MCI than with dementia. In the counterfactual scenario, where all participants had the same risk of receiving a dementia diagnosis as the continuously married group, there would be 6.0% fewer dementia cases. Discussion: Our data confirm that staying married in midlife is associated with a lower risk of dementia and that divorced people account for a substantial share of dementia cases.

Correction to: The uniqueness of subjective ageing: convergent and discriminant validity.

[This corrects the article DOI: 10.1007/s10433-019-00529-7.].

Correction to: Views on ageing: a lifespan perspective.

[This corrects the article DOI: 10.1007/s10433-019-00535-9.].

Young people feel wise and older people feel energetic: comparing age stereotypes and self-evaluations across adulthood.

We use questionnaire data from the MIDUS study (N = 6325 and a subsample n = 2120) to examine the extent to which people in their late 20s, late 40s and late 60s think that positive characteristics apply to themselves, their age peers and other age groups. Results based on factor analysis confirmed the existence of age stereotypes, such that one constellation of characteristics (wise, caring, calm, knowledgeable, generative; "wise") was seen as more descriptive of older adults, while another constellation of characteristics (energetic, healthy, willing to learn; "energetic") was seen as more descriptive of younger adults. Self-evaluations were, however, highly positive and largely independent of age. As a group, younger adults saw themselves as being as "energetic" but "wiser" than their age peers, while older adults saw themselves as being more "energetic" but less "wise" than their age peers. In sum, the results suggest that self-views are relatively independent of existing age stereotypes but also indicate that the "better-than-average effect" depends on age and whether the considered characteristics represent a relative strength or weakness of one's own age group. The results also indicate that, at the aggregate level, older adults' tendency to use stereotypes about their age group's weaknesses as a frame of reference for making flattering self-evaluations seems to outweigh the effects of stereotype internalization.

The uniqueness of subjective ageing: convergent and discriminant validity.

Although a large body of research has demonstrated the predictive power of subjective ageing for several decisive developmental outcomes, there remains some controversy about whether subjective ageing truly represents a unique construct. Thus, information about the convergent and discriminant validity of different approaches to measuring subjective ageing is still critically needed. Using data from the 2014 wave of the German Ageing Survey, we examined how three established subjective ageing measures (subjective age, global attitude toward own ageing, multidimensional ageing-related cognitions) were inter-related as well as distinct from general dispositions (optimism, self-efficacy) and well-being (negative affect, depressive symptoms, self-rated health). Using correlational and multivariate regression analysis, we found that the three subjective ageing measures were significantly inter-related (r = |.09| to |.30|), and that each measure was distinct from general dispositions and well-being. The overlap with dispositional and well-being measures was lowest for subjective age and highest for global attitudes towards own ageing. The correlation between global attitudes towards own ageing and optimism was particularly striking. Despite the high convergent validity of the different dimensions of ageing cognitions, we nevertheless observed stronger associations between specific dimensions of ageing cognitions with negative affect and self-rated health. We conclude that researchers should be aware of the multidimensional nature of subjective ageing. Furthermore, subjective age appears to be a highly aggregated construct and future work is needed to clarify its correlates and reference points.

Views on ageing: a lifespan perspective.

Views on ageing (VoA) have special relevance for the ageing process by influencing health, well-being, and longevity. Although VoA form early in life, so far, most research has concentrated on how VoA affect later middle-aged and older adults. In this theoretical article, we argue that a lifespan approach is needed in order to more fully understand the origins of VoA, how they change over ontogenetic time, and how they shape development across the full breadth of the lifespan. We begin by explicitly linking VoA to fundamental principles of lifespan development. We review existing theories of VoA and discuss their respective contributions and limitations. We then outline a lifespan approach to VoA that integrates existing theories and addresses some of their limitations. We elaborate on three core propositions of a lifespan approach to VoA: (1) VoA develop as the result of a dynamic, ongoing, and complex interaction between biological-evolutionary, psychological, and social-contextual factors; however, the relative importance of different sources changes across the lifespan; (2) VoA impact development across the whole lifespan; however, different outcomes, mechanisms, and time frames need to be considered in order to describe and understand their effects; and (3) VoA are multidimensional, multidirectional, and multifunctional throughout life, but their complexity, meaning, and adaptivity change across the lifespan. We conclude with recommendations for future lifespan research on VoA.

Level and change in economic, social, and personal resources for people retiring from paid work and other labour market statuses.

Well-being in retirement is thought to depend on person's level of resources and how his or her resources change during retirement. However, to date few studies have directly investigated resource trajectories during retirement. The current study therefore examines how economic, personal, and social-relational resources change during the retirement transition for people retiring from paid employment and for people retiring from other, non-working labour market statuses (e.g. disability pension, homemaker, unemployment). Based on four representative baseline samples of the German Ageing Survey (1996, 2002, 2008, and 2014) and their respective 6-year follow-up interviews, we identified N = 586 retirees. We then used dual change score models to separately estimate the level and change in income, health, activity, family and non-family network size, and social support for people retiring from paid work (n = 384) and people retiring from other statuses (n = 202) adjusted for age, gender, education, region, period, and time since retirement. Overall, we found that resources changed only modestly during the retirement transition. Resource changes did, however, differ by last labour market status and sociodemographic characteristics. Income and social support declined and family networks increased for both those retiring from paid work and those retiring from other statuses. Leisure activities increased only for those retiring from paid work. No changes in health or non-family networks were observed. People with many resources before retirement also had many resources after retirement. We conclude that retirement affects resources less than researchers often expect. Accordingly, differences based on labour market remain despite retirement.

Dementia worry in middle-aged and older adults in Germany: sociodemographic, health-related and psychological correlates.

"Dementia worry" (DW; i.e., concern about developing dementia) is highly prevalent in the general population. However, research on the characteristics associated with lower and higher levels of DW is still limited. Based on previous empirical and conceptual work, we examined the extent to which DW was related to a comprehensive range of objective and subjective characteristics (sociodemographics, contact with people with dementia, physical health-related risk factors, well-being/psychological distress, aging self-perceptions, social-cognitive health beliefs about dementia). A convenience sample of N = 219 German adults 40 + years (M = 65.50 years, SD = 11.34; 40-94 years) reporting no dementia or cognitive impairment diagnosis completed questionnaires. We improved upon previous research by using a ten-item scale to measure DW. We used bivariate correlations and multivariate regression to examine the extent to which DW was related to the potential concomitants. 41.1% of the participants indicated DW. Together, the predictor variables explained 53.3% of the variance in DW. DW was related to psychological distress, perceived memory change, aging anxiety, and personal risk perception in both the bivariate and multivariate analyses. There was a quadratic (reverse U shape) relationship between age and DW. Physical health-related risk factors were not related to DW. Our findings suggest that DW represents a hybrid of psychological distress, aging self-perceptions, and a specific type of health concern. Healthcare practitioners should consider a person's psychological characteristics when deciding how to intervene when someone indicates moderate or high DW.

Community Social Characteristics and Health at Older Ages: Evidence From 156 Religious Communities.

Objectives: Previous studies have found that individuals' health is associated with the social characteristics of their communities. However, interpreting the causality of the relationships is difficult due to a number of potential confounders on both the individual- and community-levels as well as potential selection effects. In the current article, we analyze data on health and community characteristics from Catholic order members aged 50+ living together in religious communities. We argue that the potential for confounders and selection effects is reduced in our sample. Method: We use multilevel group actor-partner interdependence models and cross-sectional questionnaire data (N = 1,041, k = 156 communities) to test whether individuals' self-rated health was associated with the level of social conflict and connectedness of their community separate from their own involvement in conflict and feelings of connectedness. Results: We find that living in communities with higher levels of conflict is associated with worse health, especially at older ages. We also find that (a) the relationship between health and own feelings of connectedness is stronger for men and (b) women report better health than men in more connected communities. Discussion: Our results offer further evidence that at least some social characteristics of the community have a causal impact on health.

National stereotypes of older people's competence are related to older adults' participation in paid and volunteer work.

OBJECTIVES: Why are older people perceived as more competent in some countries relative to others? In the current study, we investigate the extent to which national variation in perceptions of older people's competence is systematically related to national variation in the extent to which older people participate in paid and volunteer work. METHOD: We used multilevel regression to analyze data from the European Social Survey and test the relationship between perceptions of older people's competence and older people's participation in paid and volunteer work across 28 countries. We controlled for a number of potentially confounding variables, including life expectancy as well as the gender ratio and average education of the older population in each country. We controlled for the average objective cognitive abilities of the older population in a subsample of 11 countries. RESULTS: Older people were perceived as more competent in countries in which more older people participated in paid or volunteer work, independent of life expectancy and the average education, gender makeup, and average cognitive abilities of the older population. DISCUSSION: The results suggest that older people's participation in paid and volunteer work is related to perceptions of older people's competence independent of older people's actual competence.

Relationship between age and promotion orientation depends on perceived older worker stereotypes.

OBJECTIVES: Research has consistently revealed a negative relationship between chronological age and promotion orientation, that is, the motivational orientation toward approaching possible gains. In addition, experimental research has demonstrated that activating positive self-relevant stereotypes (e.g., for men, the stereotype that men are good at math) can stimulate increases in promotion orientation. Integrating and applying this research to the work context, we hypothesized that the relationship between age and promotion orientation would depend on employees' perceptions of the stereotype of older workers in their work context, such that there would be no negative relationship between age and promotion orientation when individuals perceive a more positive older worker stereotype. METHOD: We analyzed the relationships between age, perceived older worker stereotype (POWS), and promotion orientation using a sample of working adults (N = 337) aged 19-64 years. RESULTS: Results revealed a significant age by POWS interaction such that there was a negative relationship between age and promotion orientation when POWS was less positive. However, there was no relationship between age and promotion orientation when POWS was more positive. DISCUSSION: Results suggest that the negative relationship between age and promotion orientation depends on contextual factors such as POWS.

Personality plasticity in later adulthood: contextual and personal resources are needed to increase openness to new experiences.

The central objective of the present study was to investigate whether it would be possible to facilitate increases in openness to new experiences in later adulthood. Specifically, we investigated whether individuals with higher internal control beliefs (personal resource) provided with training to successfully prepare them for a challenging volunteering context (contextual resources) would increase in openness. Participants of the training program (n = 148, 44-72 years, Mage = 62.80) and a control group of volunteers (n = 92, 46-80 years, Mage = 63.01) were assessed 3 times: before the training program (T0), after the training program (T1), and 1 year later (T2). As expected, there was a significant training by internal control beliefs interaction such that participants of the training program with higher internal control beliefs increased significantly in openness relative to control participants between T1 and T2. The current study provides evidence for the plasticity of personality in later adulthood and confirms the importance of both personal and contextual resources.

Dementia worry: a psychological examination of an unexplored phenomenon.

According to recent surveys, dementia worry (DW) is a widespread phenomenon in mid-life and old age, at least in Western populations. DW has been shown to be only loosely related to sociodemographic factors. Unfortunately, the concept of DW has found only very little conceptual and empirical attention in previous research. In this conceptual review, we take (mostly) a psychological approach to DW. First, we define DW as an emotional response to the perceived threat of developing dementia. We then conceptualise DW as a hybrid, combining elements of ageing anxiety and health anxiety. On the population level, we argue that the high prevalence of DW may be reflective of the increasing awareness of dementia in times of increasing ''dementia encounters', widespread misperceptions of risks and consequences of dementia and a perceived lack of coping resources. Finally, we propose that DW may affect a range of important behaviours, such as how people interpret evidence of their own or others' age-related cognitive changes, how they interact with people with dementia, how they anticipate and plan for their future, how they engage in screening and prevention behaviours and how they exploit healthcare resources. We conclude with suggestions for future research, including a further in-depth investigation of psychological and micro-/macrosocial factors associated with DW.

The portrayal of older people's social participation on german prime-time TV advertisements.

OBJECTIVES: We investigated the portrayal of older people's social participation on TV advertisements according to a set of theoretically meaningful indicators from communication science and gerontology. METHODS: We examined a representative sample of 656 prime-time advertisements broadcast for a period of 2 weeks in 2005 in Germany. Five percent of the advertisements featured at least one older character. Each of the characters in the subsample was rated according to role prominence, viewer-character distance, employment status, openness to experience, social interactions, and loneliness. This portrayal was compared with the portrayal of younger characters appearing in the same commercials and with the portrayal of younger characters in commercials without an older character according to the same indicators. RESULTS: 4.5% of the characters were rated 60 years or older. Older characters were disproportionately featured in major roles, depicted as employed and open to new experience. Furthermore, older characters were most often depicted within intergenerational and nonfamily contexts. Older characters were kept at a greater camera distance than younger characters in "young commercials." DISCUSSION: Although rare, when older characters did appear, they were depicted as socially engaged. We compare this portrayal with real-world gerontological evidence and age stereotypes and discuss how the portrayal might affect viewers.