Spousal bereavement and its effects on later life physical and cognitive capability: the Tromsø study.

Spousal bereavement is associated with health declines and increased mortality risk, but its specific impact on physical and cognitive capabilities is less studied. A historical cohort study design was applied including married Tromsø study participants (N=5739) aged 50-70 years with baseline self-reported overall health and health-related factors and measured capability (grip strength, finger tapping, digit symbol coding, and short-term recall) at follow-up. Participants had data from Tromsø4 (1994-1995) and Tromsø5 (2001), or Tromsø6 (2007-2008) and Tromsø7 (2015-2016). Propensity score matching, adjusted for baseline confounders (and baseline capability in a subset), was used to investigate whether spousal bereavement was associated with poorer subsequent capability. Spousal bereavement occurred for 6.2% on average 3.7 years (SD 2.0) before the capability assessment. There were no significant bereavement effects on subsequent grip strength, immediate recall, or finger-tapping speed. Without adjustment for baseline digit symbol coding test performance, there was a negative significant effect on the digit symbol coding test (ATT -1.33; 95% confidence interval -2.57, -0.10), but when baseline digit symbol coding test performance was taken into account in a smaller subsample, using the same set of matching confounders, there was no longer any association (in the subsample ATT changed from -1.29 (95% CI -3.38, 0.80) to -0.04 (95% CI -1.83, 1.75). The results in our study suggest that spousal bereavement does not have long-term effects on the intrinsic capacity components physical or cognition capability to a notable degree.

Associations between paid and unpaid work among Norwegian seniors: competition, complementarity or continuity?

A key issue in policy debates on active ageing is how to increase older people's participation in both paid and unpaid work. This combined goal raises the question of whether the different activities compete for seniors' time and energy or whether it is possible to achieve both, since such activities may instead complement one another. To address this issue, we examine associations between paid work, informal help provision and formal volunteering among 62- to 75-year-olds by using longitudinal data from the Norwegian Life Course, Ageing and Generation Study (2007, 2017). Our analyses show that both work exit and part-time work are associated with a higher probability of doing unpaid work in senior years compared with full-time work. However, previous engagement in unpaid activities matters considerably, regardless of paid work status. Individuals involved in informal help or formal voluntary work in 2007 were far more likely to do unpaid work 10 years later than those who were not involved. Since seniors who are already engaged in unpaid activities before leaving the labour market are likely to continue to provide informal help and volunteer, we argue that initiatives to stimulate combinations of paid and unpaid work in late careers may be advantageous.