The "Good Times" Cohort in Later-Life: Black-White Differences in Pathways to Functional Limitations

被引:2
作者
Kelley-Moore, Jessica [1 ]
Huang, Wenxuan [1 ]
机构
[1] Case Western Reserve Univ, Dept Sociol, 10900 Euclid Ave, Cleveland, OH 44106 USA
关键词
racial health disparities; life course; birth cohort; functional limitations; SAMPLE SELECTION BIAS; RACIAL DISPARITIES; HEALTH; DISABILITY; AGE; TRAJECTORIES; CHILDHOOD; EDUCATION; FAMILY;
D O I
10.1177/0164027516655582
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Race differences in midlife circumstances explain much of the disability gap in older adulthood, but questions remain about whether early life selection processes are race invariant. To address this, we (1) isolate the 1930s cohort to explore potential race-specific life courses and (2) utilize a two-stage estimation procedure to examine the role of early-to-midlife selection in shaping later-life functional limitations. Using data on Black and White adults born 1931-1941 from the Health and Retirement Study (W2-W9), we estimate trajectories of later-life functional limitations after modeling midlife income and comorbidity as a function of early life factors. Fair/poor childhood health similarly impacts midlife morbidity for both races. Childhood disadvantage (poor family, father unemployed, and no father/deceased) had an adverse effect on midlife income for White but not for Black adults. An education gradient in functional limitations exists only for White adults. We interpret these findings in the sociohistorical context of this birth cohort.
引用
收藏
页码:526 / 548
页数:23
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