The Effects of Selective Survival on Black Adults' Cognitive Development

J Gerontol B Psychol Sci Soc Sci. 2021 Sep 13;76(8):1489-1498. doi: 10.1093/geronb/gbab003.

Abstract

Objectives: The theory of selective survival suggests that possibly around 70-75 years of age, Blacks may display substantive changes in their pattern of cognitive decline. This study examined the age-graded pattern of cognitive decline within older Blacks by describing a trend that characterizes differences in the change of cognitive decline from ages 51.5 to 95.5, and hypothesized that this age-graded pattern is nonlinear.

Method: Utilizing 2 waves of longitudinal data from the Baltimore Study of Black Aging, this study used multilevel modeling to test whether the interaction between age and the 3-year study period (time between waves) had a positive effect on changes in inductive reasoning, declarative memory, working memory, and perceptual speed.

Results: A significant positive interaction between age and wave was found for inductive reasoning, demonstrating an age-grade pattern of change/decline in cognitive pattern for Blacks aged 51.5-95.4. Simple slope probing via the Johnson-Neyman Technique suggested that Black adults ~64 years and younger experienced significant decline in inductive reasoning across study time, whereas for those older than 63.71, the decline was nonsignificant. No significant age-wave interactions were found for declarative memory, working memory, or perceptual speed.

Discussion: Findings suggest a selective survival effect for inductive reasoning ability among Blacks. With decline evident so early, common cognitive intervention programs targeting adults 65+ may come too late for Blacks, signifying the importance and urgency for early health interventions and public policy designed to promote cognitive reserve.

Keywords: Age-graded pattern; Cognitive change; Early cognitive and educational intervention.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging / physiology*
  • Baltimore / ethnology
  • Black or African American / ethnology*
  • Cognitive Dysfunction / ethnology*
  • Cognitive Dysfunction / physiopathology*
  • Female
  • Human Development / physiology*
  • Humans
  • Longitudinal Studies
  • Male
  • Memory / physiology*
  • Middle Aged
  • Multilevel Analysis
  • Perception / physiology*
  • Reaction Time / physiology*
  • Thinking / physiology*