Effects of Pension Eligibility Expansion on Men's Cognitive Function: Findings from Rural South Africa.

IF 2 3区 社会学 Q2 GERONTOLOGY Journal of Aging & Social Policy Pub Date : 2024-09-02 Epub Date: 2023-03-28 DOI:10.1080/08959420.2023.2195785
Janet Jock, Lindsay Kobayashi, Rishika Chakraborty, Xiwei Chen, Coady Wing, Lisa Berkman, David Canning, Chodziwadziwa Whiteson Kabudula, Stephen Tollman, Molly Rosenberg
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Abstract

Two-thirds of people living with Alzheimer's disease and related dementias (ADRD) live in low- and middle-income countries, and this figure is expected to rise as these populations are rapidly aging. Since evidence demonstrates links between socioeconomic status and slower rates of cognitive decline, protecting older adults' cognitive function in resource-limited countries that lack the infrastructure to cope with ADRD is crucial to reduce the burden it places on these populations and their health systems. While cash transfers are a promising intervention to promote healthy cognitive aging, factors such as household wealth and level of education often confound the ability to make causal inferences on the impact of cash transfers and cognitive function. This study uses a quasi-experimental design, leveraging an exogenous expansion to the Old Age Pension for men in South Africa, to approximate causal associations with cognitive function. We found evidence that there is a potential benefit of cash transfers at an earlier age for older individuals. As such, transfers such as pensions or other forms of direct basic income transfers may hold promise as potential interventions to promote healthy cognitive aging.

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养老金资格扩展对男性认知功能的影响:来自南非农村的研究结果。
三分之二的阿尔茨海默病和相关痴呆症患者生活在中低收入国家,随着这些人口的快速老龄化,这一数字预计还会上升。由于有证据表明社会经济地位与认知能力下降速度较慢之间存在联系,在资源有限、缺乏应对ADRD基础设施的国家,保护老年人的认知功能对于减轻ADRD给这些人群及其卫生系统带来的负担至关重要。虽然现金转移是促进健康认知衰老的一种很有前途的干预措施,但家庭财富和教育水平等因素往往混淆了对现金转移和认知功能的影响进行因果推断的能力。这项研究使用了一种准实验设计,利用南非男性养老金的外生扩展,来近似与认知功能的因果关系。我们发现有证据表明,提前现金转移对老年人有潜在的好处。因此,养老金或其他形式的直接基本收入转移等转移可能有望成为促进健康认知衰老的潜在干预措施。
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来源期刊
CiteScore
13.00
自引率
3.90%
发文量
57
期刊介绍: The Journal of Aging & Social Policy offers a platform for insightful contributions from an international and interdisciplinary group of policy analysts and scholars. It provides an in-depth examination and analysis of critical phenomena that impact aging and the development and implementation of programs for the elderly from a global perspective, with a broad scope that encompasses not only the United States but also regions including Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim. The journal regularly addresses a wide array of issues such as long-term services and supports, home- and community-based care, nursing-home care, assisted living, long-term care financing, financial security, employment and training, public and private pension coverage, housing, transportation, health care access, financing, and quality, family dynamics, and retirement. These topics are of significant importance to the field of aging and social policy, reflecting the journal's commitment to presenting a comprehensive view of the challenges and solutions related to aging populations around the world.
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