Mid-life employment trajectories and subsequent memory function and rate of decline in rural South Africa, 2000-22
© The Author(s) 2024. Published by Oxford University Press on behalf of the International Epidemiological Association..
AIM: To investigate mid-life employment trajectories in relation to later-life memory function and rate of decline in rural South Africa.
METHODS: Data from the Agincourt Health and Socio-Demographic Surveillance System were linked to the 'Health and Ageing in Africa: A Longitudinal Study of an INDEPTH Community in South Africa' (HAALSI) in rural Agincourt, South Africa (N = 3133). Employment was assessed every 4 years over 2000-12 as being employed (0, 1, 2 and ≥3 time points), being employed in a higher-skill occupation (0, 1, 2 and ≥3 time points) and dynamic employment trajectories identified using sequence analysis. Latent memory z-scores were assessed over 2014-22. Mixed-effects linear regression models were fitted to examine the associations of interest.
RESULTS: Sustained mid-life employment from 2000-12 (β = 0.052, 95% CI: -0.028 to 0.132, 1 vs 0 time points; β = 0.163, 95% CI: 0.077 to 0.250, 2 vs 0 time points; β = 0.212, 95% CI: 0.128 to 0.296, ≥3 vs 0 time points) and greater time spent in a higher-skill occupation (β = 0.077, 95% CI: -0.020 to 0.175, 1 vs 0 time points; β = 0.241, 95% CI: 0.070 to 0.412, 2 vs 0 time points; β = 0.361, 95% CI: 0.201 to 0.520, ≥3 vs 0 time points) were associated with higher memory scores in 2014/15, but not subsequent rate of memory decline. Moving from a lower-skill to higher-skill occupation was associated with higher memory function, but a faster rate of decline over 2014-22.
CONCLUSIONS: Sustained mid-life employment, particularly in higher-skill occupations, may contribute to later-life memory function in this post-Apartheid South African setting.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2024 |
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Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - volume:53 |
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Enthalten in: |
International journal of epidemiology - 53(2024), 2 vom: 14. Feb. |
Sprache: |
Englisch |
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Beteiligte Personen: |
Yu, Xuexin [VerfasserIn] |
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Links: |
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Themen: |
Employment |
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Anmerkungen: |
Date Completed 19.02.2024 Date Revised 19.02.2024 published: Print Citation Status MEDLINE |
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doi: |
10.1093/ije/dyae022 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM368560309 |
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520 | |a © The Author(s) 2024. Published by Oxford University Press on behalf of the International Epidemiological Association. | ||
520 | |a AIM: To investigate mid-life employment trajectories in relation to later-life memory function and rate of decline in rural South Africa | ||
520 | |a METHODS: Data from the Agincourt Health and Socio-Demographic Surveillance System were linked to the 'Health and Ageing in Africa: A Longitudinal Study of an INDEPTH Community in South Africa' (HAALSI) in rural Agincourt, South Africa (N = 3133). Employment was assessed every 4 years over 2000-12 as being employed (0, 1, 2 and ≥3 time points), being employed in a higher-skill occupation (0, 1, 2 and ≥3 time points) and dynamic employment trajectories identified using sequence analysis. Latent memory z-scores were assessed over 2014-22. Mixed-effects linear regression models were fitted to examine the associations of interest | ||
520 | |a RESULTS: Sustained mid-life employment from 2000-12 (β = 0.052, 95% CI: -0.028 to 0.132, 1 vs 0 time points; β = 0.163, 95% CI: 0.077 to 0.250, 2 vs 0 time points; β = 0.212, 95% CI: 0.128 to 0.296, ≥3 vs 0 time points) and greater time spent in a higher-skill occupation (β = 0.077, 95% CI: -0.020 to 0.175, 1 vs 0 time points; β = 0.241, 95% CI: 0.070 to 0.412, 2 vs 0 time points; β = 0.361, 95% CI: 0.201 to 0.520, ≥3 vs 0 time points) were associated with higher memory scores in 2014/15, but not subsequent rate of memory decline. Moving from a lower-skill to higher-skill occupation was associated with higher memory function, but a faster rate of decline over 2014-22 | ||
520 | |a CONCLUSIONS: Sustained mid-life employment, particularly in higher-skill occupations, may contribute to later-life memory function in this post-Apartheid South African setting | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Employment | |
650 | 4 | |a South Africa | |
650 | 4 | |a memory ageing | |
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700 | 1 | |a Kabudula, Chodziwadziwa W |e verfasserin |4 aut | |
700 | 1 | |a Wagner, Ryan G |e verfasserin |4 aut | |
700 | 1 | |a Bassil, Darina T |e verfasserin |4 aut | |
700 | 1 | |a Farrell, Meagan T |e verfasserin |4 aut | |
700 | 1 | |a Tollman, Stephen M |e verfasserin |4 aut | |
700 | 1 | |a Kahn, Kathleen |e verfasserin |4 aut | |
700 | 1 | |a Berkman, Lisa F |e verfasserin |4 aut | |
700 | 1 | |a Rosenberg, Molly S |e verfasserin |4 aut | |
700 | 1 | |a Kobayashi, Lindsay C |e verfasserin |4 aut | |
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