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The Association between Education and Cognitive Performance Varies at Different Levels of Cognitive Performance: A Quantile Regression Approach
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).ORCID iD: 0000-0002-0582-5058
Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). Region Stockholm, Sweden.ORCID iD: 0000-0003-2656-8721
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Number of Authors: 52024 (English)In: Gerontology, ISSN 0304-324X, E-ISSN 1423-0003, Vol. 70, no 3, p. 318-326Article in journal (Refereed) Published
Abstract [en]

Introduction: Educational differences in cognitive performance among older adults are well documented. Studies that explore this association typically estimate a single average effect of education on cognitive performance. We argue that the processes that contribute to the association between education and cognitive performance are unlikely to have equal effects at all levels of cognitive performance. In this study, we employ an analytical approach that enables us to go beyond averages to examine the association between education and five measures of global and domain-specific cognitive performance across the outcome distributions. Methods: This cross-sectional study included 1,780 older adults aged 58–68 years from the Longitudinal Aging Study Amsterdam. Conditional quantile regression was used to examine variation across the outcome distribution. Cognitive outcomes included Mini-Mental State Examination (MMSE) score, crystallized intelligence, information processing speed, episodic memory, and a composite score of global cognitive performance. Results: The results showed that the associations between education and different cognitive measures varied across the outcome distributions. Specifically, we found that education had a stronger association with crystallized intelligence, MMSE, and a composite cognitive performance measure in the lower tail of performance distributions. The associations between education and information processing speed and episodic memory were uniform across the outcome distributions. Conclusion: Larger associations between education and some domains of cognitive performance in the lower tail of the performance distributions imply that inequalities are primarily generated among individuals with lower performance rather than among average and high performers. Additionally, the varying associations across some of the outcome distributions indicate that estimating a single average effect through standard regression methods may overlook variations in cognitive performance between educational groups. Future studies should consider heterogeneity across the outcome distribution.

Place, publisher, year, edition, pages
2024. Vol. 70, no 3, p. 318-326
Keywords [en]
Conditional quantile regression, Crystallized intelligence, Episodic memory, Mini-Mental State Examination, Educational inequalities
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:su:diva-228060DOI: 10.1159/000535717ISI: 001173978600001PubMedID: 38086341Scopus ID: 2-s2.0-85185781201OAI: oai:DiVA.org:su-228060DiVA, id: diva2:1849901
Available from: 2024-04-09 Created: 2024-04-09 Last updated: 2024-04-09Bibliographically approved

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Rehnberg, JohanFors, Stefan

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