[go: up one dir, main page]

IDEAS home Printed from https://ideas.repec.org/p/zbw/rwirep/919.html
   My bibliography  Save this paper

Understanding cognitive decline in older ages: The role of health shocks

Author

Listed:
  • Schiele, Valentin
  • Schmitz, Hendrik
Abstract
Individual cognitive functioning declines over time. We seek to understand how adverse physical health shocks in older ages contribute to this development. By use of event-study methods and data from the USA, England and several countries in Continental Europe we find evidence that health shocks lead to an immediate and persistent decline in cognitive functioning. This robust finding holds in all regions representing different health insurance systems and seems to be independent of underlying individual demographic characteristics such as sex and age. We also ask whether variables that are susceptible to policy action can reduce the negative consequences of a health shock. Our results suggest that neither compulsory education nor retirement regulations moderate the effects, thus emphasizing the importance of maintaining good physical health in old age for cognitive functioning.

Suggested Citation

  • Schiele, Valentin & Schmitz, Hendrik, 2021. "Understanding cognitive decline in older ages: The role of health shocks," Ruhr Economic Papers 919, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
  • Handle: RePEc:zbw:rwirep:919
    DOI: 10.4419/96973065
    as

    Download full text from publisher

    File URL: https://www.econstor.eu/bitstream/10419/247686/1/1779881304.pdf
    Download Restriction: no

    File URL: https://libkey.io/10.4419/96973065?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Godard, Mathilde, 2016. "Gaining weight through retirement? Results from the SHARE survey," Journal of Health Economics, Elsevier, vol. 45(C), pages 27-46.
    2. Clément de Chaisemartin & Xavier D'Haultfœuille, 2020. "Two-Way Fixed Effects Estimators with Heterogeneous Treatment Effects," American Economic Review, American Economic Association, vol. 110(9), pages 2964-2996, September.
    3. Bound, John & Burkhauser, Richard V., 1999. "Economic analysis of transfer programs targeted on people with disabilities," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 3, chapter 51, pages 3417-3528, Elsevier.
    4. Schmitz, Hendrik & Westphal, Matthias, 2021. "The dynamic and heterogeneous effects of retirement on cognitive decline," Ruhr Economic Papers 918, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    5. Daniel McFadden, 2008. "Human Capital Accumulation and Depreciation," Review of Agricultural Economics, Agricultural and Applied Economics Association, vol. 30(3), pages 379-385.
    6. Mazzonna, Fabrizio & Peracchi, Franco, 2012. "Ageing, cognitive abilities and retirement," European Economic Review, Elsevier, vol. 56(4), pages 691-710.
    7. Maarten Lindeboom & France Portrait & Gerard J. van den Berg, 2002. "An econometric analysis of the mental‐health effects of major events in the life of older individuals," Health Economics, John Wiley & Sons, Ltd., vol. 11(6), pages 505-520, September.
    8. Allan Puur & Lauri Leppik & Martin Klesment, 2015. "Changes in pension take-up and retirement in the context of increasing the pension age: the case of Estonia in the 2000s," Post-Communist Economies, Taylor & Francis Journals, vol. 27(4), pages 497-516, December.
    9. repec:eee:labchp:v:3:y:1999:i:pc:p:3417-3528 is not listed on IDEAS
    10. Daniel A Kamhöfer & Hendrik Schmitz & Matthias Westphal, 2019. "Heterogeneity in Marginal Non-Monetary Returns to Higher Education," Journal of the European Economic Association, European Economic Association, vol. 17(1), pages 205-244.
    11. Viola Angelini & Agar Brugiavini & Guglielmo Weber, 2009. "Ageing and unused capacity in Europe: is there an early retirement trap? [‘The strategic bequest motive: evidence from SHARE’]," Economic Policy, CEPR, CESifo, Sciences Po;CES;MSH, vol. 24(59), pages 463-508.
    12. Bonsang, Eric & Adam, Stéphane & Perelman, Sergio, 2012. "Does retirement affect cognitive functioning?," Journal of Health Economics, Elsevier, vol. 31(3), pages 490-501.
    13. Christelis, Dimitris & Jappelli, Tullio & Padula, Mario, 2010. "Cognitive abilities and portfolio choice," European Economic Review, Elsevier, vol. 54(1), pages 18-38, January.
    14. repec:eee:labchp:v:3:y:1999:i:pc:p:3309-3416 is not listed on IDEAS
    15. Giorgio Brunello & Daniele Fabbri & Margherita Fort, 2013. "The Causal Effect of Education on Body Mass: Evidence from Europe," Journal of Labor Economics, University of Chicago Press, vol. 31(1), pages 195-223.
    16. James Banks & Cormac O'Dea & Zoë Oldfield, 2010. "Cognitive Function, Numeracy and Retirement Saving Trajectories," Economic Journal, Royal Economic Society, vol. 120(548), pages 381-410, November.
    17. van den Berg, Gerard J. & Lindeboom, Maarten & Portrait, France, 2011. "Conjugal bereavement effects on health and mortality at advanced ages," Journal of Health Economics, Elsevier, vol. 30(4), pages 774-794, July.
    18. James P. Smith & John J. McArdle & Robert Willis, 2010. "Financial Decision Making and Cognition in a Family Context," Economic Journal, Royal Economic Society, vol. 120(548), pages 363-380, November.
    19. James P. Smith & John J. McArdle & Robert Willis, 2010. "Financial Decision Making and Cognition in a Family Context," Economic Journal, Royal Economic Society, vol. 120(548), pages 363-380, November.
    20. Decker, Simon & Schmitz, Hendrik, 2016. "Health shocks and risk aversion," Journal of Health Economics, Elsevier, vol. 50(C), pages 156-170.
    21. Celidoni, Martina & Dal Bianco, Chiara & Weber, Guglielmo, 2017. "Retirement and cognitive decline. A longitudinal analysis using SHARE data," Journal of Health Economics, Elsevier, vol. 56(C), pages 113-125.
    22. Currie, Janet & Madrian, Brigitte C., 1999. "Health, health insurance and the labor market," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 3, chapter 50, pages 3309-3416, Elsevier.
    23. Jürgen Maurer, 2011. "Education and Male-Female Differences in Later-Life Cognition: International Evidence From Latin America and the Caribbean," Demography, Springer;Population Association of America (PAA), vol. 48(3), pages 915-930, August.
    24. Gabriele Doblhammer & Gerard J van den Berg & Thomas Fritze, 2013. "Economic Conditions at the Time of Birth and Cognitive Abilities Late in Life: Evidence from Ten European Countries," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-12, September.
    25. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    26. Jens Ambrasat & Jürgen Schupp, 2011. "Handgreifkraftmessung im Sozio-oekonomischen Panel (SOEP) 2006 und 2008," Data Documentation 54, DIW Berlin, German Institute for Economic Research.
    27. Jens Ambrasat & Jürgen Schupp & Gert G. Wagner, 2011. "Comparing the Predictive Power of Subjective and Objective Health Indicators: Changes in Hand Grip Strength and Overall Satisfaction with Life as Predictors of Mortality," SOEPpapers on Multidisciplinary Panel Data Research 398, DIW Berlin, The German Socio-Economic Panel (SOEP).
    28. Gerard J. vandenBerg & Dorly J.H. Deeg & Maarten Lindeboom & France Portrait, 2010. "The Role of Early-Life Conditions in the Cognitive Decline due to Adverse Events Later in Life," Economic Journal, Royal Economic Society, vol. 120(548), pages 411-428, November.
    29. Fabrizio Mazzonna & Franco Peracchi, 2017. "Unhealthy Retirement?," Journal of Human Resources, University of Wisconsin Press, vol. 52(1), pages 128-151.
    30. Daniel Prinz & Michael Chernew & David Cutler & Austin Frakt, 2018. "Health and Economic Activity Over the Lifecycle: Literature Review," NBER Working Papers 24865, National Bureau of Economic Research, Inc.
    31. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    32. Shai, Ori, 2018. "Is retirement good for men’s health? Evidence using a change in the retirement age in Israel," Journal of Health Economics, Elsevier, vol. 57(C), pages 15-30.
    33. Nicole Schneeweis & Vegard Skirbekk & Rudolf Winter-Ebmer, 2014. "Does Education Improve Cognitive Performance Four Decades After School Completion?," Demography, Springer;Population Association of America (PAA), vol. 51(2), pages 619-643, April.
    34. Joshua D. Angrist & Alan B. Keueger, 1991. "Does Compulsory School Attendance Affect Schooling and Earnings?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 106(4), pages 979-1014.
    35. Norma B. Coe & Hans‐Martin von Gaudecker & Maarten Lindeboom & Jürgen Maurer, 2012. "The Effect Of Retirement On Cognitive Functioning," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 913-927, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Monsees, Daniel & Schmitz, Hendrik, 2023. "The effect of compulsory schooling on vaccination against COVID and Influenza," Ruhr Economic Papers 1011, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    2. Freise, Diana & Schmitz, Hendrik & Westphal, Matthias, 2022. "Late-career unemployment and cognitive abilities," Journal of Health Economics, Elsevier, vol. 86(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Freise, Diana & Schmitz, Hendrik & Westphal, Matthias, 2022. "Late-career unemployment and cognitive abilities," Journal of Health Economics, Elsevier, vol. 86(C).
    2. Leimer, Birgit & van Ewijk, Reyn, 2022. "No “honeymoon phase”: whose health benefits from retirement and when," Economics & Human Biology, Elsevier, vol. 47(C).
    3. Lei, Xiaoyan & Liu, Hong, 2018. "Gender difference in the impact of retirement on cognitive abilities: Evidence from urban China," Journal of Comparative Economics, Elsevier, vol. 46(4), pages 1425-1446.
    4. Mattia Filomena & Matteo Picchio, 2023. "Retirement and health outcomes in a meta‐analytical framework," Journal of Economic Surveys, Wiley Blackwell, vol. 37(4), pages 1120-1155, September.
    5. Yingying Zhang & Steve Bradley & Robert Crouchley, 2023. "Gender Differences in the Effect of Retirement Duration on Cognitive Functioning," Working Papers 379420912, Lancaster University Management School, Economics Department.
    6. Clémentine Garrouste & Elsa Perdrix, 2022. "Is there a consensus on the health consequences of retirement? A literature review," Journal of Economic Surveys, Wiley Blackwell, vol. 36(4), pages 841-879, September.
    7. Pedron, Sara & Maier, Werner & Peters, Annette & Linkohr, Birgit & Meisinger, Christine & Rathmann, Wolfgang & Eibich, Peter & Schwettmann, Lars, 2020. "The effect of retirement on biomedical and behavioral risk factors for cardiovascular and metabolic disease," Economics & Human Biology, Elsevier, vol. 38(C).
    8. Thomas Barnay & Eric Defebvre, 2018. "Retired, at last? The short-term impact of retirement on health status in France," TEPP Working Paper 2018-01, TEPP.
    9. Bertoni, Marco & Brunello, Giorgio & Mazzarella, Gianluca, 2018. "Does postponing minimum retirement age improve healthy behaviors before retirement? Evidence from middle-aged Italian workers," Journal of Health Economics, Elsevier, vol. 58(C), pages 215-227.
    10. Jan C. van Ours, 2022. "How Retirement Affects Mental Health, Cognitive Skills and Mortality; An Overview of Recent Empirical Evidence," De Economist, Springer, vol. 170(3), pages 375-400, August.
    11. Atalay, Kadir & Barrett, Garry F. & Staneva, Anita, 2019. "The effect of retirement on elderly cognitive functioning," Journal of Health Economics, Elsevier, vol. 66(C), pages 37-53.
    12. Kolodziej, Ingo W.K. & García-Gómez, Pilar, 2019. "Saved by retirement: Beyond the mean effect on mental health," Social Science & Medicine, Elsevier, vol. 225(C), pages 85-97.
    13. Apouey, Bénédicte H. & Guven, Cahit & Senik, Claudia, 2019. "Retirement and Unexpected Health Shocks," Economics & Human Biology, Elsevier, vol. 33(C), pages 116-123.
    14. Olivera, Javier & Andreoli, Francesco & Leist, Anja K. & Chauvel, Louis, 2018. "Inequality in old age cognition across the world," Economics & Human Biology, Elsevier, vol. 29(C), pages 179-188.
    15. Bertoni, Marco & Brunello, Giorgio & Da Re, Filippo, 2023. "Pension reforms, longer working horizons and depression. Does the risk of automation matter?," Labour Economics, Elsevier, vol. 85(C).
    16. Zhang, Yi & Salm, Martin & van Soest, Arthur, 2018. "The effect of retirement on healthcare utilization: Evidence from China," Journal of Health Economics, Elsevier, vol. 62(C), pages 165-177.
    17. Yoshinori Nishimura & Masato Oikawa & Hiroyuki Motegi, 2018. "What Explains The Difference In The Effect Of Retirement On Health? Evidence From Global Aging Data," Journal of Economic Surveys, Wiley Blackwell, vol. 32(3), pages 792-847, July.
    18. Teresa Bago d'Uva & Esen Erdogan Ciftci & Owen O'Donnell & Eddy van Doorslaer, 2015. "Who can predict their Own Demise? Accuracy of Longevity Expectations by Education and Cognition," Tinbergen Institute Discussion Papers 15-052/V, Tinbergen Institute.
    19. Wang, Tianyu & Sun, Ruochen & Sindelar, Jody L. & Chen, Xi, 2024. "Occupational differences in the effects of retirement on hospitalizations for mental illness among female workers: Evidence from administrative data in China," Economics & Human Biology, Elsevier, vol. 53(C).
    20. Thang Dang, 2022. "Retirement and health services utilization in a low‐income country," Economics of Transition and Institutional Change, John Wiley & Sons, vol. 30(3), pages 597-620, July.

    More about this item

    Keywords

    Cognitive decline; health shocks; retirement; education; event study;
    All these keywords.

    JEL classification:

    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • I1 - Health, Education, and Welfare - - Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J2 - Labor and Demographic Economics - - Demand and Supply of Labor

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:zbw:rwirep:919. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ZBW - Leibniz Information Centre for Economics (email available below). General contact details of provider: https://edirc.repec.org/data/rwiesde.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.