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Social network type and subsequent cognitive health among older Europeans

Published online by Cambridge University Press:  06 November 2020

Ella Cohn-Schwartz*
Affiliation:
Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be’er Sheva, Israel
Michal Levinsky
Affiliation:
Israel Gerontological Data Center, Paul Baerwald School of Social Work, The Hebrew University of Jerusalem, Mount Scopus, 91905 Jerusalem, Israel
Howard Litwin
Affiliation:
Israel Gerontological Data Center, Paul Baerwald School of Social Work, The Hebrew University of Jerusalem, Mount Scopus, 91905 Jerusalem, Israel
*
Correspondence should be addressed to: Ella Cohn-Schwartz, Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be’er Sheva, Israel. Phone: +972 54 7293397. Email: ellasch@bgu.ac.il.

Abstract

Objectives:

One’s personal social network constitutes a contextual framing factor for late-life cognitive function. This study examined the association between network type at baseline and changes in three cognitive measures: immediate recall, delayed recall, and fluency, two years hence, among Europeans aged 50 and older.

Participants:

Data were taken from Waves four and five of the Survey of Health, Ageing, and Retirement in Europe of adults aged 50 and above (N = 50,071).

Measurements:

The latent class analysis was applied to a set of criterion variables. The procedure yielded five distinct network types: multi-tie (6%), family-rich (23%), close-family (49%), family-poor (12%), and friend-enhanced (10%). The network types were then regressed on the cognition measures at follow-up, controlling for the respective baseline cognition scores, as well as for age, gender, education, self-rated health, mobility difficulty, and country.

Results:

Respondents in family-poor network types had poorer cognition scores at follow-up, compared to those in the modal close-family network, while those in multi-tie networks had consistently better scores. The family-rich network and the friend-enhanced network also had a somewhat better cognitive function.

Conclusions:

Having varied sources of network ties, e.g. friendship ties and/or several types of family relationships, is beneficial to the cognitive health of older adults over time. Networks based mainly on ties with relatives other than spouse and children, on the other hand, have poorer cognitive outcomes. Older people in this latter group face an increased risk for cognitive decline and should receive assistance in enhancing their interpersonal environments.

Information

Type
Original Research Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© International Psychogeriatric Association 2020
Figure 0

Table 1. Fit indices of latent class analysis on network types estimated

Figure 1

Table 2. Network types among Europeans aged 50 and older by criterion variables: latent class analysis

Figure 2

Table 3. Europeans aged 50 and older: univariate baseline description of the sample background characteristics (N = 50,071)

Figure 3

Table 4. Socio-demographic, health, and cognition by the five network types: analysis of variance

Figure 4

Table 5. OLS models predicting immediate recall, delayed recall and fluency among Europeans aged 50 and older using the network types and controlling background characteristics