Esa Y H Chen, Catherine Forrester, Aisling M McEvoy, Judith Singleton
Pharmacy students' perceptions on environmental sustainability in pharmacy education and practice
Exploratory research in clinical and social pharmacy
aging societies people become vulnerable experiencing cognitive decline simultaneously role grandparenthood central older adults families study investigates inequalities level trajectories cognitive functioning among older adults focusing possible intersectional effects social determinants grandparenthood life course transition may contribute delaying cognitive decline using longitudinal data survey health ageing retirement europe analyzed sample 19953 individuals aged 5085 without grandchildren baseline applied multilevel analysis individual heterogeneity discriminatory accuracy investigate variation cognitive functioning across 48 intersectional strata defined sexgender migration education occupation allowed impact becoming grandparent cognitive functioning trajectories vary across strata including random slopes intersectional strata accounted 1743 overall variance cognitive functioning stratumlevel variation explained additive effects stratumdefining characteristics transition grandparenthood associated higher cognitive functioning showing stronger effect women stratumlevel variation grandparenthood effect modest especially accounting interactions grandparenthood stratumdefining variables study highlights importance social determinants understanding heterogeneities older adults level cognitive functioning association transition grandparenthood cumulative disadvantages negatively affect cognitive functioning hence adopting intersectional lens useful decompose inequalities derive tailored interventions promote equal healthy aging