Perceived discrimination and physical, cognitive, and emotional health in older adulthood.

TitlePerceived discrimination and physical, cognitive, and emotional health in older adulthood.
Publication TypeJournal Article
Year of Publication2015
AuthorsSutin, AR, Stephan, Y, Carretta, H, Terracciano, A
JournalAm J Geriatr Psychiatry
Date Published2015 Feb
ISSN Number1545-7214
KeywordsAged, Cognition, Female, Health Status, Humans, Longitudinal Studies, Male, Mental Health, Prejudice, Social Perception

OBJECTIVE: To examine whether perceived discrimination based on multiple personal characteristics is associated with physical, emotional, and cognitive health concurrently, prospectively, and with change in health over time among older adults.

DESIGN: Longitudinal.

SETTING: Health and Retirement Study (HRS).

PARTICIPANTS: Participants (N = 7,622) who completed the Leave-Behind Questionnaire as part of the 2006 HRS assessment (mean age 67 years); participants (N = 6,450) completed the same health measures again in 2010.

MEASUREMENTS: Participants rated their everyday experience with discrimination and attributed those experiences to eight personal characteristics: race, ancestry, sex, age, weight, physical disability, appearance, and sexual orientation. At both the 2006 and 2010 assessments, participants completed measures of physical health (subjective health, disease burden), emotional health (life satisfaction, loneliness), and cognitive health (memory, mental status).

RESULTS: Discrimination based on age, weight, physical disability, and appearance was associated with poor subjective health, greater disease burden, lower life satisfaction, and greater loneliness at both assessments and with declines in health across the four years. Discrimination based on race, ancestry, sex, and sexual orientation was associated with greater loneliness at both time points, but not with change over time. Discrimination was mostly unrelated to cognitive health.

CONCLUSIONS: The detrimental effect of discrimination on physical and emotional health is not limited to young adulthood but continues to contribute to health and well-being in old age. These effects were driven primarily by discrimination based on personal characteristics that change over time (e.g., age, weight) rather than discrimination based on more stable characteristics (e.g., race, sex).

User Guide Notes

Endnote Keywords

Discrimination/disease burden/loneliness/stress/well-being/Self assessed health/Physical health/emotional health

Endnote ID


Alternate JournalAm J Geriatr Psychiatry
Citation Key8254
PubMed ID24745563
PubMed Central IDPMC4170050
Grant ListZ99 AG999999 / / Intramural NIH HHS / United States