IDEAS home Printed from https://ideas.repec.org/p/nbr/nberwo/21484.html
   My bibliography  Save this paper

The Impact of Social Security Income on Cognitive Function at Older Ages

Author

Listed:
  • Padmaja Ayyagari
  • David Frisvold

Abstract

Prior literature has documented a positive association between income and cognitive function at older ages, however, the extent to which this association represents causal effects is unknown. In this study, we use an exogenous change in Social Security income due to amendments to the Social Security Act in the 1970s to identify the causal impact of Social Security income on cognitive function of elderly individuals. We find that higher benefits led to significant improvements in cognitive function and that these improvements in cognition were clinically meaningful. Our results suggest that interventions even at advanced ages can slow the rate of decline in cognitive function.

Suggested Citation

  • Padmaja Ayyagari & David Frisvold, 2015. "The Impact of Social Security Income on Cognitive Function at Older Ages," NBER Working Papers 21484, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:21484
    Note: AG EH PE
    as

    Download full text from publisher

    File URL: http://www.nber.org/papers/w21484.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Kathleen A. Cagney & Diane S. Lauderdale, 2002. "Education, Wealth, and Cognitive Function in Later Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(2), pages 163-172.
    2. Gary V. Engelhardt & Jonathan Gruber & Cynthia D. Perry, 2005. "Social Security and Elderly Living Arrangements: Evidence from the Social Security Notch," Journal of Human Resources, University of Wisconsin Press, vol. 40(2).
    3. Hanming Fang & Michael P. Keane & Dan Silverman, 2008. "Sources of Advantageous Selection: Evidence from the Medigap Insurance Market," Journal of Political Economy, University of Chicago Press, vol. 116(2), pages 303-350, April.
    4. Mazzonna, Fabrizio & Peracchi, Franco, 2012. "Ageing, cognitive abilities and retirement," European Economic Review, Elsevier, vol. 56(4), pages 691-710.
    5. John Cawley & John Moran & Kosali Simon, 2010. "The impact of income on the weight of elderly Americans," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 979-993, August.
    6. Eric French, 2005. "The Effects of Health, Wealth, and Wages on Labour Supply and Retirement Behaviour," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(2), pages 395-427.
    7. Bonsang, Eric & Adam, Stéphane & Perelman, Sergio, 2012. "Does retirement affect cognitive functioning?," Journal of Health Economics, Elsevier, vol. 31(3), pages 490-501.
    8. James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
    9. Anne Case & Christina Paxson, 2008. "Height, Health, and Cognitive Function at Older Ages," American Economic Review, American Economic Association, vol. 98(2), pages 463-467, May.
    10. Orazio P. Attanasio & Agar Brugiavini, 2003. "Social Security and Households' Saving," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(3), pages 1075-1119.
    11. Krueger, Alan B & Pischke, Jorn-Steffen, 1992. "The Effect of Social Security on Labor Supply: A Cohort Analysis of the Notch Generation," Journal of Labor Economics, University of Chicago Press, vol. 10(4), pages 412-437, October.
    12. repec:pri:rpdevs:case_paxson_cog_function_additional is not listed on IDEAS
    13. Eileen M. Crimmins & Jung Ki Kim & Kenneth M. Langa & David R. Weir, 2011. "Assessment of Cognition Using Surveys and Neuropsychological Assessment: The Health and Retirement Study and the Aging, Demographics, and Memory Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(suppl_1), pages 162-171.
    14. Ettner, Susan L., 1997. "Adverse selection and the purchase of Medigap insurance by the elderly," Journal of Health Economics, Elsevier, vol. 16(5), pages 543-562, October.
    15. repec:pri:rpdevs:case_paxson_height_health_and_cognitive_function is not listed on IDEAS
    16. Chernozhukov, Victor & Hansen, Christian, 2006. "Instrumental quantile regression inference for structural and treatment effect models," Journal of Econometrics, Elsevier, vol. 132(2), pages 491-525, June.
    17. Maurer, Jürgen, 2010. "Height, education and later-life cognition in Latin America and the Caribbean," Economics & Human Biology, Elsevier, vol. 8(2), pages 168-176, July.
    18. Stephen E. Snyder & William N. Evans, 2006. "The Effect of Income on Mortality: Evidence from the Social Security Notch," The Review of Economics and Statistics, MIT Press, vol. 88(3), pages 482-495, August.
    19. Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
    20. Feldstein, Martin S, 1974. "Social Security, Induced Retirement, and Aggregate Capital Accumulation," Journal of Political Economy, University of Chicago Press, vol. 82(5), pages 905-926, Sept./Oct.
    21. Goda, Gopi Shah & Golberstein, Ezra & Grabowski, David C., 2011. "Income and the utilization of long-term care services: Evidence from the Social Security benefit notch," Journal of Health Economics, Elsevier, vol. 30(4), pages 719-729, July.
    22. Evans, William N. & Moore, Timothy J., 2011. "The short-term mortality consequences of income receipt," Journal of Public Economics, Elsevier, vol. 95(11), pages 1410-1424.
    23. Joanne W. Hsu & Robert Willis, 2013. "Dementia Risk and Financial Decision Making by Older Households: The Impact of Information," Journal of Human Capital, University of Chicago Press, vol. 7(4), pages 340-377.
    24. Mikael Lindahl, 2005. "Estimating the Effect of Income on Health and Mortality Using Lottery Prizes as an Exogenous Source of Variation in Income," Journal of Human Resources, University of Wisconsin Press, vol. 40(1).
    25. Melvin Stephens & Takashi Unayama, 2019. "Estimating the Impacts of Program Benefits: Using Instrumental Variables with Underreported and Imputed Data," The Review of Economics and Statistics, MIT Press, vol. 101(3), pages 468-475, July.
    26. Susann Rohwedder & Robert J. Willis, 2010. "Mental Retirement," Journal of Economic Perspectives, American Economic Association, vol. 24(1), pages 119-138, Winter.
    27. John R. Moran & JKosali Ilayperuma Simon, 2006. "Income and the Use of Prescription Drugs by the Elderly: Evidence from the Notch Cohorts," Journal of Human Resources, University of Wisconsin Press, vol. 41(2).
    28. repec:pri:rpdevs:case_paxson_height_health_and_cognitive_function.pdf is not listed on IDEAS
    29. van der Klaauw, Wilbert & Wolpin, Kenneth I., 2008. "Social security and the retirement and savings behavior of low-income households," Journal of Econometrics, Elsevier, vol. 145(1-2), pages 21-42, July.
    30. Douglas Almond & Janet Currie, 2011. "Killing Me Softly: The Fetal Origins Hypothesis," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 153-172, Summer.
    31. James Banks & Fabrizio Mazzonna, 2012. "The Effect of Education on Old Age Cognitive Abilities: Evidence from a Regression Discontinuity Design," Economic Journal, Royal Economic Society, vol. 122(560), pages 418-448, May.
    32. repec:pri:cheawb:case_paxson_height_health_and_cognitive_function is not listed on IDEAS
    33. Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005. "The causal effect of income on health: Evidence from German reunification," Journal of Health Economics, Elsevier, vol. 24(5), pages 997-1017, September.
    34. Donald H. Taylor & Margaret Schenkman & Jing Zhou & Frank A. Sloan, 2001. "The Relative Effect of Alzheimer's Disease and Related Dementias, Disability, and Comorbidities on Cost of Care for Elderly Persons," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(5), pages 285-293.
    35. Feldstein, Martin & Pellechio, Anthony, 1979. "Social Security and Household Wealth Accumulation: New Microeconometric Evidence," The Review of Economics and Statistics, MIT Press, vol. 61(3), pages 361-368, August.
    Full references (including those not matched with items on IDEAS)

    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. Padmaja Ayyagari & David Frisvold, 2016. "The Impact of Social Security Income on Cognitive Function at Older Ages Full Access," American Journal of Health Economics, University of Chicago Press, vol. 2(4), pages 463-488, Fall.
    2. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    3. Tsai, Yuping, 2015. "Social security income and the utilization of home care: Evidence from the social security notch," Journal of Health Economics, Elsevier, vol. 43(C), pages 45-55.
    4. Chen, Xi & Wang, Tianyu & Busch, Susan H., 2019. "Does money relieve depression? Evidence from social pension expansions in China," Social Science & Medicine, Elsevier, vol. 220(C), pages 411-420.
    5. Bonsang, Eric & Klein, Tobias J., 2012. "Retirement and subjective well-being," Journal of Economic Behavior & Organization, Elsevier, vol. 83(3), pages 311-329.
    6. Osea Giuntella & Wei Han & Fabrizio Mazzonna, 2017. "Circadian Rhythms, Sleep, and Cognitive Skills: Evidence From an Unsleeping Giant," Demography, Springer;Population Association of America (PAA), vol. 54(5), pages 1715-1742, October.
    7. Schnalzenberger, Mario, 2016. "Causal effect of income on health: Investigating two closely related policy reforms in Austria," The Journal of the Economics of Ageing, Elsevier, vol. 7(C), pages 6-16.
    8. Hiroyuki Motegi & Yoshinori Nishimura & Kazuyuki Terada, 2016. "Does Retirement Change Lifestyle Habits?," The Japanese Economic Review, Japanese Economic Association, vol. 67(2), pages 169-191, June.
    9. Jiayi Wen, 2018. "Occupational Retirement and Pension Reform: The Roles of Physical and Cognitive Health," Working Papers 2018-12-04, Wang Yanan Institute for Studies in Economics (WISE), Xiamen University, revised 28 May 2023.
    10. Goda, Gopi Shah & Golberstein, Ezra & Grabowski, David C., 2011. "Income and the utilization of long-term care services: Evidence from the Social Security benefit notch," Journal of Health Economics, Elsevier, vol. 30(4), pages 719-729, July.
    11. Ayyagari, Padmaja & Sikora Kessler, Asia, 2015. "Smoking and cognitive functioning at older ages: Evidence from the Health and Retirement Study," The Journal of the Economics of Ageing, Elsevier, vol. 6(C), pages 13-23.
    12. Rafael Novella & Javier Olivera, 2014. "Mental Retirement and Non-Contributory Pensions for the Elderly Poor in Peru," Working Papers 14, Peruvian Economic Association.
    13. Adriaan Kalwij & Rob Alessie & Marike Knoef, 2013. "Pathways to Retirement and Mortality Risk in The Netherlands," European Journal of Population, Springer;European Association for Population Studies, vol. 29(2), pages 221-238, May.
    14. Huang, Wei & Zhang, Chuanchuan, 2016. "The Power of Social Pensions," IZA Discussion Papers 10425, Institute of Labor Economics (IZA).
    15. Siha Lee & Kegon Teng Kok Tan, 2023. "Bequest Motives and the Social Security Notch," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 51, pages 888-914, December.
    16. Irene Mosca & Robert E. Wright, 2018. "Effect of Retirement on Cognition: Evidence From the Irish Marriage Bar," Demography, Springer;Population Association of America (PAA), vol. 55(4), pages 1317-1341, August.
    17. 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.
    18. Shu Cai, 2022. "Does social participation improve cognitive abilities of the elderly?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 35(2), pages 591-619, April.
    19. Plamen Nikolov & Steve Yeh, 2021. "Reaping the Rewards Later: How Education Improves Old-Age Cognition in South Africa," Papers 2109.02177, arXiv.org, revised Oct 2021.
    20. Blau, David M., 2011. "Pensions, Household Saving, and Welfare: A Dynamic Analysis," IZA Discussion Papers 5554, Institute of Labor Economics (IZA).

    More about this item

    JEL classification:

    • H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

    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:nbr:nberwo:21484. 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: the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/nberrus.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.