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Where People Live and Die Makes a Difference: Individual and Geographic Disparities in Well-Being Progression at the End of Life

By Denis Gerstorf, Nilam Ram, Jan Goebel, Jürgen Schupp, Ulman Lindenberger and Gert G. Wagner


Lifespan psychological research has long been interested in the contextual embeddedness of individual development. To examine if and how regional factors relate to between-person disparities in the progression of late-life well-being, we applied three-level growth curve models to 24-year longitudinal data from deceased participants of the German Socio-Economic Panel Study (N = 3,427; age at death: 18 to 101 years). Results indicate steep declines in well-being with impending death, with some 8% of the between-person differences in both level and decline of well-being reflecting between-county differences. Exploratory analyses revealed that individuals living and dying in less affluent counties reported lower late-life well-being, controlling for key individual predictors including age at death, gender, education, and household income. The regional factors examined did not directly relate to well-being change, but were found to moderate (e.g., amplify) the disparities in change attributed to individual factors. Our results suggest that resource-poor counties provide relatively less fertile grounds for successful aging until the end of life and may serve to exacerbate disparities. We conclude that examinations of how individual and residential characteristics interact can further our understanding of individual psychological outcomes and suggest routes for future inquiry.Neighborhoods, Selective mortality, successful aging, differential aging, psychosocial factors, well-being, longitudinal methods

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  4. (2002). Assessing "neighborhood effects": Social processes and new directions in research.
  5. (2006). Beyond the hedonic treadmill: Revising the adaptation theory of well-being.
  6. (1971). CA: Academic Press. Late-Life Well-Being and County-Level Factors
  7. (1999). Causes and correlates of happiness. In
  8. (2005). Change in life satisfaction during adulthood: Findings from the Veterans Affairs Normative Aging Study.
  9. (2009). Changing lives in changing contexts: Findings form the German Ageing Survey (DEAS). Paper presented at the 62 nd annual meeting of the Gerontological Society of America,
  10. (1991). Changing organism-context relations as the basic process of development: A developmental contextual perspective.
  11. (1974). Children of the Great Depression.
  12. (1982). Competence, environmental press, and the adaptation of older people.
  13. (2003). Cumulative advantage/disadvantage and the life course: Cross-fertilizing age and social science theory.
  14. (2008). Decline in life satisfaction in old age: Longitudinal evidence for links to distance-to-death.
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  16. (1996). Determinants of institutionalization in old age. In
  17. (1972). Development, drop, and death.
  18. (1996). Developmental science: Toward a unified framework. In
  19. (2005). Discrepancies between personal income and neighborhood status: Effects on physical and mental health.
  20. (1993). Do communities differ in health behaviors?
  21. (2006). Documentation of sample sizes and panel attrition in the Socio Economic Panel (SOEP)
  22. (2007). Enhancing the power of household panel studies: The case of the German Socio-Economic Panel Study (SOEP).
  23. (2001). Environmental influences on aging and behavior.
  24. (2000). From social integration to health: Durkheim in the new millennium.
  25. (2001). Gender differences in self-concept and psychological wellbeing in old age: A meta-analysis.
  26. (1996). Gender, age, and the life course.
  27. (2009). Health insurance status and physician behavior in Germany.
  28. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks,
  29. (2001). How do others get under our skin? Social relationships and health. In
  30. (1998). Infant mortality: A multilevel analysis of individual and community risk factors.
  31. (1962). Intellectual change in the senium.
  32. (2000). Is age-related stability of subjective well-being a paradox? Cross-sectional and longitudinal evidence from the Berlin Aging Study.
  33. (1996). Late-Life Well-Being and County-Level Factors 36 Krause,
  34. (2008). Life goals matter to happiness: a revision of set-point theory.
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  36. (2005). Life satisfaction set point: Stability and change.
  37. Life satisfaction shows terminal decline in old age: Longitudinal evidence from the German Socio-Economic Panel Study (SOEP).
  38. (1998). Living alone and neighborhood characteristics as predictors of social support in late life.
  39. (2005). Local neighborhood and mental health: Evidence from the UK.
  40. (2006). Loneliness as a specific risk factor for depressive symptoms: Cross sectional and longitudinal analyses.
  41. (2004). Love and death in Germany: The marital biography and its effect on mortality.
  42. (1939). Mental disorders in urban areas: An ecological study of schizophrenia and other psychoses.
  43. (2001). Mortality and health in human life spans.
  44. (2003). Moving beyond poverty: Neighborhood structure, social processes, and health.
  45. (2009). Neighborhood characteristics and disability in older adults.
  46. (2008). Neighborhood characteristics and trajectories of health functioning: A multilevel prospective analyses.
  47. (2001). Neighborhood disadvantage, disorder, and health.
  48. (2001). Neighborhood effects on health: Exploring links and assessing the evidence.
  49. (2006). Neighborhood effects on the self-rated health of elders: Uncovering the relative importance of structural and service-related neighborhood environments.
  50. (2002). Neighborhood environment and loss of physical function in older adults: Evidence from the Alameda County Study.
  51. (2009). Neighborhood environments in studies of health of older adults: A systematic review.
  52. (1999). Neighborhood social environment and risk of death: Multilevel evidence from the Alameda County Study.
  53. (2002). Neighborhood structural characteristics and mental disorder: Faris and Durham revisited.
  54. (2003). Neighborhoods and health.
  55. (1997). Neighborhoods and violent crime: A multilevel study of collective efficacy.
  56. (2003). Neighborhoods, health, and well-being in late life. In
  57. (2003). New frontiers in the future of aging: From successful aging of the young old to the dilemmas of the fourth age.
  58. (2006). Objective and perceived neighborhood environment, individual SES, and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois.
  59. (1997). On the incomplete architecture of human ontogeny: Selection, optimization, and compensation as foundation of developmental theory.
  60. (1987). On the significance of age in sociology.
  61. (2008). On the treatment of non-original sample members in the German Household Panel Study (SOEP): Tracing and weighting.
  62. (2008). Organization
  63. (1997). People, places and coronary heart disease risk factors a multilevel analysis of the Scottish Heart Health Study archive.
  64. (2006). Perceived control over age-related declines: Adaptive beliefs and behaviors.
  65. (2008). Regional income stratification in unified Germany: A Gini decomposition approach.
  66. (1990). Residential environment and self-directedness among older people.
  67. (1996). SAS system for mixed models.
  68. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs,
  69. (1988). Social relationships and health.
  70. (1999). Socioeconomic position and health: The independent contribution of community socioeconomic context.
  71. (1999). Sources of resilience in the aging self: Toward integrating perspectives. In
  72. (1987). Statistical analysis with missing data.
  73. (1985). Stress, social support, and the buffering hypothesis.
  74. (1999). Subjective well-being: Three decades of progress.
  75. (2009). The amenity value of climate to German households.
  76. (2008). The association of neighborhood poverty with personality change in childhood.
  77. (1985). The concept of development in contextualism.
  78. (2003). The developmental ecology of urban males’ youth violence.
  79. (1994). The disablement process.
  80. (1979). The ecology of human development: Experiments by nature and design.
  81. (1970). The emerging discipline of environmental psychology.
  82. (2006). The influence of a sense of time on human development.
  83. (2008). The influence of environment and personality on the affective and cognitive component of subjective well-being.
  84. (1998). The life course and human development.
  85. (1996). The life span development of individuals: Behavioral, neurobiological and psychosocial perspectives Cambridge, England:
  86. (2000). The neighborhoods they live in: The effects of neighborhood residence on child and adolescent outcomes.
  87. (1992). The oldest old.
  88. (2009). The protective effects of neighborhood collective efficacy on British children growing up in deprivation: A developmental analysis.
  89. (1998). The role of gender in very old age: Profiles of functioning and everyday life patterns.
  90. (2005). The role of the built environment in the disablement process.
  91. (1984). The social activity/subjective well-being relation: A quantitative synthesis.
  92. (1999). The social determinants of health.
  93. (1987). Theoretical propositions of life-span developmental psychology: On the dynamics between growth and decline.
  94. (2005). Until death do us part: An analysis of the economic well-being of widows in four countries.
  95. (2009). Urban neighborhood context and change in depressive symptoms in late life.
  96. (2007). Urban neighborhoods and depressive symptoms among older adults.
  97. (2006). US state- and countylevel social capital in relation to obesity and physical inactivity: A multilevel, multivariate analysis.
  98. (2007). Using simple and complex growth models to articulate developmental change: Matching method to theory.
  99. (2009). Your house, your car, your education: The Socioeconomic situation of the neighborhood and its impact on life satisfaction in Germany. Social Indicator Research,

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