# Occupational Autonomy and Later Life Cognitive Change: The Moderating Role of Education

**Authors:** Katy Cao, Dawn Carr

PMC · DOI: 10.1093/geroni/igaf122.1820 · 2025-12-31

## TL;DR

This study finds that having more autonomy at work is linked to better cognitive health in later life, but this benefit is stronger for people with higher education.

## Contribution

The study reveals that education moderates the cognitive benefits of occupational autonomy, particularly for decision-making and independence.

## Key findings

- Higher education strengthens the positive link between occupational autonomy and cognitive maintenance.
- Freedom to make decisions and unstructured work show significant associations with cognitive health for more educated individuals.
- Results suggest that improving employment quality for less-educated workers requires a broader approach beyond autonomy.

## Abstract

As a component of enriching occupational environments, work autonomy has been associated with workers’ better physical and mental health. However, few longitudinal studies have connected autonomous work with later-life cognition. Furthermore, although education selects people into different career paths, few studies examined whether the cognitive health impact of autonomous work depends on education. To address these gaps, we ask the following research question: Is the association between autonomous work and later-life cognitive maintenance robust across different levels of education? Using the longitudinal Health and Retirement Study and Occupational Information Network (O*NET) linked dataset, we examine participants’ 8-year cognitive change associated with occupational autonomy in mid-life (age 51-60), N = 4179. Interaction effects were tested using Ordinary Least Squares (OLS) regression with robust standard error. Five occupational autonomy measures were selected to comprehensively evaluate different dimensions of autonomy: (1) freedom to make decisions, (2) frequency of decision-making, (3) unstructured work, (4) schedule regularity, and (5) work value of independence. Findings from OLS and post-estimation Wald tests show that education significantly moderates the association between cognitive maintenance and three occupational autonomy measures: Freedom of decision-making (β = 0.05, p < 0.01), unstructured work (β = 0.05, p < 0.01), and work value of independence (β = 0.02, p < 0.10). A margins plot shows that freedom to make decisions was positively associated with cognitive maintenance among people with 14 or more years of education but not among those without. Results imply that enhancing the employment quality among individuals with less education calls for a multiple-dimensional approach, including but not limited to improving their occupational autonomy.

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Source: https://tomesphere.com/paper/PMC12761950