Supplemental Digital Content 2 APPENDIX The trajectory equations for the bivariate growth curve model are given by yij 0iy 1iyij 2iyij2 yij (1) zij 0iz 1izij 2izij2 gzij (2) where y jj and z jj denotes the PCS and MCS scores for individual i, and measurement occasion j (j = 1,2,…,6). 0iy and 0iz are the PCS and MCS random intercepts at time t0 for individual i 1iy and 1iz 2iy are the PCS and MCS random linear slopes or rates of change per year for individual i and 2iz are the PCS and MCS random quadratic slopes or acceleration in the rate of change per year for individual i ij is the time score in years for individual i on measurement occasion j yij and zij are the individual PCS and MCS disturbance terms, or random errors, for individual i on occasion j. The intercept equations are given by 0iy 0 y xi 0 yi (3) 0iz 0z xi 0zi (4) 0y 0z where 0y and 0z are the mean PCS and MCS intercepts xi are the time-invariant covariates or predictors of the random intercepts and slopes (gender, cohort and cohort2) for individual i 0 y and 0 z are the regression coefficients for xi on the PCS and MCS random intercepts 0 yi and 0 zi are the disturbances in the PCS and MCS random intercepts The linear slope equations are given by 1iy 1y xi 1yz 0iz 1yi (5) 1iz 1z xi 1zy 0iy 1zi (6) 1y 1z where 1y and 1z are the mean PCS and MCS linear slopes 1 y and 1 z are the regression coefficients for xi on the PCS and MCS random linear slopes 1 yz and 1zy are the regression coefficients for 0iz and 0iy , the PCS and MCS random intercepts on the PCS and MCS random linear slopes 1 yi and 1zi are the disturbances in the PCS and MCS random linear slopes. The quadratic slope equations are given by 2iy 2 y xi 2 yz 1iz 2 yi (7) 2iz 2 z xi 2 zy 1iy 2 zi (8) 2y 2z where 1y and 1z are the mean PCS and MCS quadratic slopes 1 y and 1 z are the regression coefficients for xi on the PCS and MCS random quadratic slopes 2 yz and 2 zy are the regression coefficients for 1iz and 1iy , the PCS and MCS random linear slopes on the PCS and MCS random quadratic slopes 2 yi and 2 zi are the disturbances in the PCS and MCS random quadratic slopes. Then 0 y , 0 z , 1 y , 1 z , 2 y and 2 z represent individual differences or conditional variance in the random PCS and MCS intercept and linear and quadratic slopes, with covariance 0 y 0 z , 0 y 1 y , 1 y 2 y , 0 z 1 z and 1 z 2 z , while the between occasion variance in individual PCS and MCS scores are represented by yij and zij . The equation for loss to follow-up is given by u logit j 0uj 1ujxi uyj1 yij1 uzj1 zij1 uij 1 u j (9) where uj 1 u j are the odds of loss to follow-up on occasion j 0uj is the intercept on occasion j xi are the time-invariant covariates or predictors of loss to follow-up (gender, cohort and cohort2) for individual i 1uj the regression coefficients for xi uy j 1 and uz j 1 are the regression coefficients for the PCS and MCS scores, occasion j-1 uij is the random error for individual i on occasion j. yij 1 and zij 1 , on