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Affluence linked to higher recorded dementia risk in women

Women had a 26% higher relative risk of recorded dementia than men, after accounting for the possibility of dying first.

Paper by Hilary Shepherd, Charlotte Lucy Richardson, Andrew Kingston, Adam Todd · Clinical Practice Research Datalink · Newcastle University

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Editor of record: Boris Djordjevic · AgingResearch.News

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The 908,473 people with at least two chronic conditions in this English primary care cohort study were followed for an average of 13.1 years. The analysis accounted for deaths that could occur before dementia was recorded. Women had a 26% higher relative risk of recorded dementia than men.

People in the most and moderately disadvantaged groups had lower recorded dementia risk than those in the most affluent group. Yet the most disadvantaged group developed multiple chronic conditions three years earlier and dementia two years earlier, on average, than the most affluent group. They also died four years earlier, on average, and had the greatest risk of death.

Why it matters

For age-related conditions such as dementia, the authors emphasize the importance of considering who may die before the condition is recorded.

Caveats

Dementia depended on primary care records, so differences in diagnosis and recording could have contributed to the pattern across deprivation groups. The findings concern people with at least two chronic conditions.

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