Innovation in Aging

Social engagement may narrow education gaps in dementia risk

An observational study using 2011–2018 data on older US adults modeled how social engagement might narrow education-related differences in dementia risk.

Cohort study of older adults in the United States, 2011-2018Populations

Limit: The outcome was screening positive for probable dementia rather than clinical diagnosis

Edited by Boris Djordjevic · AgingResearch.News

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Older US adults who were dementia-free in 2011 were followed through 2018 in an observational cohort study using the National Health and Aging Trends Study. By 2018, 8.5% of those with a bachelor’s degree screened positive for probable dementia, compared with 21.2% of those without a high school degree.

The researchers modeled hypothetical scenarios in which everyone had volunteered or attended organized group activities in the prior month, or had five people in their discussion network. In each scenario, education-related differences in dementia risk shrank and were no longer statistically significant. Their analysis also suggested that volunteering, group activities, visiting friends or family, and going out for enjoyment partly accounted for the association between education and dementia risk.

Why it matters

The work addresses whether dementia prevention efforts might tackle educational inequalities through potentially changeable aspects of life in older age.

Caveats

These observational models do not establish that increasing social engagement would prevent dementia or reduce educational disparities. The outcome was screening positive for probable dementia.

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