Dementia and disadvantage in the USA and England: population-based comparative study
| Autor: | Karolos Arapakis, Eric French, Eric J. Brunner, Jeremy McCauley |
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| Přispěvatelé: | Arapakis, Karolos [0000-0001-5690-5472], Brunner, Eric [0000-0002-0595-4474], McCauley, Jeremy [0000-0002-8402-483X], Apollo - University of Cambridge Repository |
| Rok vydání: | 2022 |
| Předmět: |
Longitudinal study
medicine.medical_specialty Population Decile medicine Prevalence Dementia health economics Humans ECON Applied Economics Longitudinal Studies Risk factor education Socioeconomic status Aged education.field_of_study business.industry Public health public health General Medicine Health and Retirement Study ECON CEPS Health medicine.disease United States England Social Class Socioeconomic Factors Income Educational Status business Demography |
| Zdroj: | BMJ Open Arapakis, K, Brunner, E J, French, E & McCauley, J E 2021, ' Dementia and disadvantage in the USA and England : population-based comparative study ', BMJ Open, vol. 11, no. 10, e045186 . https://doi.org/10.1136/bmjopen-2020-045186 |
| DOI: | 10.17863/cam.83871 |
| Popis: | Funder: Economic and Social Research Council; FundRef: http://dx.doi.org/10.13039/501100000269 Funder: Alexander S. Onassis Foundation Funder: Michigan Retirement Research Center OBJECTIVES: To compare dementia prevalence and how it varies by socioeconomic status (SES) across the USA and England. DESIGN: Population-based comparative study. SETTING: Non-Hispanic whites aged over 70 population in the USA and England. PARTICIPANTS: Data from the Health and Retirement Study and the English Longitudinal Study of Ageing, which are harmonised, nationally representative panel studies. The sample includes 5330 and 3147 individuals in the USA and England, respectively. MAIN OUTCOME MEASURES: Between country differences in age-gender standardised dementia prevalence, across the SES gradient. Dementia prevalence was estimated in each country using an algorithm based on an identical battery of demographic, cognitive and functional measures. RESULTS: Dementia prevalence is higher among the disadvantaged in both countries, with the USA being more unequal according to four measures of SES. Overall prevalence was lower in England at 9.7% (95% CI 8.9% to 10.6%) than the USA at 11.2% (95% CI 10.6% to 11.8%), a difference of 1.4 percentage points (pp) (p=0.0055). Most of the between country difference is driven by the bottom of the SES distribution. In the lowest income decile individuals in the USA had 7.3 pp (p |
| Databáze: | OpenAIRE |
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