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Article type: Research Article
Authors: Bebe, Annaa; * | Siersma, Volkerta | Kragstrup, Jakoba | Nielsen, Anni Brit Sternhagena | Møller, Annea; b | Søndergaard, Jensa; c | Nicolaisdóttir, Dagný Rósa | Waldorff, Frans Bocha; b
Affiliations: [a] The Research Unit and Section of General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark | [b] Department of Occupational Medicine, University Hospital Holbæk, Holbæk, Denmark | [c] The Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark
Correspondence: [*] Correspondence to: Anna Bebe, The Research Unit and Section of General Practice, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark. Tel.: +45 2233 4152; E-mail: anna.bebe@sund.ku.dk.
Abstract: Background:We investigated the effect of economic assets on mortality in patients with dementia in a national cohort of elderly individuals aged 65 or older. Objective:To examine the effect of economic assets on mortality in patients with dementia. Methods:Incidence of dementia and all-cause mortality was analyzed with incidence rate ratios (IRR) in three different categories of economic assets by means of Cox regression models. Results:A total of 874,246 individuals aged 65+ were included. The risk of receiving a dementia diagnosis was highest in the low economic asset group (IRR 1.19). Patients with dementia had a higher mortality compared to those without a diagnosis (IRR 2.85). The mortality in the dementia group was lowest in the high economic asset group (IRR 3.31). However, the increase associated with dementia was lowest within the low economic assets group (IRR 2.57). Conclusion:Mortality is increased with a dementia diagnosis and highest for the low economic asset group. However, the increase in mortality attributable to dementia was higher in the high economic assets group.
Keywords: Comorbidity, dementia, economic assets, epidemiology, mortality, socio economy
DOI: 10.3233/JAD-181107
Journal: Journal of Alzheimer's Disease, vol. 67, no. 4, pp. 1245-1253, 2019
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