Frequency of missed or delayed diagnosis in dementia is associated with neighborhood socioeconomic status
Abstract Introduction Underdetection of dementia in areas with low socioeconomic status (SES) may interfere with findings concerning associations between SES and dementia. Methods Using administrative registers we assessed the associations between age‐ and sex‐adjusted dementia incidence and neighbo...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/trc2.12271 |
| _version_ | 1826950790581846016 |
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| author | Ellen Holm Katja Kemp Jacobsen Thea Bang deLony Maurice Lembeck Hanne Pedersen Charlotte Andersson Peter Johannsen Terese Sara Høj Jørgensen Christian Torp‐Pedersen |
| author_facet | Ellen Holm Katja Kemp Jacobsen Thea Bang deLony Maurice Lembeck Hanne Pedersen Charlotte Andersson Peter Johannsen Terese Sara Høj Jørgensen Christian Torp‐Pedersen |
| author_sort | Ellen Holm |
| collection | DOAJ |
| description | Abstract Introduction Underdetection of dementia in areas with low socioeconomic status (SES) may interfere with findings concerning associations between SES and dementia. Methods Using administrative registers we assessed the associations between age‐ and sex‐adjusted dementia incidence and neighborhood socioeconomic status (nSES) in 94 Danish municipalities. Wealth was divided into income quartiles and other nSES variables were dichotomized into high versus low according to the median. Results High population density (odds ratio [OR] 1.21, 95% confidence interval [CI] 1.18–1.24), higher proportion of inhabitants in higher income quartiles (P for trend < .0001), and high educational level (OR 1.19, 95% CI 1.15–1.22) were associated with higher incidence of dementia. High proportion of residents above 65 years was associated with lower age‐adjusted dementia incidence (OR 0.86, 95% CI 0.84–0.89). Discussion Low nSES municipalities have a lower age‐adjusted incidence of dementia diagnosis. These findings corroborate prior concerns that a large number of dementia diagnoses may be missed in municipalities characterized by low SES. |
| first_indexed | 2024-04-10T21:53:34Z |
| format | Article |
| id | doaj.art-99ac4740585b4ce5a342d577b0c36bb1 |
| institution | Directory Open Access Journal |
| issn | 2352-8737 |
| language | English |
| last_indexed | 2025-02-17T22:37:21Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| spelling | doaj.art-99ac4740585b4ce5a342d577b0c36bb12024-12-03T12:37:31ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372022-01-0181n/an/a10.1002/trc2.12271Frequency of missed or delayed diagnosis in dementia is associated with neighborhood socioeconomic statusEllen Holm0Katja Kemp Jacobsen1Thea Bang deLony2Maurice Lembeck3Hanne Pedersen4Charlotte Andersson5Peter Johannsen6Terese Sara Høj Jørgensen7Christian Torp‐Pedersen8Department of Internal Medicine University Hospital Zealand Køge DenmarkDepartment of Technology Faculty of Health and Technology University College Copenhagen Copenhagen DenmarkGeriatric Section Department of Internal Medicine Nykøbing Falster Hospital Nykøbing Falster DenmarkGeriatric Section Department of Internal Medicine Nykøbing Falster Hospital Nykøbing Falster DenmarkGeriatric Section Department of Internal Medicine in Glostrup Amager Hvidovre Hospital Glostrup DenmarkDepartment of Medicine Section of Cardiovascular Medicine Boston University Medical Center Boston Massachusetts USAInternational Medical Vice President, Medical & Science Clinical Drug Development Novo Nordisk Copenhagen DenmarkSection of Social Medicine Department of Public Health University of Copenhagen Copenhagen DenmarkDepartment of Cardiology and Clinical Research Nordsjaellands Hospital Hillerød DenmarkAbstract Introduction Underdetection of dementia in areas with low socioeconomic status (SES) may interfere with findings concerning associations between SES and dementia. Methods Using administrative registers we assessed the associations between age‐ and sex‐adjusted dementia incidence and neighborhood socioeconomic status (nSES) in 94 Danish municipalities. Wealth was divided into income quartiles and other nSES variables were dichotomized into high versus low according to the median. Results High population density (odds ratio [OR] 1.21, 95% confidence interval [CI] 1.18–1.24), higher proportion of inhabitants in higher income quartiles (P for trend < .0001), and high educational level (OR 1.19, 95% CI 1.15–1.22) were associated with higher incidence of dementia. High proportion of residents above 65 years was associated with lower age‐adjusted dementia incidence (OR 0.86, 95% CI 0.84–0.89). Discussion Low nSES municipalities have a lower age‐adjusted incidence of dementia diagnosis. These findings corroborate prior concerns that a large number of dementia diagnoses may be missed in municipalities characterized by low SES.https://doi.org/10.1002/trc2.12271Alzheimer's diseasedementianationwide studyneighborhoodregister studyrisk factor |
| spellingShingle | Ellen Holm Katja Kemp Jacobsen Thea Bang deLony Maurice Lembeck Hanne Pedersen Charlotte Andersson Peter Johannsen Terese Sara Høj Jørgensen Christian Torp‐Pedersen Frequency of missed or delayed diagnosis in dementia is associated with neighborhood socioeconomic status Alzheimer’s & Dementia: Translational Research & Clinical Interventions Alzheimer's disease dementia nationwide study neighborhood register study risk factor |
| title | Frequency of missed or delayed diagnosis in dementia is associated with neighborhood socioeconomic status |
| title_full | Frequency of missed or delayed diagnosis in dementia is associated with neighborhood socioeconomic status |
| title_fullStr | Frequency of missed or delayed diagnosis in dementia is associated with neighborhood socioeconomic status |
| title_full_unstemmed | Frequency of missed or delayed diagnosis in dementia is associated with neighborhood socioeconomic status |
| title_short | Frequency of missed or delayed diagnosis in dementia is associated with neighborhood socioeconomic status |
| title_sort | frequency of missed or delayed diagnosis in dementia is associated with neighborhood socioeconomic status |
| topic | Alzheimer's disease dementia nationwide study neighborhood register study risk factor |
| url | https://doi.org/10.1002/trc2.12271 |
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