Socioeconomic status as a risk factor for dementia death: individual participant meta-analysis of 86 508 men and women from the UK

Br J Psychiatry. 2013 Jul;203(1):10-7. doi: 10.1192/bjp.bp.112.119479.

Abstract

Background: Life-course socioeconomic factors may have a role in dementia aetiology but there is a current paucity of studies. Meta-analyses of individual participant data would considerably strengthen this evidence base.

Aims: To examine the association between socioeconomic status in early life and adulthood with later dementia death.

Method: Individual participant meta-analysis of 11 prospective cohort studies (1994-2004, n = 86 508).

Results: Leaving full-time education at an earlier age was associated with an increased risk of dementia death in women (fully adjusted hazard ratio (HR) for age ≤14 v. age ≥16: HR = 1.76, 95% CI 1.23-2.53) but not men. Occupational social class was not statistically significantly associated with dementia death in men or women.

Conclusions: Lower educational attainment in women was associated with an increased risk of dementia-related death independently of common risk behaviours and comorbidities.

Publication types

  • Meta-Analysis
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Dementia / mortality*
  • Educational Status
  • Female
  • Health Behavior
  • Health Surveys
  • Humans
  • Male
  • Prognosis
  • Risk Factors
  • Risk-Taking
  • Smoking
  • Social Class*
  • Socioeconomic Factors
  • United Kingdom / epidemiology