|Title||Educational Differences in the Prevalence of Dementia and Life Expectancy with Dementia: Changes from 2000 to 2010.|
|Publication Type||Journal Article|
|Year of Publication||2018|
|Authors||Crimmins, EM, Saito, Y, Kim, JKi, Zhang, YS, Sasson, I, Hayward, MD|
|Journal||Journals of Gerontology Series B: Psychological Sciences & Social Sciences|
|Keywords||Dementia, Education, Mortality|
Objectives: This article provides the first estimates of educational differences in age-specific prevalence, and changes in prevalence over time, of dementia by education levels in the United States. It also provides information on life expectancy, and changes in life expectancy, with dementia and cognitively healthy life for educational groups.
Method: Data on cognition from the 2000 and 2010 Health and Retirement Study are used to classify respondents as having dementia, cognitive impairment without dementia (CIND), or being cognitively intact. Vital statistics data are used to estimate life tables for education groups and the Sullivan method is used to estimate life expectancy by cognitive state.
Results: People with more education have lower prevalence of dementia, more years of cognitively healthy life, and fewer years with dementia. Years spent in good cognition increased for most sex-education groups and, conversely, years spent with dementia decreased for some. Mortality reduction was the most important factor in increasing cognitively healthy life. Change in the distribution of educational attainment has played a major role in the reduction of life with dementia in the overall population.
Discussion: Differences in the burden of cognitive loss by education point to the significant cost of low social status both to individuals and to society.
|User Guide Notes|
|Alternate Journal||J Gerontol B Psychol Sci Soc Sci|
|PubMed Central ID||PMC6019027|
|Grant List||R24 HD042849 / NICHD NIH HHS / National Institute of Child Health & Human Development / United States |
P30 AG017265 / NIA NIH HHS / National Institute on Aging / United States
U01 AG009740 / AG / NIA NIH HHS / United States
P30 AG012846 / AG / NIA NIH HHS / United States
R24 AG045061 / NIA NIH HHS / National Institute on Aging / United States