Dementia dying threat is greater among the many socioeconomically disadvantaged

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Dementia death risk is higher among the socioeconomically deprived

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According to a new study from Queen Mary University of London, a large proportion of deaths from dementia in England and Wales can be attributed to socio-economic disadvantage.

The team also found that socioeconomic deprivation was associated with younger age at death with dementia and poorer access to an accurate diagnosis.

Dementia is the leading cause of death in England and Wales, including during the COVID pandemic, and the only disease among the top ten causes of death without effective treatment.

The study, published in the Journal of Alzheimer Disease, examines the Office for National Statistics mortality data for England and Wales and finds that 14,837 deaths from dementia were due to deprivation in 2017, representing 21.5 percent of all deaths from dementia that year . The team also found that the impact of this association appears to increase over time.

The corresponding author Dr. Charles Marshall of Queen Mary University in London, whose work is funded by Barts Charity, said: "Understanding how we can prevent deaths from dementia. Persistent and growing socioeconomic inequality could go undetected to brain health." Eliminating this inequality could be an important strategy to contain the rising tide of dementia. "

Various factors have been thought to mediate the relationship between dementia and socioeconomic withdrawal, including education, diet, vascular risk factors, stress, and access to health care.

It is likely that poorer quality of diagnosis in disadvantaged patients will result in their being disadvantaged in terms of prognosis, counseling, planning for future care, access to appropriate symptomatic treatments, and opportunities to participate in research.

The researchers say that while a direct causal link between socioeconomic status and dementia has not yet been established, deprivation may be a major target in public health approaches aimed at reducing the dementia population burden.

The study has limitations in that it is an observational study, meaning that a causal link between deprivation and dementia cannot be confirmed and that there is a lack of detail on certain dementia subtypes in the ONS data, which is likely to result in incomplete Finding dementia leads to cases.

Dementia main cause of death in September

More information:
Mark Jitlal, Guru NK Amirthalingam, Tasvee Karania, Eva Parry, Aidan Neligan, Ruth Dobson, Alastair J. Noyce, Charles R. Marshall. The impact of socio-economic disadvantage on dementia mortality, age at death, and quality of diagnosis: a nationwide study of death certificates in England and Wales 2001-2017. Journal of Alzheimer Disease 2021. content.iospress.com/articles/… rs-disease / jad210089

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Queen Mary, University of London

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