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Social Inequalities in Life Expectancy and Mortality in People With Dementia in the United Kingdom

Vestergaard, AHS; Sampson, EL; Johnsen, SP; Petersen, I; (2020) Social Inequalities in Life Expectancy and Mortality in People With Dementia in the United Kingdom. Alzheimer Disease & Associated Disorders 10.1097/WAD.0000000000000378. (In press).

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Abstract

Introduction: Inequalities in life expectancy and mortality by social deprivation in the general population of the United Kingdom are widening. For people with dementia, data on potential gradients in life expectancy and mortality by social deprivation are sparse. This study aimed to explore potential differentials in life expectancy and mortality in people with dementia according to social deprivation. Methods: Using The Health Improvement Network (THIN) primary care database, we included people with a diagnosis of dementia in the United Kingdom in 2000 to 2016 and obtained data on age at death and mortality. Comparisons were made according to social deprivation quintiles adjusting for age at diagnosis. Results: Among 166,268 people with dementia there were no differences in life expectancy and mortality in the most deprived compared with the least deprived. This pattern has been stable during the study period, as no increasing inequalities in life expectancy and mortality according to social deprivation were found. Discussion: Contrary to the general population, there were limited inequalities in life expectancy and mortality according to social deprivation for people with dementia.

Type: Article
Title: Social Inequalities in Life Expectancy and Mortality in People With Dementia in the United Kingdom
Location: United States
DOI: 10.1097/WAD.0000000000000378
Publisher version: https://doi.org/10.1097/WAD.0000000000000378
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Dementia; Social deprivation; Social inequality; United Kingdom; Family practice
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10102762
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