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Influence of Educat...
Influence of Education and Income on Receipt of Dementia Care in Sweden
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- Tuan Hoang, Minh (författare)
- Karolinska Institutet
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- Kåreholt, Ingemar (författare)
- Karolinska Institutet,Jönköping University,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),HHJ, Institutet för gerontologi,HHJ. ARN-J (Aging Research Network - Jönköping)
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- von Koch, Lena (författare)
- Karolinska Institutet
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- Xu, Hong (författare)
- Karolinska Institutet
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- Secnik, Juraj (författare)
- Karolinska Institutet
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- Religa, Dorota (författare)
- Karolinska Institutet
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- Tan, Edwin C. K. (författare)
- Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),The University of Sydney, Australia,Aging Research Center (ARC), Karolinska Institutet and Stockholm University, Stockholm, Sweden
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- Johnell, Kristina (författare)
- Karolinska Institutet
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- Garcia-Ptacek, Sara (författare)
- Karolinska Institutet
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(creator_code:org_t)
- Elsevier BV, 2021
- 2021
- Engelska.
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Ingår i: Journal of the American Medical Directors Association. - : Elsevier BV. - 1525-8610 .- 1538-9375. ; 22:10, s. 2100-2107
- Relaterad länk:
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https://doi.org/10.1...
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http://www.jamda.com...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective: To explore the dementia diagnostic process and drug prescription for persons with dementia (PWD) with different socioeconomic status (SES). Design: Register-based cohort study. Setting and Participants: This study included 74,414 PWD aged >65 years from the Swedish Dementia Register (2007-2018). Their data were linked with the Swedish Longitudinal Integrated Database for Health Insurance and Labor Market Studies (2006-2017) to acquire the SES information 1 year before dementia diagnosis. Methods: Education and incomed2 traditional SES indicatorsdwere divided into 5 levels. Outcomes comprised the dementia diagnostic examinations, types of dementia diagnosis, diagnostic unit, and prescription of antidementia drugs. Binary logistic regression was performed to evaluate socioeconomic inequalities. Results: Compared to PWD with the lowest educational level, PWD with the highest educational level had a higher probability of receiving the basic diagnostic workup [odds ratio (OR) 1.19, 95% confidence in-terval (CI) 1.10-1.29], clock test (OR 1.12, 95% CI 1.02-1.24) and neuroimaging (OR 1.23, 95% CI 1.09-1.39). Compared with PWD in the lowest income quintile, PWD in the highest income quintile presented a higher chance of receiving the basic diagnostic workup (OR 1.35, 95% CI 1.26-1.46), clock test (OR 1.40, 95% CI 1.28-1.52), blood analysis (OR 1.21, 95% CI 1.06-1.39), Mini-Mental State Examination (OR 1.47, 95% CI 1.26-1.70), and neuroimaging (OR 1.30, 95% CI 1.18-1.4 4). PWD with higher education or income had a higher likelihood of obtaining a specified dementia diagnosis or being diagnosed at a memory clinic. SES presented no association with prescription of antidementia medication, except for the association be-tween education and the use of memantine. Conclusions and Implications: Higher education or income was significantly associated with higher chance of receiving dementia diagnostic examinations, a specified dementia diagnosis, being diagnosed at a memory clinic, and using memantine. Socioeconomic inequalities in dementia diagnostic process and prescription of memantine occurred among PWD with different education or income levels.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Dementia
- diagnosis
- drug
- education
- income
- socioeconomic
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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