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Do Individual and Geographical Deprivation Have the Same Impact on the Risk of Dementia? A 25-Year Follow-up Study

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorOUVRARD-BROUILLOU, Camille
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMEILLON, Celine
ORCID: 0000-0001-7891-9648
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDARTIGUES, Jean-Francois
ORCID: 0000-0001-9482-5529
IDREF: 058586105
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorAVILA-FUNES, Jose Alberto
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorAMIEVA, Helene
dc.date.accessioned2021-02-09T13:50:14Z
dc.date.available2021-02-09T13:50:14Z
dc.date.issued2020
dc.identifier.issn1758-5368 (Electronic) 1079-5014 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/26192
dc.description.abstractEnObjectives To determine the impact of both individual psychosocioeconomic precariousness and geographical deprivation on risk of dementia in older adults followed-up for 25 years. Method The sample consisted of 3,431 participants aged 65 years or over from the PAQUID cohort study. Individual psychosocioeconomic precariousness was measured computing eight economic and psychosocial indicators. Geographical deprivation was assessed by the FDep99 index, consisting of four community socioeconomic variables. For both measures, the fourth quartile of the distribution was considered as the more precarious or deprived category, while the first quartile was considered as the less precarious or deprived one. Clinical dementia diagnosis was assessed all along study follow-up. The association between individual psychosocioeconomic precariousness, geographical deprivation and risk of dementia was assessed using illness-death regression models adjusted for age, sex, depression, psychotropic drug consumption, comorbidities, disability, and body mass index, while accounting for death as a competing event. Results The risk of dementia was higher for the more psychosocioeconomic precarious participants (HR = 1.51; 95% CI: 1.24–1.84). No increased risk of dementia was found for those living in communities with high index of deprivation. Discussion Psychosocioeconomic precariousness, but not geographical deprivation, is associated with a higher risk of dementia.
dc.language.isoENen_US
dc.subjectSEPIA
dc.title.enDo Individual and Geographical Deprivation Have the Same Impact on the Risk of Dementia? A 25-Year Follow-up Study
dc.title.alternativeJ Gerontol B Psychol Sci Soc Scien_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1093/geronb/gbx130en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed29077923en_US
bordeaux.journalJournals of Gerontology Series B: Psychological Sciences and Social Sciencesen_US
bordeaux.page218-227en_US
bordeaux.volume75en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamSEPIAen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03136108
hal.version1
hal.date.transferred2021-02-09T13:50:18Z
hal.exporttrue
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