{"title":"每增加一年的教育,患痴呆症的风险是如何变化的?","authors":"Hyungmin Cha, Mateo P Farina, Mark D Hayward","doi":"10.1215/00703370-12231508","DOIUrl":null,"url":null,"abstract":"<p><p>The risk of dementia is considerably lower among persons with a high educational attainment level than among less educated persons. This association has been documented across countries, cohorts, and populations. However, several questions remain unanswered. What is the rate of decline in dementia risk associated with additional education? Does the rate of decline with additional education differ across the education distribution? Are there key points in the education distribution that demark changes in the association, such as completing high school? Using the 2000-2018 Health and Retirement Study, we use a functional form approach to evaluate how dementia risk changes with each year of education among non-Hispanic White and Black older adults. We observe a linear decline in dementia incidence with increasing years of educational attainment, both before and after 12 years of education. This pattern is consistent across population subgroups. Additionally, dementia risk displays a step-change decline at 12 years of education, but this reduction is observed primarily among men and White adults. These findings underscore the significance of educational exposure in understanding population differences in dementia risk and future changes in the burden of dementia in the population.</p>","PeriodicalId":48394,"journal":{"name":"Demography","volume":" ","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"How Does the Risk of Dementia Change With Each Additional Year of Education?\",\"authors\":\"Hyungmin Cha, Mateo P Farina, Mark D Hayward\",\"doi\":\"10.1215/00703370-12231508\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The risk of dementia is considerably lower among persons with a high educational attainment level than among less educated persons. This association has been documented across countries, cohorts, and populations. However, several questions remain unanswered. What is the rate of decline in dementia risk associated with additional education? Does the rate of decline with additional education differ across the education distribution? Are there key points in the education distribution that demark changes in the association, such as completing high school? Using the 2000-2018 Health and Retirement Study, we use a functional form approach to evaluate how dementia risk changes with each year of education among non-Hispanic White and Black older adults. We observe a linear decline in dementia incidence with increasing years of educational attainment, both before and after 12 years of education. This pattern is consistent across population subgroups. Additionally, dementia risk displays a step-change decline at 12 years of education, but this reduction is observed primarily among men and White adults. These findings underscore the significance of educational exposure in understanding population differences in dementia risk and future changes in the burden of dementia in the population.</p>\",\"PeriodicalId\":48394,\"journal\":{\"name\":\"Demography\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.6000,\"publicationDate\":\"2025-09-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Demography\",\"FirstCategoryId\":\"90\",\"ListUrlMain\":\"https://doi.org/10.1215/00703370-12231508\",\"RegionNum\":1,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DEMOGRAPHY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Demography","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1215/00703370-12231508","RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DEMOGRAPHY","Score":null,"Total":0}
How Does the Risk of Dementia Change With Each Additional Year of Education?
The risk of dementia is considerably lower among persons with a high educational attainment level than among less educated persons. This association has been documented across countries, cohorts, and populations. However, several questions remain unanswered. What is the rate of decline in dementia risk associated with additional education? Does the rate of decline with additional education differ across the education distribution? Are there key points in the education distribution that demark changes in the association, such as completing high school? Using the 2000-2018 Health and Retirement Study, we use a functional form approach to evaluate how dementia risk changes with each year of education among non-Hispanic White and Black older adults. We observe a linear decline in dementia incidence with increasing years of educational attainment, both before and after 12 years of education. This pattern is consistent across population subgroups. Additionally, dementia risk displays a step-change decline at 12 years of education, but this reduction is observed primarily among men and White adults. These findings underscore the significance of educational exposure in understanding population differences in dementia risk and future changes in the burden of dementia in the population.
期刊介绍:
Since its founding in 1964, the journal Demography has mirrored the vitality, diversity, high intellectual standard and wide impact of the field on which it reports. Demography presents the highest quality original research of scholars in a broad range of disciplines, including anthropology, biology, economics, geography, history, psychology, public health, sociology, and statistics. The journal encompasses a wide variety of methodological approaches to population research. Its geographic focus is global, with articles addressing demographic matters from around the planet. Its temporal scope is broad, as represented by research that explores demographic phenomena spanning the ages from the past to the present, and reaching toward the future. Authors whose work is published in Demography benefit from the wide audience of population scientists their research will reach. Also in 2011 Demography remains the most cited journal among population studies and demographic periodicals. Published bimonthly, Demography is the flagship journal of the Population Association of America, reaching the membership of one of the largest professional demographic associations in the world.