The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.
Is the Risk of Developing Alzheimer's Disease Greater for Women than for Men?
Abstract
A large proportion of people with Alzheimer's disease (AD) are women; however, it is not clear whether this is due to higher risk of disease or solely to the larger number of women alive at ages when AD is common. Beginning in 1982, two stratified random samples of people aged ≥65 years in East Boston, Massachusetts underwent detailed, structured clinical evaluation for prevalent (467 people) and incident (642 people from a cohort previously ascertained to be disease-free) probable AD. The prevalence sample was followed for mortality for up to 11 years (through December 1992). The age-specific incidence of AD did not differ significantly by sex (for men vs. women, odds ratio = 0.92; 95% confidence interval (CI): 0.51, 1.67). Controlled for age, prevalence also did not differ significantly by sex (for men vs. women, odds ratio = 1.29; 95% CI: 0.67, 2.48). The increase in risk of mortality due to AD did not vary by sex. The odds ratio for women with AD compared with women without AD was 2.07 (95% CI: 1.21, 3.56). For men, the odds ratio was 2.22 (95% CI: 1.02, 4.81). These findings suggest that the excess number of women with AD is due to the longer life expectancy of women rather than sex-specific risk factors for the disease.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“However, it is not clear that the risk of developing Alzheimer's or other dementias differs between men and women of the same age.”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [289]
In the citing paper
“Most studies of incidence in the United States have found no meaningful difference between men and women in the proportion who develop Alzheimer's or other dementias at any given age,”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [289]
In the citing paper
“Women live longer than men on average, and older age is the greatest risk factor for Alzheimer's.”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [289]
In the citing paper
“It is known that women have a greater prevalence of Alzheimer disease (AD) than men, at least partly because women live longer.1,2,3”
From Sex differences in cognitive decline among US adults (2021) · cites this paper as [3]
Citations
Cites
An Introduction to the Bootstrap
Efron, B., & Tibshirani, R. J. (1994) · doi:10.1201/9780429246593 · Cited by 40,500
Regression Models and Life-Tables
Cox, D. R. (1972) · Journal of the Royal Statistical Society Series B: Statistical Methodology · doi:10.1111/j.2517-6161.1972.tb00899.x · Cited by 39,793
McKhann, G., Drachman, D., Folstein, M., Katzman, R., Price, D., & Stadlan, E. M. (1984) · Neurology · doi:10.1212/wnl.34.7.939 · Cited by 27,915
An Introduction to the Bootstrap
Efron, B., & Tibshirani, R. J. (1993) · doi:10.1007/978-1-4899-4541-9 · Cited by 21,230
Evans, D. A. (1989) · JAMA · doi:10.1001/jama.262.18.2551 · Cited by 1,627
Self-citationThe Clinical Diagnosis of Alzheimer's Disease
Wade, J. P. H., Mirsen, T. R., Hachinski, V. C., Fisman, M., Lau, C. S., & Merskey, H. (1987) · Archives of Neurology · doi:10.1001/archneur.1987.00520130016010 · Cited by 1,416
On the regression analysis of multivariate failure time data
Prentice, R., Williams, B., & Peterson, A. V. (1981) · Biometrika · doi:10.1093/biomet/68.2.373 · Cited by 1,362
Yoshitake, T., Kiyohara, Y., Kato, I., Ohmura, T., Iwamoto, H., Nakayama, K., Ohmori, S., Nomiyama, K., Kawano, H., Ueda, K., et al. (1995) · Neurology · doi:10.1212/wnl.45.6.1161 · Cited by 829
The Relationships Between Age, Sex, and the Incidence of Dementia and Alzheimer Disease
Gao, S., Hendrie, H. C., Hall, K. S., & Hui, S. L. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.9.809 · Cited by 782
Rates and risk factors for dementia and Alzheimer’s disease: Results from EURODEM pooled analyses
Launer, L. J., Andersen, K., Dewey, M. E., Letenneur, L., Ott, A., Amaducci, L. A., Brayne, C., Copeland, J. R. M., Dartigues, J.-F., Kragh-Sorensen, P., et al. (1999) · Neurology · doi:10.1212/wnl.52.1.78 · Cited by 758
A Population-Based Study of Dementia in 85-Year-Olds
Skoog, I. G., Nilsson, L., Palmertz, B., Andreasson, L., & Svanborg, A. (1993) · New England Journal of Medicine · doi:10.1056/nejm199301213280301 · Cited by 692
Canadian study of health and aging: study methods and prevalence of dementia.
(1994) · Europe PMC (PubMed Central) · Cited by 613
Old Age Mental Disorders in Newcastle upon Tyne
Kay, D. W. K., Beamish, P., & Roth, M. (1964) · The British Journal of Psychiatry · doi:10.1192/bjp.110.465.146 · Cited by 575
A revised socioeconomic index of occupational status
Stevens, G., & Featherman, D. L. (1981) · Social Science Research · doi:10.1016/0049-089x(81)90011-9 · Cited by 566
Fratiglioni, L., Viitanen, M., von Strauss, E., Tontodonati, V., Herlitz, A., & Winblad, B. (1997) · Neurology · doi:10.1212/wnl.48.1.132 · Cited by 556
Prevalence of dementia and probable senile dementia of the Alzheimer type in the Framingham Study
Bachman, D. L., Wolf, P. A., Linn, R., Knoefel, J. E., CobbS, J., Belanger, A., D'Agostino, R. B., & White, L. R. (1992) · Neurology · doi:10.1212/wnl.42.1.115 · Cited by 527
Incidence of dementia and probable Alzheimer's disease in a general population: The Framingham Study
Bachman, D. L., Wolf, P. A., Linn, R. T., Knoefel, J. E., Cobb, J. L., Belanger, A. J., White, L. R., & D'Agostino, R. B. (1993) · Neurology · doi:10.1212/wnl.43.3_part_1.515 · Cited by 470
Age-Specific Incidence of Alzheimer's Disease in a Community Population
Hebert, L. E. (1995) · JAMA · doi:10.1001/jama.1995.03520410048025 · Cited by 462
Self-citationIncidence and Risk of Dementia: The Rotterdam study
Ott, A., Breteler, M. M. B., Harskamp, F. V., Stijnen, T., & Hofman, A. (1998) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009489 · Cited by 455 · cited 2×
“Ten of 13 studies reporting a single rate for everyone over age 65 found that women had 2‐3 times the AD rate of men (3, 5, 7, 8, 10, 17, 18, 32, 39, 41 ).”
BackgroundLetenneur, L., Gilleron, V, Commenges, D., Helmer, C., Orgogozo, J. M., & Dartigues, J. F. (1999) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.66.2.177 · Cited by 406
Random-Effects Meta-Analyses Are Not Always Conservative
Poole, C., & Greenland, S. (1999) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a010035 · Cited by 338
CORRELATES OF COGNITIVE FUNCTION IN AN ELDERLY COMMUNITY POPULATION
Scherr, P. A., Albert, M., Funkenstein, H. H., Cook, N. R., Hennekens, C. H., Branch, L. G., White, L. R., Taylor, J. O., & Evans, D. A. (1988) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115051 · Cited by 257
Self-citationGraves, A. B., Larson, E. B., Edland, S. D., Bowen, J., McCormick, W. C., McCurry, S. M., Rice, M. M., Wenzlow, A. T., & Uomoto, J. M. (1996) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009000 · Cited by 233
Prevalence and types of dementia in the very old
Ebly, E. M., Parhad, I. M., Hogan, D. B., & Fung, T. S. (1994) · Neurology · doi:10.1212/wnl.44.9.1593 · Cited by 230
The Prevalence of Dementia and Depression in the Elderly Community in a Southern European Population
Lobo, A. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950180083011 · Cited by 198
Prevalence and Subtypes of Dementia in Taiwan: A community Survey of 5297 Individuals
Liu, H.-C., Lin, K., Teng, E. L., Wang, S., Fuh, J., Guo, N., Chou, P., Hu, H., & Chiang, B. N. (1995) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1995.tb06379.x · Cited by 175
Yamada, M., Sasaki, H., Mimori, Y., Kasagi, F., Sudoh, S., Ikeda, J., Hosoda, Y., Nakamura, S., & Kodama, K. (1999) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1999.tb04577.x · Cited by 158
Dementia: Case Ascertainment in a Community Survey
Folstein, M. F., Bassett, S. S., Anthony, J. C., Romanoski, A. J., & Nestadt, G. (1991) · Journal of Gerontology · doi:10.1093/geronj/46.4.m132 · Cited by 153
Incidence of Clinically Diagnosed Subtypes of Dementia in an Elderly Population
Brayne, C., Gill, C., Huppert, F. A., Barkley, C., Gehlhaar, E., Girling, D. M., O’Connor, D., & Paykel, E. S. (1995) · The British Journal of Psychiatry · doi:10.1192/bjp.167.2.255 · Cited by 145
A Population Study of Senile and Arteriosclerotic Psychoses
Åkesson, H. O. (1969) · Human Heredity · doi:10.1159/000152266 · Cited by 142
PREVALENCE OF ALZIIEIMER'S DISEASE IN A RETIREMENT COMMUNITY
PFEFFER, R. I., Afifi, A. A., & Chance, J. M. (1987) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114548 · Cited by 138
Prevalence of dementia in an elderly rural population: effects of age, sex, and education.
Prencipe, M., Casini, A. R., Ferretti, C., Lattanzio, M. T., Fiorelli, M., & Culasso, F. (1996) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.60.6.628 · Cited by 136
Relation of Smoking and Alcohol Consumption to Incident Alzheimer's Disease
Hebert, L. E., Scherr, P. A., Beckett, L. A., Funkenstein, H. H., Albert, M., Chown, M. J., & Evans, D. A. (1992) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116296 · Cited by 129
Self-citationRisk of Death from Alzheimer's Disease in a Community Population of Older Persons
Evans, D. A., Smith, L. A., Scherr, P. A., Albert, M., Funkenstein, H. H., & Hebert, L. E. (1991) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116102 · Cited by 120
Self-citationIncidence and subtypes of dementia in southern Taiwan Impact of socio‐demographic factors
Liu, C.-K., Lai, C. L., Tai, C., Lin, R. T., Yen, Y.-C., & Howng, S. L. (1998) · Neurology · doi:10.1212/wnl.50.6.1572 · Cited by 119
Rorsman, B., Hagnell, O., & Lanke, J. (2008) · Neuropsychobiology · doi:10.1159/000118254 · Cited by 107
A Population‐Based Study on the Incidence of Dementia Disorders Between 85 and 88 Years of Age
Aevarsson, Ó., & Skoog, I. G. (1996) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1996.tb04070.x · Cited by 105
Age-specific incidence of Alzheimer's disease in a community population
Hebert, L. E. (1995) · JAMA · doi:10.1001/jama.273.17.1354 · Cited by 96
Self-citationKatzman, R. (1994) · Archives of Neurology · doi:10.1001/archneur.1994.00540240064017 · Cited by 94
Organic Brain Syndrome and Aging
Jarvik, L. F. (1980) · Archives of General Psychiatry · doi:10.1001/archpsyc.1980.01780160050005 · Cited by 87
Incidence of severe dementia in an urban sample followed from 70 to 79 years of age
Nilsson, L. V. (1984) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1984.tb01237.x · Cited by 80
Predictors of survival with Alzheimer's disease: a community-based study
Jagger, C., Clarke, M., & Stone, A. M. (1995) · Psychological Medicine · doi:10.1017/s0033291700028191 · Cited by 76
Prevalence Estimation of Dementia in a Rural Area of Korea
Woo, J. I., Lee, J. H., Yoo, K., Kim, C., Kim, Y., & Shin, Y. S. (1998) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1998.tb02753.x · Cited by 70
Changing Patterns in the Prevalence of Dementia in a Japanese Community: The Hisayama Study
Kiyohara, Y., Yoshitake, T., Kato, I., Ohmura, T., Kawano, H., Ueda, K., & Fujishima, M. (2009) · Gerontology · doi:10.1159/000213625 · Cited by 66
The Nature of Excess Mortality in Nursing Home Patients With Dementia
Dijk, P. T. M. V., van de Sande, H. J., Dippel, D. W. J., & Habbema, J. D. F. (1992) · Journal of Gerontology · doi:10.1093/geronj/47.2.m28 · Cited by 65
Prevalence of Alzheimer's Disease and Other Dementing Disorders in Pamplona, Spain
Manubens, J. M., Martínez‐Lage, J. M., Lacruz, F. A., Muruzábal, J. C., Larumbe, R., Guarch, C., Urrutia, T., Sarrasqueta, P., Martínez‐Lage, P., & Rocca, W. A. (1995) · Neuroepidemiology · doi:10.1159/000109791 · Cited by 65
The prevalence of dementia in Girona.
Pousa, S. L., Reglà, J. L., Franch, J. V., & Lozano Fernández de Pinedo, L. (1995) · PubMed · Cited by 36
Progression and Outcome of Patients in a Canadian Dementia Clinic
Hogan, D. B., Thierer, D. E., Ebly, E. M., & Parhad, I. M. (1994) · Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques · doi:10.1017/s0317167100040919 · Cited by 31
Senile dementia of the Alzheimer type in the Lundby study
Hagnell, O., Fränck, A., Gräsbeck, A., Öhman, R., Otterbeck, L., & Rosman, B. (1992) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf02190258 · Cited by 28
Corso, E. A., Campo, G., Triglio, A., Napoli, A., Reggio, A., & Lanaia, F. (1992) · The Italian Journal of Neurological Sciences · doi:10.1007/bf02224392 · Cited by 17
Senile dementia of the Alzheimer type in the lundby study
Hagnell, O., Fränck, A., Gräsbeck, A., Öhman, R., Öjesjö, L., Otterbeck, L., & Rorsman, B. (1991) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf02219715 · Cited by 13
Cited by
Sorted by citations
2016 Alzheimer's disease facts and figures
Alzheimer's Association (2016) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2016.03.001 · Cited by 5,069
2013 Alzheimer's disease facts and figures
Thies, W. H., & Bleiler, L. (2013) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2013.02.003 · Cited by 3,372
“The larger proportion of older women who have AD and other dementias is explained primarily by the fact that women live longer, on average, than men [88,89].”
2023 Alzheimer's disease facts and figures
(2023) · Alzheimer's & Dementia · doi:10.1002/alz.13016 · Cited by 3,212
2024 Alzheimer's disease facts and figures
(2024) · Alzheimer's & Dementia · doi:10.1002/alz.13809 · Cited by 2,536
2019 Alzheimer’s disease facts and figures.
Alzheimer's Association (2019) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2019.01.010 · Cited by 2,461
“The prevailing view has been that this discrepancy is due to the fact that women live longer than menon average, andolder age is thegreatest risk factor forAlzheimer’s [184,187,188].”
Metadata
- Authors
- Hebert, L. E., Scherr, P. A., McCann, J. J., Beckett, L. A., & Evans, D. A.
- Affiliations
- Rush University Medical Center (US)
- Centers for Disease Control and Prevention (US)
- Rush University (US)
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-01-15
- Volume
- 153
- Issue
- 2
- Pages
- 132-136
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2105835982
- Cited by
- 331
- References
- 51
- Citations by year
- 2026: 6 · 2025: 19 · 2024: 19 · 2023: 11 · 2022: 23 · 2021: 12 · 2020: 18 · 2019: 19 · 2018: 16 · 2017: 18 · 2016: 15 · 2015: 14 · 2014: 12 · 2013: 14 · 2012: 15
- FWCI
- 6.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01ag005362-02, 5r29ag011862-05)
- National Institute on Aging (AG 10161, P30AG010161, AG 05362, AG11862)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- Alzheimer's disease, sex differences, women, age-specific incidence, prevalence, mortality, life expectancy, older adults, sex-specific risk factors
- MeSH terms
- Aged, Alzheimer Disease, Boston, Female, Humans, Longevity, Male, Population Surveillance, Risk Factors, Sex Factors, Incidence, Prevalence, Logistic Models, Odds Ratio, Survival Analysis, Sex Distribution
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review