Differences Between Women and Men in Incidence Rates of Dementia and Alzheimer’s Disease
Open accessAbstract
In the following brief report, we examined gender differences in incidence rates of any dementia, Alzheimer’s disease (AD) alone, and non-Alzheimer’s dementia alone in 16,926 women and men in the Swedish Twin Registry aged 65+. Dementia diagnoses were based on clinical workup and national health registry linkage. Incidence rates of any dementia and AD were greater in women than men, with any dementia rates diverging after age 85 and AD rates diverging around 80. This pattern is consistent with women’s survival to older ages compared to men. These findings are similar to incidence rates reported in other Swedish samples.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
The observed female predominance is consistent with the known prevalence of AD in females.
“Female donors outnumbered male donors (51 females, 33 males), particularly in those with high ADNC (29 females, 13 males), which is consistent with the known prevalence of AD in females38 (Fig. 1b, middle).”
From Integrated multimodal cell atlas of Alzheimer’s disease (2024) · cites this paper as [38]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
McKhann, G. M., Knopman, D. S., Chertkow, H., Hyman, B. T., Jack, C. R., Kawas, C. H., Klunk, W. E., Koroshetz, W. J., Manly, J. J., Mayeux, R., et al. (2011) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2011.03.005 · Cited by 18,657 · see citing works
Dementia and Alzheimer Disease Incidence: A Prospective Cohort Study
Kukull, W. A., Higdon, R., Bowen, J. D., McCormick, W. C., Teri, L., Schellenberg, G. D., van Belle, G., Jolley, L., & Larson, E. B. (2002) · Archives of Neurology · doi:10.1001/archneur.59.11.1737 · Cited by 806 · see citing works
Apolipoprotein E Genotype and Sex Risk Factors for Alzheimer Disease: A Meta-analysis
Neu, S. C., Pa, J., Kukull, W., Beekly, D., Kuzma, A., Gangadharan, P., Wang, L.-S., Romero, K., Arneric, S. P., Redolfi, A., et al. (2017) · JAMA Neurology · doi:10.1001/jamaneurol.2017.2188 · Cited by 674 · see citing works
Gender differences in the incidence of AD and vascular dementia: The EURODEM Studies
Andersen, K., Launer, L. J., Dewey, M. E., Letenneur, L., Ott, A., Copeland, J. R. M., Dartigues, J.-F., Kragh–Sorensen, P., Baldereschi, M., Brayne, C., et al. (1999) · Neurology · doi:10.1212/wnl.53.9.1992 · Cited by 650 · see citing works
Dementia incidence continues to increase with age in the oldest old: The 90+ study
Corrada, M. M., Brookmeyer, R., Paganini‐Hill, A., Berlau, D., & Kawas, C. H. (2010) · Annals of Neurology · doi:10.1002/ana.21915 · Cited by 523 · see citing works
Incidence 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 · see citing works
Is the Risk of Developing Alzheimer's Disease Greater for Women than for Men?
Hebert, L. E., Scherr, P. A., McCann, J. J., Beckett, L. A., & Evans, D. A. (2001) · American Journal of Epidemiology · doi:10.1093/aje/153.2.132 · Cited by 331 · see citing works
Incidence of Dementia in a Population Older Than 75 Years in the United Kingdom
Paykel, E. S. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950040069009 · Cited by 196 · see citing works
Tom, S. E., Hubbard, R. A., Crane, P. K., Haneuse, S. J., Bowen, J., McCormick, W. C., McCurry, S., & Larson, E. B. (2015) · American Journal of Public Health · doi:10.2105/ajph.2014.301935 · Cited by 185 · see citing works
Flagged first, then by citations
Research works printed but not linked: 36
- [1]Thies W, Bleiler L (2013) 2013 Alzheimer’s disease facts and figures. Alzheimers Dement 9, 208– 245. 23507120
- [2]Mielke MM, Vemuri P, Rocca WA (2014) Clinical epidemiology of Alzheimer’s disease: Assessing sex and gender differences. Clin Epidemiol 6, 37– 48. 24470773 PMC3891487
- [3]Altmann A, Tian L, Henderson VW, Greicius MD (2014) Sex modifies the APOE-related risk of developing Alzheimer disease. Ann Neurol 75, 563– 573. 24623176 PMC4117990
- [4]Rocca WA, Grossardt BR, Shusterd Lynne T (2014) Oophorectomy, estrogen, and dementia: A2014 update. Mol Cell Endocrinol 18, 1199– 1216. PMC4040304 24508665
- [5]Lin KA, Choudhury KR, Rathakrishnan BG, Marks DM, Petrella JR, Doraiswamy PM (2015) Marked gender differences in progression of mild cognitive impairment over 8 years. Alzheimers Dement (NY) 1, 103– 110. PMC4593067 26451386
- [6]Snyder HM, Asthana S, Bain L, Brinton R, Craft S, Dubal DB, Espeland MA, Gatz M, Mielke MM, Raber J, Rapp PR, Yaffe K, Carrillo MC (2016) Sex biology contributions to vulnerability to Alzheimer’s disease: A think tank convened by the Women’s Alzheimer’s Research Initiative. Alzheimers Dement 12, 1186– 1196. 27692800 PMC10341380
- [7]Jorm AF, Jolley D (1998) The incidence of dementia: A meta-analysis. Neurology 51, 728– 733. 9748017
- [8]Fratiglioni L, Viitanen M, von Strauss E, Tontodonati V, Herlitz A, Winblad B (1997) Very old women at highest risk of dementia and Alzheimer’s disease: Incidence data from the Kungsholmen Project, Stockholm. Neurology 48, 132– 138. 9008508
- [9]Ott A (1998) Incidence and risk of dementia. Am J Epidemiol 147, 574– 580. 9521184
- [10]Letenneur L, Gilleron V, Commenges D, Helmer C, Orgogozo JM, Dartigues JF (1999) Are sex and educational level independent predictors of dementia and Alzheimer’s disease? Incidence data from the PAQUID project. J Neurol Neurosurg Psychiatry 66, 177– 183. 10071096 PMC1736218
- [13]Boothby H, Blizard R, Livingston G, Mann A (1994) The Gospel Oak Study stage III: The incidence of dementia. Psychol Med 24, 89– 95. 8208898
- [14]Bickel H, Cooper B (1994) Incidence and relative risk of dementia in an urban elderly population: Findings of a prospective field study. Psychol Med 24, 179– 192. 8208883
- [15]Morgan K, Lilley JM, Arie T, Byrne EJ, Jones R, Waite J (1993) Incidence of dementia in a representative British sample. Br J Psychiatry 163, 467– 470. 8252285
- [16]Brayne C, Gill C, Huppert FA, Barkley C, Gehlhaar E, Girling DM, DW OC, Paykel ES (1995) Incidence of clinically diagnosed subtypes of dementia in an elderly population. Br J Psychiatry 167, 255– 262. 7582679
- [17]Chene G, Beiser A, Au R, Preis SR, Wolf PA, Dufouil C, Seshadri S (2015) Gender and incidence of dementia in the Framingham Heart Study from mid-adult life. Alzheimers Dement 11, 310– 320. 24418058 PMC4092061
- [18]Seshadri S, Wolf PA, Beiser A, Au R, McNulty K, White R, D’Agostino RB Sr (1997) Lifetime risk of dementia and Alzheimer’s disease: The impact of mortality on risk estimates in the Framingham Study. Neurology 49, 1498– 1504. 9409336
- [19]Zandi PP, Carlson MC, Plassman BL, Welsh-Bohmer KA, Mayer LS, Steffens DC, Breitner JC (2002) Hormone replacement therapy and incidence of Alzheimer disease in older women: The Cache County Study. J Am Med Assoc 288, 2123– 2129. 12413371
- [22]Kawas C, Gray S, Brookmeyer R, Fozard J, Zonderman A (2000) Age-specific incidence rates of Alzheimer’s disease: The Baltimore Longitudinal Study of Aging. Neurology 54, 2072– 2077. 10851365
- [23]Edland SD, Rocca WA, Petersen RC, Cha RH, Kokmen E (2002) Dementia and Alzheimer disease incidence rates do not vary by sex in Rochester, Minn. Arch Neurol 59, 1589– 1593. 12374497
- [24]Bachman DL, Wolf PA, Knoefel JE, Cobb JL, Belanger AJ, White LR (1993) Incidence of dementia and probable Alzheimer’s disease in a general population: The Framingham Study. Neurology 43, 515– 519. 8450993
- [25]Kukull WA, Higdon R, Bowen JD, McCormick WC, Teri L, Schellenberg GD, van Belle G, Jolley L, Larson EB (2002) Dementia and Alzheimer disease incidence. Arch Neurol 59, 1737– 1746. 12433261
- [26]Ruitenberg A, Ott A, Van Swieten JC, Hofman A, Breteler MMB (2001) Incidence of dementia: Does gender make a difference? Neurobiol Aging 22, 575– 580. 11445258
- [27]Hagnell O, Lanke J, Rorsman B, Ojesjo L (1981) Does the incidence of age psychosis decrease? Neuropsychobiology 7, 201. 7266826
- [28]Hagnell O, Ojesjo L, Rorsman B (1992) Incidence of dementia in the Lundby Study. Neuroepidemiology 11(Suppl 1), 61– 66. 1603251
- [29]Matthews FE, Stephan BCM, Robinson L, Jagger C, Barnes LE, Arthur A, Brayne C, Comas-Herrera A, Wittenberg R, Dening T, McCracke CFM, Moody C, Parry B, Green E, Barnes R, Warwick J, Gao L, Mattison A, Baldwin C, Harrison S, Woods B, McKeit IG, Ince PG, Wharton SB, Forster G (2016) A two decade dementia incidence comparison from the Cognitive Function and Ageing Studies i and II. Nat Commun 7, 11398. 27092707 PMC4838896
- [30]Matthews FE, Arthur A, Barnes LE, Bond J, Jagger C, Robinson L, Brayne C (2013) A two-decade comparison of prevalence of dementia in individuals aged 65 years and older from three geographical areas of England: Results of the cognitive function and ageing study i and II. Lancet 382, 1405– 1412. 23871492 PMC3906607
- [32]Gao S, Hendrie HC, Hall KS (1998) The relationships between age, sex, and the incidence of dementia and Alzheimer disease: A meta-analysis. Arch Gen Psychiatry 55, 809– 815. 9736007
- [33]Launer LJ, Andersen K, Dewey ME, Letenneur L, Ott A, Amaducci LA, Brayne C, Copeland JRM, Dartigues J-F, Kragh-Sorensen P, Lobo A, Martinez-Lage JM, Stijnen T, Hofman A (1999) Rates and risk factors for dementia and Alzheimer’s disease: Results from EURODEM pooled analyses. Neurology 52, 78– 78. 9921852
- [35]Miech RA, Breitner JCS, Zandi PP, Khachaturian AS, Anthony JC, Mayer L (2002) Incidence of AD may decline in the early 90s for men, later for women: The Cache County study. Neurology 58, 209– 218. 11805246
- [36]Borenstein AR, Wu Y, Bowen JD, McCormick WC, Uomoto J, McCurry SM, Schellenberg GD, Larson EB (2014) Incidence rates of dementia, Alzheimer disease, and vascular dementia in the Japanese American population in Seattle, WA: The Kame Project. Alzheimer Dis Assoc Disord 28, 23– 29. 24045327 PMC4036673
- [37]Kawas CH (2008) The oldest old and the 90+ Study. Alzheimers Dement 4, S56– S59. 18632002 PMC3373258
- [38]Lichtenstein P, Sullivan PF, Cnattingius S, Gatz M, Johansson S, Carlström E, Björk C, Svartengren M, Wolk A, Klareskog L, de Faire U, Schalling M, Palmgren J, Pedersen NL (2006) The Swedish Twin Registry in the third millennium: An update. Twin Res Hum Genet 9, 875– 882. 17254424
- [39]Järvenpää T, Rinne O, Räihä I (2002) Characteristics of two telephone. Dement Geriatr Cogn Disord 13, 149– 155. 11893836
- [41]Jin Y-P, Gatz M, Johansson B, Pedersen NL (2004) Sensitivity and specificity of dementia coding in two Swedish disease registries. Neurology 63, 739– 741. 15326258
- [42]Gatz M, Fratiglioni L, Johansson B, Berg S, Mortimer JA, Reynolds CA, Fiske A, Pedersen NL (2005) Complete ascertainment of dementia in the Swedish Twin Registry: The HARMONY study. Neurobiol Aging 26, 439– 447. 15653172
- [43]Rizzuto D, Feldman AL, Karlsson IK, Dahl Aslan AK, Gatz M, Pedersen NL (2018) Detection of dementia cases in two Swedish health registers: A validation study. J Alzheimers Dis 61, 1301– 1310. 29376854 PMC6218116
Cited by
Sorted by citations
Integrated multimodal cell atlas of Alzheimer’s disease
Gabitto, M. I., Travaglini, K. J., Rachleff, V. M., Kaplan, E. S., Long, B., Ariza, J., Ding, Y., Mahoney, J. T., Dee, N., Goldy, J., et al. (2024) · Nature Neuroscience · doi:10.1038/s41593-024-01774-5 · Cited by 397 · see citing works
“Female donors outnumbered male donors (51 females, 33 males), particularly in those with high ADNC (29 females, 13 males), which is consistent with the known prevalence of AD in females 38 (Fig.”
Xiong, C., Biscardi, M., Astell, A., Nalder, E., Cameron, J. I., Mihailidis, A., & Colantonio, A. (2020) · PLOS ONE · doi:10.1371/journal.pone.0231848 · Cited by 290 · see citing works
“However, with more males taking on the caregiving role as women make up the majority of PWD [60, 61], there has been a growing need to understand caregiving experiences from a sex and gender”
TREM2 dependent and independent functions of microglia in Alzheimer’s disease
Hou, J., Chen, Y., Grajales-Reyes, G., & Colonna, M. (2022) · Molecular Neurodegeneration · doi:10.1186/s13024-022-00588-y · Cited by 191 · see citing works
Gong, J., Harris, K., Lipnicki, D. M., Castro‐Costa, E., Lima‐Costa, M. F., Diniz, B. S., Xiao, S., Lipton, R. B., Katz, M. J., Wang, C., et al. (2023) · Alzheimer's & Dementia · doi:10.1002/alz.12962 · Cited by 141 · see citing works
Diabetes mellitus correlates with increased biological age as indicated by clinical biomarkers
Bahour, N., Cortez, B., Pan, H., Shah, H., Doria, A., & Aguayo-Mazzucato, C. (2022) · GeroScience · doi:10.1007/s11357-021-00469-0 · Cited by 121 · see citing works
Udeh-Momoh, C., & Watermeyer, T. (2021) · Ageing Research Reviews · doi:10.1016/j.arr.2021.101459 · Cited by 67 · see citing works
Okamoto, S., Kobayashi, E., Murayama, H., Liang, J., Fukaya, T., & Shinkai, S. (2021) · BMC Geriatrics · doi:10.1186/s12877-020-01990-1 · Cited by 63 · see citing works
Neurodegeneration and Stroke After Semaglutide and Tirzepatide in Patients With Diabetes and Obesity
Lin, H.-T., Tsai, Y.-F., Liao, P.-L., & Wei, J. C.-C. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.21016 · Cited by 43 · see citing works
The association between white matter hyperintensities and amyloid and tau deposition
Alban, S. L., Lynch, K. M., Ringman, J. M., Toga, A. W., Chui, H. C., Sepehrband, F., & Choupan, J. (2023) · NeuroImage: Clinical · doi:10.1016/j.nicl.2023.103383 · Cited by 35 · see citing works
Lee, J., Wang, Z., Messi, M. L., Milligan, C., Furdui, C. M., & Delbono, O. (2024) · Acta Physiologica · doi:10.1111/apha.14123 · Cited by 15 · see citing works
Impact of Dementia on Long-Term Hip Fracture Surgery Outcomes: An Electronic Health Record Analysis
Xue, T. (., Pan, W., Tsumura, H., Wei, S., Lee, C., & McConnell, E. S. (2023) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2022.11.006 · Cited by 12 · see citing works
Yesiltepe, M., Yin, T., Tambini, M. D., Breuillaud, L., Zehntner, S. P., & D’Adamio, L. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.1040576 · Cited by 6 · see citing works
Pham, H., Yin, T., & D’Adamio, L. (2022) · PLOS ONE · doi:10.1371/journal.pone.0263546 · Cited by 6 · see citing works
Chaaya, M., Assaad, S., Darwish, H., Haber, M., Khoury, R., Saab, D., El Asmar, K., & Hajjar, R. (2025) · Frontiers in Dementia · doi:10.3389/frdem.2024.1494719 · Cited by 4 · see citing works
- Authors
- Beam, C. R., Kaneshiro, C., Jang, J. Y., Reynolds, C. A., Pedersen, N. L., & Gatz, M.
- Affiliations
- University of Southern California (US)
- University of California, Riverside (US)
- Corresponding author
- Beam, Christopher R.
- ORCID
- Venue
- Journal of Alzheimer’s Disease
- Publisher
- SAGE Publications
- Published
- 2018-06-27
- Volume
- 64
- Issue
- 4
- Pages
- 1077-1083
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- PMC
- PMC6226313
- OpenAlex
- W2883094777
- Cited by
- 550
- References
- 9
- Citations by year
- 2026: 84 · 2025: 119 · 2024: 102 · 2023: 69 · 2022: 57 · 2021: 74 · 2020: 38 · 2019: 7
- FWCI
- 23.41
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG008724, T32AG000037)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Keywords
- gender differences, dementia incidence
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Cross-Sectional Studies, Dementia, Female, Humans, Male, Sex Characteristics, Sweden, Cohort Studies, Incidence, Age of Onset
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