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Examining equity in service use across socioeconomic status in people with dementia
Claire Godard‐Sebillotte, Geneviève Arsenault‐Lapierre, Nadia Sourial, Sanjna Navani, Amélie Quesnel‐Vallée, Louis Rochette, Victoria Kubuta Massamba, Isabelle Vedel. Alzheimer s & Dementia Behavior & Socioeconomics of Aging, 2025-02-19
Topic: Risk, prevention and care in population studies
Abstract INTRODUCTION Inequities associated with socioeconomic status (SES) manifest across dementia outcomes; however, research investigating service use across SES in people with dementia is scarce. METHODS We conducted a repeated yearly cohort study of community‐dwelling people in Quebec with incident dementia (2000–2017), using health administrative data held at the Quebec National Institute of Public Health (INSPQ). We described 23 indicators of health service use and mortality across levels of material deprivation, derived from a validated ecological index based on the average income, employment, and education of residential neighborhoods. RESULTS Age‐standardized rates of 15/23 indicators differed across SES. Among 193,834 older people newly diagnosed with dementia, those from most deprived areas had more hospitalizations, emergency department visits, potentially inappropriate medication prescriptions, and higher 1‐year mortality, though they had higher care continuity. Conversely, rates were comparable across groups for the prescription of dementia‐specific medications and primary care visits. DISCUSSION Stark differences across SES in service use by people with dementia may indicate different health needs and/or allude to pervasive health inequities. These results can inform policies to address the needs of people with lower SES, to offer equitable, appropriate, and needs‐based care to all people living with dementia.
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APA 7th
Godard‐Sebillotte, C., Arsenault‐Lapierre, G., Sourial, N., Navani, S., Quesnel‐Vallée, A., Rochette, L., et al. (2025). Examining equity in service use across socioeconomic status in people with dementia. Alzheimer s & Dementia Behavior & Socioeconomics of Aging. https://doi.org/10.1002/bsa3.70006
Vancouver
Godard‐Sebillotte C, Arsenault‐Lapierre G, Sourial N, Navani S, Quesnel‐Vallée A, Rochette L, et al. Examining equity in service use across socioeconomic status in people with dementia. Alzheimer s & Dementia Behavior & Socioeconomics of Aging. 2025. doi:10.1002/bsa3.70006.
BibTeX
@article{godardsebillotte2025-5fe5230e,
author = {Godard‐Sebillotte, Claire and Arsenault‐Lapierre, Geneviève and Sourial, Nadia and Navani, Sanjna and Quesnel‐Vallée, Amélie and Rochette, Louis and Massamba, Victoria Kubuta and Vedel, Isabelle},
title = {{Examining equity in service use across socioeconomic status in people with dementia}},
journal = {Alzheimer s \& Dementia Behavior \& Socioeconomics of Aging},
year = {2025},
doi = {10.1002/bsa3.70006},
url = {https://doi.org/10.1002/bsa3.70006}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 8 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- Abstract INTRODUCTION Inequities associated with socioeconomic status (SES) manifest across dementia outcomes; however, research investigating service use across SES in people with dementia is scarce.
- RESULTS Age‐standardized rates of 15/23 indicators differed across SES.
- These results can inform policies to address the needs of people with lower SES, to offer equitable, appropriate, and needs‐based care to all people living with dementia.
Why it matters
Among 193,834 older people newly diagnosed with dementia in Quebec, rates of 15 of 23 health service use indicators differed by socioeconomic status, with those from the most deprived areas having more hospitalizations, emergency visits, and higher 1-year mortality. The study is about service use and inequities, not about treating, curing, or preventing Alzheimer's disease.
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Study details
- Study designcohort study
- Evidence strengthModerate
How this study scored 42/100
Published in a peer-reviewed journal, and it is a cohort study following people over time. Scored zero for sample size, effect reported, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia Behavior & Socioeconomics of Aging) |
| Journal's citation record | 0 / 4 | Alzheimer s & Dementia Behavior & Socioeconomics of Aging: journal h-index 4 (OpenAlex, 2026-10-29) |
| Study design | 7 / 12 | A cohort study following people over time |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.3× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Isabelle Vedel: h-index 39 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | McGill University: institution h-index 1,373 (OpenAlex) |
| Multicenter collaboration | 2 / 3 | OpenAlex lists 6 institution(s) in 1 country |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Total | 42 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1002/bsa3.70006
- Original source →
- Free full text: Alzheimer s & Dementia Behavior & Socioeconomics of Aging →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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