Table 1. Descriptive Distribution of the Participants after Performing Multiple Imputations (N = 44,083).

From: The Mediating Effect of Smoking on the Association between Income and Dementia among Japanese Older People

Characteristic* Overall participants (N = 44,083) Men (n = 20,634) Women (n = 23,449)
≥2.0 million JPY <2.0 million JPY ≥2.0 million JPY <2.0 million JPY ≥2.0 million JPY <2.0 million JPY
n (%) n (%) n (%) n (%) n (%) n (%)
Smoking status
Non-current smoker 19,830 (89.7) 19,351 (88.0) 8,936 (82.1) 7,671 (78.7) 10,894 (97.2) 11,680 (95.5)
Current smoker 2,273 (10.3) 2,629 (12.0) 1,955 (17.9) 2,073 (21.3) 318 (2.8) 556 (4.5)
Age
65-69 7,179 (32.5) 5,885 (26.8) 3,595 (33.0) 2,601 (26.7) 3,584 (32.0) 3,284 (26.8)
70-74 6,439 (29.1) 6,739 (30.7) 3,186 (29.3) 3,055 (31.4) 3,253 (29.0) 3,684 (30.1)
75-79 4,604 (20.8) 5,235 (23.8) 2,227 (20.5) 2,325 (23.9) 2,377 (21.2) 2,911 (23.8)
80-84 2,706 (12.2) 2,813 (12.8) 1,349 (12.4) 1,248 (12.8) 1,357 (12.1) 1,565 (12.8)
≥85 1,175 (5.3) 1,308 (6.0) 533 (4.9) 515 (5.3) 642 (5.7) 793 (6.5)
Educational attainment
≥13 years 5,584 (25.3) 2,642 (12.0) 3,504 (32.2) 1,508 (15.5) 2,080 (18.6) 1,133 (9.3)
10-12 years 8,935 (40.4) 6,806 (31.0) 4,062 (37.3) 3,010 (30.9) 4,873 (43.5) 3,796 (31.0)
6-9 years 7,310 (33.1) 11,901 (54.1) 3,239 (29.7) 5,028 (51.6) 4,071 (36.3) 6,873 (56.2)
<6 years 274 (1.2) 632 (2.9) 86 (0.8) 197 (2.0) 189 (1.7) 434 (3.5)
Self-rated health
Very good 2,970 (13.4) 2,357 (10.7) 1,537 (14.1) 1,084 (11.1) 1,433 (12.8) 1,273 (10.4)
Good 15,707 (71.1) 14,889 (67.7) 7,550 (69.3) 6,422 (65.9) 8,157 (72.8) 8,467 (69.2)
Poor 2,989 (13.5) 4,113 (18.7) 1,567 (14.4) 1,898 (19.5) 1,423 (12.7) 2,216 (18.1)
Very poor 437 (2.0) 620 (2.8) 237 (2.2) 339 (3.5) 199 (1.8) 281 (2.3)
GDS
Not depression 17,331 (78.4) 14,376 (65.4) 8,510 (78.1) 6,261 (64.3) 8,821 (78.7) 8,114 (66.3)
Suggestive depression 3,907 (17.7) 5,496 (25.0) 1,931 (17.7) 2,500 (25.7) 1,976 (17.6) 2,996 (24.5)
Depression 865 (3.9) 2,108 (9.6) 450 (4.1) 982 (10.1) 415 (3.7) 1,127 (9.2)
Marital status
Having partner 16,558 (74.9) 15,206 (69.2) 9,524 (87.4) 8,323 (85.4) 7,034 (62.7) 6,884 (56.3)
Not having a partner 5,546 (25.1) 6,773 (30.8) 1,367 (12.6) 1,421 (14.6) 4,179 (37.3) 5,353 (43.7)
Walking time
≥90 minutes 3,647 (16.5) 3,171 (14.4) 1,883 (17.3) 1,506 (15.5) 1,764 (15.7) 1,665 (13.6)
60-89 minutes 3,699 (16.7) 3,281 (14.9) 1,922 (17.7) 1,522 (15.6) 1,777 (15.8) 1,759 (14.4)
30-59 minutes 8,114 (36.7) 7,504 (34.1) 3,973 (36.5) 3,253 (33.4) 4,140 (36.9) 4,251 (34.7)
<30 minutes 6,644 (30.1) 8,024 (36.5) 3,112 (28.6) 3,463 (35.5) 3,532 (31.5) 4,562 (37.3)
Employment status
Have job 5,779 (26.1) 4,036 (18.4) 3,607 (33.1) 2,214 (22.7) 2,172 (19.4) 1,822 (14.9)
Retired job 13,887 (62.8) 14,449 (65.7) 6,944 (63.8) 6,844 (70.2) 6,943 (61.9) 7,605 (62.2)
Never had job 2,438 (11.0) 3,494 (15.9) 340 (3.1) 685 (7.0) 2,098 (18.7) 2,809 (23.0)
Alcohol consumption habit
Not drink 12,589 (57.0) 13,988 (63.6) 3,597 (33.0) 3,746 (38.4) 8,992 (80.2) 10,242 (83.7)
Used to drink 717 (3.2) 814 (3.7) 600 (5.5) 657 (6.7) 117 (1.0) 158 (1.3)
Drink 8,797 (39.8) 7,178 (32.7) 6,694 (61.5) 5,341 (54.8) 2,104 (18.8) 1,837 (15.0)
Table 2. Incidence Rates of Dementia in Overall Participants and Stratified by Sex (2010-2019).

From: The Mediating Effect of Smoking on the Association between Income and Dementia among Japanese Older People

Overall participants Men Women
Dementia incidence (%) Dementia incidence by person-year Dementia incidence (%) Dementia incidence by person-year Dementia incidence (%) Dementia incidence by person-year
Total 17.3 0.023 16.2 0.022 18.2 0.023
Equivalent income (JPY)
≥2.0 million 15.4 0.020 14.4 0.019 16.3 0.021
<2.0 million 19.1 0.025 18.2 0.025 19.8 0.026
Smoking status
Non-current smoker 17.3 0.0225 16.1 0.022 18.1 0.023
Current smoker 17.1 0.0235 16.7 0.023 19.0 0.026
Age
65-69 4.8 0.006 5.3 0.006 4.3 0.005
70-74 10.6 0.013 10.9 0.014 10.4 0.013
75-79 23.1 0.031 21.8 0.031 24.1 0.032
80-84 37.2 0.059 33.3 0.054 40.6 0.062
≥85 50.8 0.101 46.0 0.096 54.4 0.105
Educational attainment
≥13 years 14.4 0.019 14.4 0.019 14.4 0.018
10-12 years 15.2 0.020 13.7 0.018 16.4 0.021
6-9 years 19.1 0.025 18.8 0.026 19.3 0.025
<6 years 39.8 0.065 33.8 0.055 42.5 0.069
Self-rated health
Very good 11.8 0.015 11.0 0.014 12.7 0.016
Good 15.9 0.020 14.9 0.020 16.7 0.021
Poor 25.5 0.037 24.1 0.036 26.8 0.037
Very poor 28.2 0.048 24.4 0.045 32.7 0.052
GDS
Not depression 15.4 0.020 14.5 0.019 16.1 0.020
Suggestive depression 21.4 0.029 19.9 0.028 22.8 0.030
Depression 24.2 0.035 22.1 0.033 26.1 0.037
Marital status
Having partner 14.6 0.019 15.4 0.020 13.6 0.017
Not having partner 24.1 0.033 21.4 0.031 24.8 0.034
Walking time
≥90 minutes 11.6 0.014 10.2 0.013 13.0 0.016
60-89 minutes 14.2 0.018 13.6 0.018 14.8 0.019
30-59 minutes 16.5 0.021 16.0 0.021 16.9 0.021
<30 minutes 22.1 0.031 20.9 0.030 23.2 0.031
Employment status
Have job 10.1 0.013 10.1 0.013 10.2 0.012
Retired job 17.9 0.024 17.9 0.024 17.9 0.023
Never had job 26.1 0.036 28.6 0.043 25.5 0.035
Alcohol consumption habit
Not drink 19.3 0.025 19.1 0.027 19.4 0.025
Used to drink 20.5 0.029 21.5 0.032 16.1 0.021
Drink 13.5 0.017 13.9 0.018 12.4 0.015
Region of residence
Area 1 16.1 0.021 15.7 0.021 16.4 0.021
Area 2 20.1 0.027 21.0 0.029 19.3 0.025
Area 3 20.5 0.028 19.2 0.027 21.7 0.029
Area 4 22.2 0.028 20.5 0.026 23.6 0.030
Area 5 13.8 0.019 14.3 0.021 13.1 0.018
Area 6 14.9 0.021 14.0 0.020 15.8 0.022
Area 7 17.2 0.024 16.6 0.024 17.7 0.024
Area 8 13.7 0.017 12.8 0.017 14.4 0.018
Area 9 17.7 0.022 15.8 0.020 19.3 0.023
Area 10 15.0 0.017 13.0 0.015 16.9 0.019
Area 11 19.6 0.026 18.2 0.025 20.5 0.027
Table 3. Association between Income and Dementia and Mediating Effect of Smoking during 9-Year Follow-Up.

From: The Mediating Effect of Smoking on the Association between Income and Dementia among Japanese Older People

Smoking status
Overall participants (N = 44,083) Men (n = 20,634) Women (n = 23,449)
Excess relative risk (95% CI) Excess relative risk (95% CI) Excess relative risk (95% CI)
Total effect* 0.095 0.102 0.082
(0.032-0.157) (0.011-0.192) (−0.003 to 0.168)
Natural indirect effect* 0.007 0.007 0.005
(0.004-0.011) (0.002-0.013) (0.001-0.009)
Natural direct effect* 0.087 0.094 0.077
(0.026-0.149) (0.005-0.184) (−0.008 to 0.162)
Proportion mediated (%)* 7.7 7.3 6.4
Walking time
Overall participants (n = 44,083) Men (n = 20,634) Women (n = 23,449)
Excess relative risk (95% CI) Excess relative risk (95% CI) Excess relative risk (95% CI)
Total effect* 0.094 0.104 0.082
(0.032-0.156) (0.014-0.194) (−0.003 to 0.167)
Natural indirect effect* 0.004 0.005 0.004
(0.002-0.007) (0.001-0.009) (0.0002-0.007)
Natural direct effect* 0.090 0.099 0.078
(0.028-0.152) (0.009-0.189) (−0.006 to 0.162)
Proportion mediated (%)* 4.5 4.9 4.5
Alcohol consumption habit
Overall participants (n = 44,083) Men (n = 20,634) Women (n = 23,449)
Excess relative risk (95% CI) Excess relative risk (95% CI) Excess relative risk (95% CI)
Total effect* 0.092 0.102 0.078
(0.030-0.155) (0.013-0.192) (−0.007 to 0.164)
Natural indirect effect* 0.004 0.006 0.002
(0.001-0.007) (0.001-0.010) (−0.001 to 0.005)
Natural direct effect* 0.089 0.097 0.076
(0.027-0.151) (0.008-0.186) (0.009-0.162)
Proportion mediated (%)* 4.2 5.4 3.0
PAGE TOP