Table 2.
Association between dementia and ADL disability among the oldest old in 2001, 2010, and 2018
| Variables | Model 1 | Model 2 | Model 3 | Model 4 | ||||
|---|---|---|---|---|---|---|---|---|
| OR (95% CI) | p | OR (95% CI) | p | OR (95% CI) | p | OR (95% CI) | p | |
| Dementia (ref = no dementia) | 7.29 (6.15–8.64) | < 0.001 | 7.20 (6.07–8.53) | < 0.001 | 7.19 (6.05–8.53) | < 0.001 | 4.59 (3.30–6.39) | < 0.001 |
| Age | 1.13 (1.09–1.16) | < 0.001 | 1.13 (1.10–1.16) | < 0.001 | 1.13 (1.10–1.17) | < 0.001 | 1.13 (1.10–1.17) | < 0.001 |
| Gender (ref = male) Female | 1.55 (1.25–1.91) | < 0.001 | 1.53 (1.23–1.89) | < 0.001 | 1.44 (1.16–1.78) | 0.001 | 1.44 (1.16–1.78) | < 0.001 |
| Study year (ref = 2001) | ||||||||
| 2010 | 0.78 (0.63–0.97) | 0.025 | 0.86 (0.69–1.07) | 0.182 | 0.83 (0.66–1.04) | 0.107 | 0.58 (0.41–0.83) | 0.002 |
| 2018 | 0.66 (0.54–0.81) | < 0.001 | 0.74 (0.60–0.92) | 0.007 | 0.69 (0.56–0.86) | 0.001 | 0.47 (0.34–0.66) | < 0.001 |
| Occupational class (ref = Non-manual) | ||||||||
| Manual | 0.97 (0.81–1.16) | 0.741 | 0.94 (0.79–1.13) | 0.505 | 0.93 (0.78–1.12) | 0.463 | ||
| Housewives | 0.92 (0.66–1.28) | 0.630 | 0.93 (0.66–1.29) | 0.649 | 0.92 (0.66–1.29) | 0.642 | ||
| Unknown | 2.28 (1.67–3.13) | < 0.001 | 2.28 (1.66–3.14) | < 0.001 | 2.30 (1.68–3.14) | < 0.000 | ||
| Number of morbidities 0 (ref) | ||||||||
| 1 | 0.94 (0.70–1.28) | 0.698 | 0.95 (0.70–1.29) | 0.739 | ||||
| 2 | 0.90 (0.67–1.21) | 0.496 | 0.93 (0.69–1.24) | 0.611 | ||||
| 3 | 1.26 (0.93–1.71) | 0.135 | 1.29 (0.95–1.75) | 0.103 | ||||
| ≥ 4 | 1.85 (1.33–2.56) | < 0.001 | 1.88 (1.36–2.61) | < 0.001 | ||||
| Dementia * study year (ref = 2001) | ||||||||
| Dementia * 2010 | 1.80 (1.15–2.83) | 0.010 | ||||||
| Dementia * 2018 | 1.85 (1.21–2.83) | 0.005 | ||||||
ADL disability = dependent in at least one activity among dress and undress and get in and out of bed. Outcome variable is ADL disability in all models
The explanatory variables are as follows
Model 1 – dementia, age, gender, and study year
Model 2 – dementia, age and gender, study year, and occupational class
Model 3 – dementia, age, gender, study year, occupational class, and multimorbidity
Model 4 – dementia, age, gender, study year, occupational class, multimorbidity, and interaction between dementia and study year