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. 2023 Oct 2;23:1903. doi: 10.1186/s12889-023-16768-4

Table 3.

Hazard ratio of developing dementia according to influenza vaccination

Vaccine type Demographic Category Dementia type Model 1: HR (95%C.I.) Model 2: HR (95%C.I.) Model 3: HR (95%C.I.) E-valuea
Influenza All All 1.03 (1.02–1.05) 0.96 (0.94–0.97) 0.96 (0.94–0.97) 1.26 (1.20)
Alzheimer’s 1.15 (1.12–1.18) 1.1 (1.07–1.12) 1.10 (1.07–1.12) 1.42 (1.33)
Other 0.98 (0.96–1.00) 0.89 (0.87–0.91) 0.89 (0.87–0.91) 1.50 (1.44)
Gender Male All 1.07 (1.04–1.09) 0.97 (0.94–0.99) 0.97 (0.94–0.99) 1.23 (1.11)
Alzheimer’s 1.20 (1.15–1.25) 1.11 (1.07–1.16) 1.11 (1.07–1.16) 1.47 (1.33)
Other 1.01 (0.98–1.04) 0.9 (0.88–0.93) 0.90 (0.88–0.93) 1.45 (1.35)
Female All 1.01 (0.99–1.03) 0.95 (0.93–0.97) 0.95 (0.93–0.97) 1.29 (1.21)
Alzheimer’s 1.13 (1.09–1.17) 1.08 (1.05–1.12) 1.08 (1.05–1.12) 1.38 (1.27)
Other 0.96 (0.93–0.98) 0.88 (0.86–0.9) 0.88 (0.86–0.9) 1.53 (1.46)
Age 70–74 All 1.11 (1.07–1.16) 1.01 (0.97–1.05) 1.01 (0.97–1.05) 1.09 (1.00)
Alzheimer’s 1.27 (1.20–1.35) 1.18 (1.11–1.26) 1.18 (1.11–1.26) 1.65 (1.46)
Other 1.02 (0.97–1.08) 0.9 (0.85–0.96) 0.9 (0.85–0.95) 1.45 (1.27)
75–79 All 1.06 (1.03–1.10) 0.98 (0.94–1.01) 0.97 (0.94–1.01) 1.19 (1.00)
Alzheimer’s 1.14 (1.08–1.20) 1.07 (1.02–1.13) 1.07 (1.02–1.13) 1.34 (1.14)
Other 1.01 (0.97–1.06) 0.92 (0.88–0.96) 0.92 (0.88–0.96) 1.41 (1.26)
80–84 All 1.00 (0.97–1.03) 0.94 (0.91–0.97) 0.94 (0.91–0.97) 1.31 (1.20)
Alzheimer’s 1.15 (1.09–1.2) 1.11 (1.06–1.17) 1.11 (1.06–1.17) 1.47 (1.32)
Other 0.93 (0.89–0.96) 0.86 (0.83–0.89) 0.86 (0.83–0.89) 1.60 (1.49)
85–89 All 0.97 (0.94–1.01) 0.91 (0.88–0.94) 0.91 (0.88–0.94) 1.44 (1.33)
Alzheimer’s 1.08 (1.02–1.14) 1.03 (0.97–1.09) 1.03 (0.97–1.09) 1.21 (1.00)
Other 0.93 (0.9–0.97) 0.85 (0.82–0.89) 0.85 (0.82–0.89) 1.62 (1.50)
90 +  All 1.09 (1.04–1.14) 1.01 (0.97–1.06) 1.01 (0.97–1.06) 1.12 (1.00)
Alzheimer’s 1.19 (1.09–1.3) 1.14 (1.04–1.25) 1.14 (1.04–1.25) 1.54 (1.25)
Other 1.06 (1.01–1.11) 0.98 (0.93–1.03) 0.98 (0.93–1.03) 1.19 (1.00)

Model 1: Adjusted for gender, age, and practice-level factors. Model 2: Further adjustments for IMD, ethnicity, and time-dependent indicators for the conditions in the Charlson Comorbidity Index. Model 3: Further adjustments for IMD, ethnicity, time-dependent indicators for the conditions in the Charlson Comorbidity Index, and time-dependent antiviral status

aE-value and minimum effect (confidence interval closest to the null) based on HR estimates with model 3