Table 1.
| Among patients without cognitive impairment at baseline | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
|
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| Variable | Full sample (born Sept 1 1925 to Sept 1 1942) | Sample in the MSE-optimal bandwidth | |||||||||||
|
| |||||||||||||
| All | Women | Men | All | Women | Men | ||||||||
| n | % | n | % | n | % | n | % | n | % | n | % | ||
|
| |||||||||||||
| 282,557 | 100.0 | 154,237 | 54.6 | 128,319 | 45.4 | 58,569 | 100.0 | 32,311 | 55.2 | 26,258 | 44.8 | ||
| Quintile of Welsh Index of Multiple Deprivation | 1 (most deprived) | 47,321 | 16.7 | 26,071 | 16.9 | 21,249 | 16.6 | 9,654 | 16.5 | 5,391 | 16.7 | 4,263 | 16.2 |
| 2 | 53,628 | 19.0 | 29,516 | 19.1 | 24,112 | 18.8 | 11,060 | 18.9 | 6,248 | 19.3 | 4,812 | 18.3 | |
| 3 | 61,528 | 21.8 | 33,596 | 21.8 | 27,932 | 21.8 | 12,854 | 21.9 | 7,081 | 21.9 | 5,773 | 22.0 | |
| 4 | 58,352 | 20.7 | 31,461 | 20.4 | 26,891 | 21.0 | 12,117 | 20.7 | 6,569 | 20.3 | 5,548 | 21.1 | |
| 5 (least deprived) | 61,728 | 21.8 | 33,593 | 21.8 | 28,135 | 21.9 | 12,884 | 22.0 | 7,022 | 21.7 | 5,862 | 22.3 | |
| Clinical diagnoses | |||||||||||||
| Past shingles | 34,280 | 12.1 | 20,461 | 13.3 | 13,819 | 10.8 | 7,611 | 13.0 | 4,592 | 14.2 | 3,019 | 11.5 | |
| Ischemic heart disease | 45,456 | 16.1 | 17,928 | 11.6 | 27,528 | 21.5 | 10,488 | 17.9 | 4,168 | 12.9 | 6,320 | 24.1 | |
| COPD | 33,191 | 11.7 | 15,586 | 10.1 | 17,605 | 13.7 | 7,164 | 12.2 | 3,314 | 10.3 | 3,850 | 14.7 | |
| Past stroke | 20,938 | 7.4 | 10,028 | 6.5 | 10,910 | 8.5 | 4,879 | 8.3 | 2,362 | 7.3 | 2,517 | 9.6 | |
| Past lower respiratory tract infection | 145,299 | 51.4 | 80,214 | 52.0 | 65,085 | 50.7 | 30,880 | 52.7 | 16,980 | 52.6 | 13,900 | 52.9 | |
| History of lung cancer | 1,179 | 0.4 | 554 | 0.4 | 625 | 0.5 | 268 | 0.5 | 130 | 0.4 | 138 | 0.5 | |
| Past fall(s) | 52,620 | 18.6 | 35,997 | 23.3 | 16,623 | 13.0 | 11,897 | 20.3 | 8,161 | 25.3 | 3,736 | 14.2 | |
| History of colorectal cancer | 5,662 | 2.0 | 2,445 | 1.6 | 3,217 | 2.5 | 1,295 | 2.2 | 557 | 1.7 | 738 | 2.8 | |
| History of lower back pain | 126,210 | 44.7 | 72,250 | 46.8 | 53,960 | 42.1 | 26,471 | 45.2 | 15,379 | 47.6 | 11,092 | 42.2 | |
| History of breast cancer | 6,506 | 2.3 | 6,449 | 4.2 | 57 | 0.4 | 1,327 | 3.2 | 1,319 | 4.1 | 8 | <0.1 | |
| History of pancreatic cancer | 162 | 0.6 | 81 | <0.1 | 81 | <0.1 | 28 | <0.1 | 14 | <0.1 | 14 | <0.1 | |
| Diabetes mellitus | 55,354 | 19.6 | 26,289 | 17.0 | 29,065 | 22.7 | 12,185 | 20.8 | 5,903 | 18.3 | 6,282 | 23.9 | |
| Uptake of preventive health measures | |||||||||||||
| Breast cancer screening | 35,759 | 12.7 | 34,680 | 22.5 | - | - | 6,195 | 10.6 | 5,952 | 18.4 | - | - | |
| PPV-23 | 172,149 | 70.3 | 106,803 | 69.2 | 91,874 | 71.6 | 42,872 | 73.2 | 23,109 | 71.5 | 19,763 | 75.3 | |
| Influenza vaccine | 193,856 | 68.6 | 103,678 | 67.2 | 90,178 | 70.3 | 41,412 | 70.7 | 22,248 | 68.9 | 19,164 | 73.0 | |
| Recent statin use | 130,175 | 46.1 | 65,910 | 42.7 | 64,265 | 50.1 | 27,747 | 47.4 | 14,449 | 44.7 | 13,298 | 50.6 | |
| Recent antihypertensive use | 198,677 | 61.0 | 93,025 | 60.3 | 79,124 | 61.7 | 37,712 | 64.4 | 20,651 | 63.9 | 17,061 | 65.0 | |
|
| |||||||||||||
| Among patients living with dementia at baseline | |||||||||||||
|
|
|||||||||||||
| Variable | Full sample (born Sept 1 1925 to Sept 1 1942) | Sample in the MSE-optimal bandwidth | |||||||||||
|
| |||||||||||||
| All | Women | Men | All | Women | Men | ||||||||
| n | % | n | % | n | % | n | % | n | % | n | % | ||
|
| |||||||||||||
| 14,350 | 100.0 | 8,957 | 62.4 | 5,393 | 37.6 | 3,418 | 100.0 | 2,064 | 60.4 | 1,354 | 39.6 | ||
| Quintile of Welsh Index of Multiple Deprivation | 1 (most deprived) | 2,734 | 19.1 | 1,699 | 19.0 | 1,035 | 19.2 | 648 | 19.0 | 408 | 19.8 | 240 | 17.7 |
| 2 | 3,012 | 21.0 | 1,897 | 21.2 | 1,115 | 20.7 | 729 | 21.3 | 458 | 22.2 | 271 | 20.0 | |
| 3 | 3,021 | 21.1 | 1,932 | 21.6 | 1,089 | 20.2 | 730 | 21.4 | 440 | 21.3 | 290 | 21.4 | |
| 4 | 2,788 | 19.4 | 1,718 | 19.2 | 1,070 | 19.8 | 655 | 19.2 | 379 | 18.4 | 276 | 20.4 | |
| 5 (least deprived) | 2,795 | 19.5 | 1,711 | 19.1 | 1,084 | 20.1 | 656 | 19.2 | 379 | 18.4 | 277 | 20.5 | |
| Clinical diagnoses | |||||||||||||
| Past shingles | 1,761 | 12.3 | 1,176 | 13.1 | 585 | 10.8 | 400 | 11.7 | 254 | 12.3 | 146 | 10.8 | |
| Ischemic heart disease | 2,975 | 20.7 | 1,513 | 16.9 | 1,462 | 27.1 | 725 | 21.2 | 360 | 17.4 | 365 | 27.0 | |
| COPD | 2,073 | 14.4 | 1,133 | 12.6 | 940 | 17.4 | 475 | 13.9 | 253 | 12.3 | 222 | 16.4 | |
| Past stroke | 2,654 | 18.5 | 1,461 | 16.3 | 1,193 | 22.1 | 640 | 18.7 | 325 | 15.7 | 315 | 23.3 | |
| Past lower respiratory tract infection | 8,661 | 60.4 | 5,365 | 59.9 | 3,296 | 61.1 | 2,013 | 58.9 | 1,196 | 57.9 | 817 | 60.3 | |
| History of lung cancer | 58 | 0.4 | 28 | 0.3 | 30 | 0.6 | 20 | 0.6 | 10 | 0.5 | 10 | 0.7 | |
| Past fall(s) | 6,652 | 46.4 | 4,608 | 51.4 | 2,044 | 37.9 | 1,476 | 43.2 | 983 | 47.6 | 493 | 36.4 | |
| History of colorectal cancer | 285 | 2.0 | 138 | 1.5 | 147 | 2.7 | 60 | 1.8 | 25 | 1.2 | 35 | 2.6 | |
| History of lower back pain | 6,530 | 45.5 | 4,161 | 46.5 | 2,369 | 43.9 | 1,573 | 46.0 | 996 | 48.3 | 577 | 42.6 | |
| History of breast cancer | 300 | 2.1 | 298 | 3.3 | < 10 | <0.1 | 68 | 2.0 | 68 | 3.3 | < 10 | <0.1 | |
| History of pancreatic cancer | < 10 | <0.1 | < 10 | <0.1 | < 10 | <0.1 | < 10 | 0.1 | < 10 | 0.1 | < 10 | <0.1 | |
| Diabetes mellitus | 3,332 | 23.2 | 1,926 | 21.5 | 1,406 | 26.1 | 853 | 25.0 | 486 | 23.5 | 367 | 27.1 | |
| Uptake of preventive health measures | |||||||||||||
| Breast cancer screening | 1,384 | 9.6 | 1,327 | 14.8 | - | - | 343 | 10.0 | 323 | 15.6 | - | - | |
| PPV-23 | 10,478 | 73.0 | 6,330 | 70.7 | 4,148 | 76.9 | 2,512 | 73.5 | 1,473 | 71.4 | 1,039 | 76.7 | |
| Influenza vaccine | 9,586 | 66.8 | 5,840 | 65.2 | 3,746 | 69.5 | 2,263 | 66.2 | 1,331 | 64.5 | 932 | 68.8 | |
| Recent statin use | 6,596 | 46.0 | 3,863 | 43.1 | 2,733 | 50.7 | 1,650 | 48.3 | 938 | 45.4 | 712 | 52.6 | |
| Recent antihypertensive use | 7,535 | 52.5 | 4,608 | 51.4 | 2,927 | 54.3 | 1,801 | 52.7 | 1,058 | 51.3 | 743 | 54.9 | |
The baseline date was September 1 2013 (the start date of the HZ vaccination program).
The length of the MSE-optimal bandwidth was 95.1 weeks for patients without cognitive impairment at baseline and 97.5 weeks for patients living with dementia at baseline.
Deciles of the Welsh Index of Multiple Deprivation (WIMD) were calculated based on the 2011 WIMD survey(58).
Breast cancer screening was defined as the proportion of women with a record of referral to, attendance at, or a report from “breast cancer screening” or mammography at any time prior to September 1 2013. “PPV-23” was defined as receipt of the pneumococcal vaccine as an adult at any time prior to September 1 2013. “Influenza vaccine” was defined as influenza vaccine receipt in the 12 months preceding September 1 2013. Recent statin and antihypertensive use was defined as a new or repeat prescription of a statin or antihypertensive drug, respectively, in the 12 months preceding September 1 2013.
Diabetes mellitus referred to both diabetes mellitus type 1 or type 2.
Abbreviations: Sept = September; MSE = mean squared error-optimal; COPD = Chronic Obstructive Pulmonary Disease; PPV-23 = Pneumococcal Polysaccharide Vaccine