ArticleInternational journal for equity in health2020
Sex differences in the management of persons with dementia following a subnational primary care policy intervention.
Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Research on dementia and inequalities in care and support - a map of the terrain and discussion of key issues.International journal for equity in health · 2026Review
- Mapping social determinants of cognitive health in Canada: a scoping review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Article
- Temporal trends in sex differences in dementia care-results from the Swedish registry for cognitive/dementia disorders, SveDem.Scientific reports · 2025Article
- Sex and gender differences in access, quality of care, and effectiveness of treatment in dementia: a scoping review of studies up to 2024.Archives of public health = Archives belges de sante publique · 2025Article
- Behavioral and Psychological Symptoms of Dementia and Mortality Risk Among People With Cognitive Impairment: An 8-year Longitudinal Study From the NCGG-STORIES.Journal of epidemiology · 2024Article
- Do clinical guidelines support person-centred care for women affected by dementia: A content analysis.Dementia (London, England) · 2024Article
- Considering inequities in national dementia strategies: breadth, depth, and scope.International journal for equity in health · 2024Article
- Neuropsychiatric symptoms in patients with possible vascular cognitive impairment, does sex matter?Cerebral circulation - cognition and behavior · 2022Article
- Sex-Specific Associations of Diabetes With Brain Structure and Function in a Geriatric Population.Frontiers in aging neuroscience · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe influence of sex and gender on the risk of dementia, its clinical presentation and progression is increasingly being recognized. However, current dementia strategies have not explicitly considered sex and gender differences in the management of dementia to ensure equitable care. The objective of this study was to examine the moderating effect of sex on the quality of care following the implementation of the Quebec Alzheimer Plan (QAP).
methodsWe conducted a secondary analysis of the evaluation of the QAP consisting of a retrospective chart review of 945 independent, randomly-selected patient charts of males and females 75+ years old with dementia and a visit to one of 13 participating Family Medicine Groups before (October 2011-July 2013) and after (October 2014 - July 2015). The quality of dementia care score, based on Canadian and international recommendations and consensus guidelines, consisted of documented assessments in 10 domains. We used a mixed linear regression model to measure the interaction between sex and the implementation of the QAP on the quality of dementia care score, adjusting for age and number of medications.
resultsWe found that improvements in the quality of dementia care following the QAP were larger for men than women (mean difference = 4.97; 95%CI: 0.08, 9.85). We found that men had a larger improvement in four indicators (driving assessments, dementia medication management, Alzheimer Society referrals, and functional status evaluation), while women had a smaller improvement in three (home care needs, behavioural and psychological symptoms of dementia, and weight). Men were prescribed fewer anticholinergics post-QAP, while women were prescribed more. Cognitive testing improved in men but decreased for women following the QAP; the opposite was observed for caregiver needs.
conclusionWhile the overall quality of care improved after the implementation of the QAP, this study reveals differences in dementia management between men and women. While we identified areas of inequalities in the care received, it is unclear whether this represents inequities in access to care and health outcomes. Future research should focus on better understanding sex and gender-specific needs in dementia to bridge this gap and better inform dementia strategies.
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