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Table 3 Multilevel Survival Analysis for Developing Dementia Onset (Participants Nested in 346 Community Areas)

From: Community-level educational attainment and dementia: a 6-year longitudinal multilevel study in Japan

 

Crude

 

Model 1

 

Model 2

 
 

HR

95% CI

 

HR

95% CI

 

HR

95% CI

 

All participants (n = 51,186)

 Community-level educational attainmenta

1.04

(1.02–1.07)

*

1.03

(1.01–1.05)

*

1.04

(1.01–1.07)

*

 Individual-level educational attainmentb

1.54

(1.43–1.65)

*

1.11

(1.03–1.19)

*

1.08

(1.01–1.16)

*

 Cross-level interaction

0.96

(0.92–0.99)

*

0.98

(0.94–1.01)

 

0.98

(0.94–1.02)

 

Non-Urban (n = 20,967)

 Community-level educational attainmenta

1.08

(1.03–1.13)

*

1.06

(1.01–1.11)

*

1.07

(1.02–1.13)

*

 Individual-level educational attainmentb

1.67

(1.44–1.93)

*

1.10

(0.95–1.28)

 

1.07

(0.92–1.25)

 

 Cross-level interaction

0.92

(0.87–0.98)

*

0.98

(0.91–1.05)

 

0.98

(0.92–1.05)

 

Urban (n = 30,219)

 Community-level educational attainmenta

1.01

(0.98–1.04)

 

1.02

(0.99–1.05)

 

1.03

(0.99–1.06)

 

 Individual-level educational attainmentb

1.51

(1.39–1.64)

*

1.11

(1.02–1.21)

*

1.09

(1.00–1.18)

 

 Cross-level interaction

0.97

(0.91–1.03)

 

0.98

(0.93–1.04)

 

0.98

(0.93–1.04)

 
  1. Notes: HR hazard ratio, CI confidence interval; aHR for 10 percentage point increment of proportion of educational attainment in a community area; bHR for educational attainment less than 9 yr. Model 1: crude model + age + sex; Model 2: Model 1 + community-level covariate (population density) + individual-level covariates (income, years of residence, stroke, hypertension, diabetes, hearing loss, frequency of drinking, smoking status, and social isolation). *: p < 0.05