Education, Occupational Complexity, and Incident Dementia: A COSMIC Collaborative Cohort Study

Jinshil Hyun, Charles B. Hall, Mindy J. Katz, Carol A. Derby, Darren M. Lipnicki, John D. Crawford, Antonio Guaita, Roberta Vaccaro, Annalisa Davin, Ki Woong Kim, Ji Won Han, Jong Bin Bae, Susanne Röhr, Steffi Riedel-Heller, Mary Ganguli, Erin Jacobsen, Tiffany F. Hughes, Henry Brodaty, Nicole A. Kochan, Julian TrollorAntonio Lobo, Javier Santabarbara, Raul Lopez-Anton, Perminder S. Sachdev, Richard B. Lipton

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Background: Education and occupational complexity are main sources of mental engagement during early life and adulthood respectively, but research findings are not conclusive regarding protective effects of these factors against late-life dementia. Objective: This project aimed to examine the unique contributions of education and occupational complexity to incident dementia, and to assess the mediating effects of occupational complexity on the association between education and dementia across diverse cohorts. Method: We used data from 10,195 participants (median baseline age = 74.1, range = 58∼103), representing 9 international datasets from 6 countries over 4 continents. Using a coordinated analysis approach, the accelerated failure time model was applied to each dataset, followed by meta-analysis. In addition, causal mediation analyses were performed. Result: The meta-analytic results indicated that both education and occupational complexity were independently associated with increased dementia-free survival time, with 28%of the effect of education mediated by occupational complexity. There was evidence of threshold effects for education, with increased dementia-free survival time associated with 'high school completion' or 'above high school' compared to 'middle school completion or below'. Conclusion: Using datasets from a wide range of geographical regions, we found that both early life education and adulthood occupational complexity were independently predictive of dementia. Education and occupational experiences occur during early life and adulthood respectively, and dementia prevention efforts could thus be made at different stages of the life course.

Original languageEnglish (US)
Pages (from-to)179-196
Number of pages18
JournalJournal of Alzheimer's Disease
Issue number1
StatePublished - 2022


  • Cognitive reserve
  • coordinated analysis
  • education
  • occupational complexity

ASJC Scopus subject areas

  • General Neuroscience
  • Clinical Psychology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health


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