Men with dementia die sooner than women, study finds

08/21/2025 / By Ava Grace

Men with dementia die faster than women—27.2 percent of men died within a year of diagnosis compared to 21.8 percent of women. This gap persists even after accounting for age, health conditions and socioeconomic factors.
Men require more intensive medical care, including 50.5 percent higher hospitalization rates, greater reliance on hospice and emergency services and fewer transitions to nursing homes – likely due to severe behavioral symptoms overwhelming caregivers.
Late diagnoses, higher cardiovascular risks (e.g., hypertension) and aggressive behavioral symptoms (e.g., agitation) in men contribute to worse outcomes and increased healthcare costs.
Proactive measures – like anti-inflammatory diets, stress management, toxin reduction and oral hygiene—are critical, especially for men, who face deadlier trajectories post-diagnosis.
With dementia cases projected to triple by 2050, the study calls for sex-specific care strategies to address the disproportionate impact on men, whose severe outcomes strain healthcare systems.

A groundbreaking study tracking nearly six million dementia patients has uncovered a startling gender gap: Men with dementia die faster than women and require more intensive – and costly – medical care. The research, conducted by Duke University and published in a leading medical journal, followed 5.7 million Medicare patients from 2014 to 2021, revealing that men were 24 percent more likely to die after diagnosis, even when accounting for age, race and preexisting health conditions. These findings challenge long-held assumptions about dementia outcomes and expose critical weaknesses in how healthcare systems respond to the crisis. With dementia cases projected to triple by 2050, the study underscores the urgent need for sex-specific prevention and care strategies.

The survival gap

Within a year of diagnosis, 27.2 percent of men had died compared to 21.8 percent of women – a disparity that persisted throughout the eight-year study. Even after adjusting for socioeconomic factors and comorbidities, men still faced significantly higher mortality rates. Researchers suggest several reasons for this gap. Men are often diagnosed at more advanced stages, missing opportunities for early interventions that could slow progression. Additionally, higher rates of cardiovascular risks – such as heart disease, strokes and hypertension – in men may accelerate cognitive decline. Behavioral symptoms, including severe agitation, confusion and aggression, also contribute to more hospitalizations and emergency care, further straining their health outcomes. (Related: Study finds loneliness increases risk of developing dementia.)

Why men strain the system

The study found that men with dementia required far more medical resources than women. They were 50.5 percent more likely to be hospitalized compared to 46.9 percent of women, more dependent on hospice care and neuroimaging services, and less likely to enter skilled nursing facilities – a sign that families struggle to manage their care at home.

Experts theorize that societal caregiving norms play a role in this disparity. Women often receive longer-term, home-based care from family members, while men’s behavioral symptoms may overwhelm caregivers, forcing greater reliance on hospitals and emergency services. This not only increases healthcare costs but also highlights systemic gaps in supporting male dementia patients.

Prevention over treatment

While the study focused on post-diagnosis outcomes, researchers emphasized that prevention remains the best defense against dementia. Key strategies include incorporating anti-inflammatory foods like wild-caught salmon, blueberries and turmeric to combat brain inflammation. Reducing exposure to environmental toxins, such as heavy metals and pesticides, may also lower dementia risk. Chronic stress accelerates brain aging, making stress management techniques like meditation and therapy crucial. Additionally, maintaining oral health is vital, as poor dental hygiene has been linked to higher dementia rates. These proactive measures are especially important for men, who face a deadlier trajectory once diagnosed.

A looming crisis

With dementia cases expected to skyrocket, the study highlights an urgent need for policy changes. Women may develop dementia more frequently, but men face more severe outcomes – and the healthcare system is ill-prepared for the strain. This research shatters the myth that dementia affects genders equally. Men die sooner, require costlier care and confront unique challenges that demand tailored solutions. As the population ages, addressing these disparities could mean the difference between a manageable public health challenge and a full-blown crisis. The time to act is now – before millions more families feel the devastating toll.

Watch and learn about the causes of dementia and how to lower your risk of getting it.

This video is from the Holistic Herbalist channel on Brighteon.com.