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Neal Devitt, MD; Santa Fe, NM

JAMA. 1994;272(18):1405.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Dr Stern and colleagues¹ propose that "[a]dvanced educational and occupational attainment may also supply a reserve that allows an individual to cope longer before AD [Alzheimer's disease] is clinically expressed." A more parsimonious hypothesis would be that those of lower socioeconomic status are exposed to more environmental insult in life such as pollutants² and malnutrition that may cause a global neurological insult that allows the pathological lesion of AD to become clinically manifest at an earlier stage. . . . [Full Text PDF of this Article]

Footnotes
Edited by Drummond Rennie, MD, Deputy Editor (West), and Margaret A. Winker, MD, Senior Editor.

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