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Our results showed that individuals who attained lowest levels of education (8 and 8) had a higher probability of becoming cognitvely impaired compared with people attending 8 years (OR = 2.96 and 1.85). Even within a setting of low levels of formal education, small differences in educational attainment can still be associated with the risk of cognitive impairment. Given the homogeneity of the OOA, these results are less likely to be biased by differences in socioeconomic backgrounds. Even within a setting of low levels of formal