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Dementia research is susceptible to bias arising from selective survival, a process that results in individuals with certain characteristics disproportionately surviving to old age. Spurious associations between risk factors and dementia may be induced when factors associated with longer survival also influence dementia incidence. To assess the role of selective survival in explaining reported sex/gender differences in dementia incidence. This decision analytical model used a simulated cohort of US participants aged 50 years and without