Dementia Diagnosis Disparities by Race and Ethnicity
Dados Bibliográficos
BACKGROUND: Dementia is often underdiagnosed and this problem is more common among some ethnoracial groups. OBJECTIVE: The objective of this study was to examine racial and ethnic disparities in the timeliness of receiving a clinical diagnosis of dementia. RESEARCH DESIGN: This was a prospective cohort study. SUBJECTS: A total of 3966 participants age 70 years and above with probable dementia in the Health and Retirement Study, linked with their Medicare and Medicaid claims. MEASURES: We performed logistic regression to compare the likelihood of having a missed or delayed dementia diagnosis in claims by race/ethnicity. We analyzed dementia severity, measured by cognition and daily function, at the time of a dementia diagnosis documented in claims, and estimated average dementia diagnosis delay, by race/ethnicity. RESULTS: A higher proportion of non-Hispanic Blacks and Hispanics had a missed/delayed clinical dementia diagnosis compared with non-Hispanic Whites (46% and 54% vs. 41%, P<0.001). Fully adjusted logistic regression results suggested more frequent missed/delayed dementia diagnoses among non-Hispanic Blacks (odds ratio=1.12; 95% confidence interval: 0.91-1.38) and Hispanics (odds ratio=1.58; 95% confidence interval: 1.20-2.07). Non-Hispanic Blacks and Hispanics had a poorer cognitive function and more functional limitations than non-Hispanic Whites around the time of receiving a claims-based dementia diagnosis. The estimated mean diagnosis delay was 34.6 months for non-Hispanic Blacks and 43.8 months for Hispanics, compared with 31.2 months for non-Hispanic Whites. CONCLUSIONS: Non-Hispanic Blacks and Hispanics may experience a missed or delayed diagnosis of dementia more often and have longer diagnosis delays. When diagnosed, non-Hispanic Blacks and Hispanics may have more advanced dementia. Public health efforts should prioritize racial and ethnic underrepresented communities when promoting early diagnosis of dementia
Dementia · Disease · Ethnic group · Race (biology) · Sociology · Anthropology · Dementia and Cognitive Impairment Research · Demography · Gender Studies · Geriatric Care and Nursing Homes · Internal Medicine · Medicine · Mental Health Treatment and Access · Gerontology
Perceived Discrimination and Cognitive Function Among Older Adults
Influence of Care Network Characteristics on Physician Visit Experiences for Black, White, and Hispanic Older Adults With Dementia
Self-efficacy change among diverse family caregivers in dementia care
Perceived Control, Cognitive Training, and Incident Alzheimer’s Disease and Related Dementias in the Active Study
Cognitive Health Disparities by Race and Ethnicity
Examine Race/Ethnicity Disparities in Perception, Intention, and Screening of Dementia in a Community Setting
Racial and Ethnic Disparities in the Monetary Value of Informal Caregiving for Non-Institutionalized People Living With Dementia
Co-calibration of cognitive performance in the National Health and Aging Trends Study with the Health and Retirement Study's Harmonized Cognitive Assessment Protocol
Immigration and access to dementia diagnostics and treatment
Latinos' beliefs regarding the role played by nonmedical factors in the quality of Alzheimer's disease care
Optimizing rural community health to increase interdisciplinary detection and care
Dementia Diagnosis in Postapartheid South Africa
Addressing Disparities in Alzheimer’s Disease-Related Healthcare Through Understanding Factors Contributing to Perceived Vulnerability Among Latinos in Northern Manhattan
Barriers to Timely Dementia Diagnosis in Older Latinos With Limited English Proficiency
Inequalities in the Duration and Lifetime Risk of Dementia in the United States
Risk Selection and Care Fragmentation at Medicare Accountable Care Organizations for Patients With Dementia
Dementia Risk and Social Determinants of Health Among Adults Racialized as Black
Racial and ethnic estimates of Alzheimer's disease and related dementias in the United States (2015–2060) in adults aged ≥65 years
Socioeconomic Disparities In Health
Monetary Costs of Dementia in the United States
Race, Socioeconomic Status, and Health The Added Effects of Racism and Discrimination
The Aging, Demographics, and Memory Study
Caregiver burden for informal caregivers of patients with dementia
Future Monetary Costs of Dementia in the United States Under Alternative Dementia Prevalence Scenarios
Ethnoracial Disparities in Medicare Annual Wellness Visit Utilization
| Obras citantes distintas | 17 |
|---|---|
| Citações por ano | 4,25 |
| Intervalo de citações | 2022 - 2026 (5) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 16 |