Trends in Alzheimer Disease Mortality Among American Indian and Alaska Native People Between 2011 and 2019.
PurposeThe number of American Indian and Alaska Native (AI/AN) people living with dementia is expected to increase 5-fold by 2060. Social determinants of health may explain disparities in the incidence of Alzheimer disease (AD) but remain largely overlooked.MethodsWe examined the time trend of AD mo...
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ftcdlib:oai:escholarship.org:ark:/13030/qt9jk5k5tw 2023-07-16T03:56:58+02:00 Trends in Alzheimer Disease Mortality Among American Indian and Alaska Native People Between 2011 and 2019. Amiri, Solmaz Jiang, Luohua Manson, Spero M Buchwald, Dedra S 93 - 99 2023-04-01 https://escholarship.org/uc/item/9jk5k5tw unknown eScholarship, University of California qt9jk5k5tw https://escholarship.org/uc/item/9jk5k5tw public Alzheimer disease and associated disorders, vol 37, iss 2 Humans Alzheimer Disease United States American Indian or Alaska Native Acquired Cognitive Impairment Aging Alzheimer's Disease Dementia Neurosciences Neurodegenerative Arctic Rural Health Brain Disorders Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) 8.1 Organisation and delivery of services Health and social care services research Neurological Good Health and Well Being Clinical Sciences Cognitive Sciences Geriatrics article 2023 ftcdlib 2023-06-26T18:00:39Z PurposeThe number of American Indian and Alaska Native (AI/AN) people living with dementia is expected to increase 5-fold by 2060. Social determinants of health may explain disparities in the incidence of Alzheimer disease (AD) but remain largely overlooked.MethodsWe examined the time trend of AD mortality rates and associations of the percentage of AI/ANs, density of primary care physicians and neurologists, area deprivation index, rurality, and Indian Health Service region with AD mortality in 646 purchased/referred care delivery area counties.ResultsAD mortality rates significantly increased over time. Counties with higher concentrations of AI/AN people had lower AD mortality. More deprived counties had 34% higher AD mortality compared with less deprived counties. AD mortality was 20% lower in nonmetro counties than in metro counties.ConclusionsFindings have implications for prioritizing areas where more resources for AD care, education, or outreach are needed. Article in Journal/Newspaper Arctic Alaska University of California: eScholarship Arctic Indian |
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University of California: eScholarship |
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topic |
Humans Alzheimer Disease United States American Indian or Alaska Native Acquired Cognitive Impairment Aging Alzheimer's Disease Dementia Neurosciences Neurodegenerative Arctic Rural Health Brain Disorders Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) 8.1 Organisation and delivery of services Health and social care services research Neurological Good Health and Well Being Clinical Sciences Cognitive Sciences Geriatrics |
spellingShingle |
Humans Alzheimer Disease United States American Indian or Alaska Native Acquired Cognitive Impairment Aging Alzheimer's Disease Dementia Neurosciences Neurodegenerative Arctic Rural Health Brain Disorders Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) 8.1 Organisation and delivery of services Health and social care services research Neurological Good Health and Well Being Clinical Sciences Cognitive Sciences Geriatrics Amiri, Solmaz Jiang, Luohua Manson, Spero M Buchwald, Dedra S Trends in Alzheimer Disease Mortality Among American Indian and Alaska Native People Between 2011 and 2019. |
topic_facet |
Humans Alzheimer Disease United States American Indian or Alaska Native Acquired Cognitive Impairment Aging Alzheimer's Disease Dementia Neurosciences Neurodegenerative Arctic Rural Health Brain Disorders Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) 8.1 Organisation and delivery of services Health and social care services research Neurological Good Health and Well Being Clinical Sciences Cognitive Sciences Geriatrics |
description |
PurposeThe number of American Indian and Alaska Native (AI/AN) people living with dementia is expected to increase 5-fold by 2060. Social determinants of health may explain disparities in the incidence of Alzheimer disease (AD) but remain largely overlooked.MethodsWe examined the time trend of AD mortality rates and associations of the percentage of AI/ANs, density of primary care physicians and neurologists, area deprivation index, rurality, and Indian Health Service region with AD mortality in 646 purchased/referred care delivery area counties.ResultsAD mortality rates significantly increased over time. Counties with higher concentrations of AI/AN people had lower AD mortality. More deprived counties had 34% higher AD mortality compared with less deprived counties. AD mortality was 20% lower in nonmetro counties than in metro counties.ConclusionsFindings have implications for prioritizing areas where more resources for AD care, education, or outreach are needed. |
format |
Article in Journal/Newspaper |
author |
Amiri, Solmaz Jiang, Luohua Manson, Spero M Buchwald, Dedra S |
author_facet |
Amiri, Solmaz Jiang, Luohua Manson, Spero M Buchwald, Dedra S |
author_sort |
Amiri, Solmaz |
title |
Trends in Alzheimer Disease Mortality Among American Indian and Alaska Native People Between 2011 and 2019. |
title_short |
Trends in Alzheimer Disease Mortality Among American Indian and Alaska Native People Between 2011 and 2019. |
title_full |
Trends in Alzheimer Disease Mortality Among American Indian and Alaska Native People Between 2011 and 2019. |
title_fullStr |
Trends in Alzheimer Disease Mortality Among American Indian and Alaska Native People Between 2011 and 2019. |
title_full_unstemmed |
Trends in Alzheimer Disease Mortality Among American Indian and Alaska Native People Between 2011 and 2019. |
title_sort |
trends in alzheimer disease mortality among american indian and alaska native people between 2011 and 2019. |
publisher |
eScholarship, University of California |
publishDate |
2023 |
url |
https://escholarship.org/uc/item/9jk5k5tw |
op_coverage |
93 - 99 |
geographic |
Arctic Indian |
geographic_facet |
Arctic Indian |
genre |
Arctic Alaska |
genre_facet |
Arctic Alaska |
op_source |
Alzheimer disease and associated disorders, vol 37, iss 2 |
op_relation |
qt9jk5k5tw https://escholarship.org/uc/item/9jk5k5tw |
op_rights |
public |
_version_ |
1771543499860082688 |