Alzheimer ’s Disease and Related Dementias Diagnosis in the United States Among US-Born and Foreign-Born White, Black, Hispanic, and Asian Older Adults

AbstractTimely clinical diagnosis of Alzheimer ’s disease and related dementias (ADRD) is important for resource allocation, mitigating safety concerns, and improving quality of life. While studies have examined ADRD diagnosis disparities by race/ethnicity, few include its intersection with nativity. Our aims were to (1) estimate the odds of d iagnosed ADRD among US- and foreign-born racial/ethnic groups compared to US-born White older adults and (2) make comparisons by nativity within each racial/ethnic group. We linked 2000–2017 National Health Interview Survey (NHIS) and 2001–2018 Medical Expenditure Panel Survey (MEPS) data (65  + years;n = 38,033). Race/ethnicity and nativity were measured using NHIS data. Diagnosed ADRD was determined using ICD-9 (290/294/331/797) or ICD-10 (F01/F03/G30/G31) billing codes created from self-reports during MEPS household interviews. Bivariate and multivariable analyses were adjusted for covariat es based on Anderson’s behavioral model of health services use. US-born Black (OR = 1.74; 95% CI = 1.48–2.05), Hispanic (OR = 1.62; 95% CI = 1.14–2.29), and foreign-born Hispanic (OR = 1.63; 95% CI = 1.24–2.15) older adults, but not foreign-born Black or Asian older a dults, had higher odds of diagnosed ADRD compared to US-born White older adults after adjusting for age and sex. After additional adjustment for education, health insurance, usual source of care, and chronic conditions, only US-born Black...
Source: Journal of Racial and Ethnic Health Disparities - Category: International Medicine & Public Health Source Type: research