Noah J Webster, Laura B Zahodne, Kristine J Ajrouch, Toni C Antonucci
{"title":"Introduction to the Costs of Alzheimer's Disease and Related Dementias.","authors":"Noah J Webster, Laura B Zahodne, Kristine J Ajrouch, Toni C Antonucci","doi":"10.1177/08982643241265789","DOIUrl":"10.1177/08982643241265789","url":null,"abstract":"<p><p>This special issue is the result of the Michigan Center for Contextual Factors in Alzheimer's Disease (MCCFAD) third Summer Data Immersion (SDI) program held on May 23-26, 2022. Thirty-seven researchers from 17 universities participated in the program, which emphasized racial/ethnic and other contextual factors in the study of Alzheimer's disease and related dementias (ADRD) costs using a team science approach. During the program, data from the Health and Retirement Study were used to investigate multiple topics related to both financial and non-financial costs of ADRD including: (1) life course socioeconomic factors, (2) costs of preclinical ADRD, (3) COVID-19, (4) family members' employment outcomes, (5) geographic contexts, (6) monetary value of unpaid ADRD care, and (7) spousal relations for couples living with ADRD.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"507-509"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stipica Mudrazija, Jordan Palms, Ji Hyun Lee, Amanda Maher, Laura B Zahodne, William J Chopik
{"title":"Preclinical Dementia and Economic Well-Being Trajectories of Racially Diverse Older Adults.","authors":"Stipica Mudrazija, Jordan Palms, Ji Hyun Lee, Amanda Maher, Laura B Zahodne, William J Chopik","doi":"10.1177/08982643241237292","DOIUrl":"10.1177/08982643241237292","url":null,"abstract":"<p><p>ObjectivesThis study examined the magnitude, changes, and racial/ethnic disparities in the economic costs of the 16-year preclinical phase of dementia-a period of cognitive decline without significant impact on daily activities. <b>Methods:</b> The study utilized two dementia algorithms to classify individuals with incident dementia in the Health and Retirement Study. These cases were compared to matched controls in terms of poverty status, labor force participation, and unsecured debts. <b>Results:</b> Older adults classified with dementia were more likely to drop out of the labor force and become poor than similar older adults without dementia. Racial/ethnic disparities in poverty persisted during the preclinical period, with non-Hispanic Black older adults more likely to leave the labor force and Hispanic older adults more likely to have unsecured debt. <b>Discussion:</b> Findings highlight the economic costs during prodromal phase of dementia, emphasizing need for early interventions to reduce financial strain across diverse older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"523-534"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Racial and Ethnic Disparities in the Monetary Value of Informal Caregiving for Non-Institutionalized People Living With Dementia.","authors":"Phillip Cantu, Tsai-Chin Cho, Mary Wyman, Brooke Helppie-McFall, Kristine J Ajrouch","doi":"10.1177/08982643241262917","DOIUrl":"10.1177/08982643241262917","url":null,"abstract":"<p><strong>Objective: </strong>To examine racial and ethnic differences in costs of informal caregiving among older adults with dementia in the United States.</p><p><strong>Methods: </strong>We used data from the 2002 to 2018 Health and Retirement Survey to estimate annual informal care hours for adults with dementia (<i>n</i> = 10,015). We used regression models to examine racial and ethnic differences in hours of informal care for activities of daily living (ADL) and instrumental ADL, controlling for demographic characteristics, education, and level of disability.</p><p><strong>Results: </strong>Our sample was 70% non-Hispanic White, 19% non-Hispanic Black, and 11% Hispanic. Hispanics received, on average, 35.8 hours of informal care each week, compared to 30.1 for Blacks and 20.1 for Whites. Racial and ethnic differences persisted when controlling for covariates.</p><p><strong>Discussion: </strong>Informal care is a greater cost to racial and ethnic minoritized families. Informal care was valued at a replacement cost of $44,656 for Hispanics, $37,508 for Blacks, and $25,121 for Whites.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"570-582"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yan Zhang, Yiyang Yuan, Maria Roche-Dean, Irving Vega, Richard Gonzalez
{"title":"A Visualization Tool to Study Dyadic Caregiving Health Profiles.","authors":"Yan Zhang, Yiyang Yuan, Maria Roche-Dean, Irving Vega, Richard Gonzalez","doi":"10.1177/08982643241255739","DOIUrl":"10.1177/08982643241255739","url":null,"abstract":"<p><strong>Objectives: </strong>Guided by a life course perspective and fundamental cause theory, this study aims to visualize co-trajectories of health between partners and examine how changes in one spouse's cognitive status can cohesively impact the health of the other spouse along three dimensions (functional, mental, and cognitive).</p><p><strong>Methods: </strong>Drawing longitudinal data from the Health and Retirement Study 2000-2016 (<i>N</i> = 3582), we measure women's health profiles by functional limitation (physical health), depression (mental health), and cognitive function (cognitive health). We use multivariate linear mixed models to summarize these paths in the same visual representation.</p><p><strong>Results: </strong>The approach provides a visualization tool that depicts data and model in the same spatial representation allowing assessment of model fit and comparison. This study advances the traditional life course studies by representing underlying processes as a multidimensional time vector of health outcomes.</p><p><strong>Discussion: </strong>The described approach provides a blueprint for studying complex health profiles or trajectories.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"583-596"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rural-Urban Health Care Cost Differences Among Latinx Adults With and Without Dementia in the United States.","authors":"Ángela Gutiérrez, Mónika López-Anuarbe, Noah J Webster, Elham Mahmoudi","doi":"10.1177/08982643231207517","DOIUrl":"10.1177/08982643231207517","url":null,"abstract":"<p><strong>Objectives: </strong>To compare rural-urban health care costs among Latinx adults ages 51+ and examine variations by dementia status.</p><p><strong>Methods: </strong>Data are from the Health and Retirement Study (2006-2018 waves; <i>n</i> = 15,567). We inflation-adjusted all health care costs using the 2021 consumer price index. Geographic context and dementia status were the main exposure variables. We applied multivariate two-part generalized linear models and adjusted for sociodemographic and health characteristics.</p><p><strong>Results: </strong>Rural residents had higher total health care costs, regardless of dementia status. Total health care costs were $850 higher in rural ($2,640) compared to urban ($1,789) areas (<i>p</i> < .001). Out-of-pocket costs were $870 higher in rural ($2,677) compared to urban ($1,806) areas (<i>p</i> < .001). Dementia status was not an effect modifier.</p><p><strong>Discussion: </strong>Health care costs are disproportionately higher among Latinx rural, relative to urban, residents. Addressing health care costs among Latinx rural residents is a public health priority.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"559-569"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeffrey E Stokes, Tiffany B Kindratt, Toni C Antonucci, Chelsea G Cox, HwaJung Choi
{"title":"Employment Dynamics Among Adult Children at the Onset of Parental Dementia: Variation by Sociodemographic Characteristics.","authors":"Jeffrey E Stokes, Tiffany B Kindratt, Toni C Antonucci, Chelsea G Cox, HwaJung Choi","doi":"10.1177/08982643231201547","DOIUrl":"10.1177/08982643231201547","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the influence of sociodemographic factors on employment changes among adult children following onset of parental Alzheimer's disease and related dementia (ADRD).</p><p><strong>Methods: </strong>We used Health and Retirement Study (2010-2018; <i>N</i> = 20,110) data to examine adult child (ages 50-70) changes in employment and work hours at onset of parental ADRD and potential variation by gender, age, race, ethnicity, and education.</p><p><strong>Results: </strong>Parental ADRD onset was not associated with changes in adult child employment overall, although associations differed substantially across subpopulations defined by education level. Sons with the lowest education were <i>least</i> likely to cease employment, while daughters with the lowest education were <i>most</i> likely to reduce work hours. Sons at older ages were increasingly likely to reduce work hours or end employment following parental ADRD onset.</p><p><strong>Discussion: </strong>The potential impact of parental ADRD on adult child employment is complex and should be considered in the context of sociodemographic factors.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"546-558"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11010591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10232576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Monique J Brown, Paris B Adkins-Jackson, Linda Sayed, Fei Wang, Amanda Leggett, Lindsay H Ryan
{"title":"The Worst of Times: Depressive Symptoms Among Racialized Groups Living With Dementia and Cognitive Impairment During the COVID-19 Pandemic.","authors":"Monique J Brown, Paris B Adkins-Jackson, Linda Sayed, Fei Wang, Amanda Leggett, Lindsay H Ryan","doi":"10.1177/08982643231223555","DOIUrl":"10.1177/08982643231223555","url":null,"abstract":"<p><p><b>Objective:</b> To explore differences in depressive symptoms for older adults (Black, Latinx, and White) by cognitive status during the 2020 COVID-19 pandemic. <b>Methods:</b> Data from the Health and Retirement Study identified older adults as cognitively normal, cognitively impaired without dementia (CIND), and persons living with dementia (PLWD). Multiple linear regression analyses examined associations between cognitive status and depressive symptoms among these racialized groups. <b>Results:</b> Compared to the cognitively normal older adults racialized as Black, those with CIND reported higher depressive symptoms during the pandemic (overall and somatic) and PLWD had higher somatic symptoms (<i>p</i> < .01). Older adults racialized as White with CIND reported higher somatic (<i>p</i> < .01) symptoms compared to cognitively normal older adults racialized as White. <b>Discussion:</b> The COVID-19 pandemic was a challenging event among older adults racialized as Black with CIND and PLWD. Future studies should examine if these depressive symptoms persist over time.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"535-545"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11542616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashly C Westrick, Darlingtina K Esiaka, Helen C S Meier, Ronica N Rooks, Mark Manning, Wassim Tarraf
{"title":"Cognition and Wealth Changes in Mid-to-later Life: A Latent Class Trajectories Approach Using the Health and Retirement Study.","authors":"Ashly C Westrick, Darlingtina K Esiaka, Helen C S Meier, Ronica N Rooks, Mark Manning, Wassim Tarraf","doi":"10.1177/08982643241232003","DOIUrl":"10.1177/08982643241232003","url":null,"abstract":"<p><p>ObjectivesTo assess how cognitive trajectories from mid-to-later life relate to wealth change, overall and by mid-life income. <b>Methods:</b> Data were from participants (51-64 years) in the 2000-2018 U.S. Health and Retirement Study who were cognitively healthy at baseline (year 2000; unweighted <i>n</i> = 3821). Longitudinal latent class analyses generated cognitive and wealth trajectories, independently, and multinomial logistic regressions estimated the association between cognitive trajectories and wealth profiles, overall and by median income. <b>Results:</b> We identified three cognitive: cognitively healthy (CH), increasing cognitive impairment (ICI), and increasing dementia (ID) and four wealth profiles: stable wealth loss (SWL), delayed gradual wealth loss (DGWL), stable wealth gain (SWG), and gradual wealth gain (GWG). The ID group had higher probability of being in the SWL group and lower probability of SWG, which was more pronounced in respondents with greater median income. <b>Discussion:</b> Individuals with ID may be vulnerable to wealth loss, particularly for middle-class households.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"510-522"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11479652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Children's Educational Attainment and Older Parents' Food Insecurity: Evidence From India.","authors":"Akif Mustafa, Chander Shekhar","doi":"10.1177/08982643241283984","DOIUrl":"https://doi.org/10.1177/08982643241283984","url":null,"abstract":"<p><p><b>Objectives:</b> To examine the relationship between children's educational attainment and the risk of food insecurity among older parents and to determine if this relationship varies by the sex and residence of the children. <b>Methods:</b> This study utilized data from the Longitudinal Ageing Survey in India (LASI, 2017-18), comprising 25,914 individuals aged 60+ with at least one living child. Logistic regression, interaction analysis, and propensity score matching were employed to achieve the study's objectives. <b>Results:</b> Having a child with higher education (undergraduate or above) was associated with a 35% reduction in the odds of parents experiencing food insecurity. This negative relationship was significant for both sons' and daughters' education, with daughters' education having higher effect size. <b>Conclusion:</b> In a country like India, characterized by a weak welfare system but a strong collectivist family culture, children's education may play an important role in ensuring older parents' food security.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241283984"},"PeriodicalIF":2.2,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily C Rutter, Mark Oremus, Colleen J Maxwell, Suzanne L Tyas
{"title":"Functional Social Support Subtypes Are Associated With Executive Function in Middle-Aged and Older Adults: Findings From the Baseline Comprehensive Cohort of the Canadian Longitudinal Study on Aging.","authors":"Emily C Rutter, Mark Oremus, Colleen J Maxwell, Suzanne L Tyas","doi":"10.1177/08982643241279879","DOIUrl":"https://doi.org/10.1177/08982643241279879","url":null,"abstract":"<p><strong>Objectives: </strong>We investigated whether functional social support-the degree to which one perceives support is available when needed-is associated with executive function, a key cognitive domain for everyday functioning and adaptation to change.</p><p><strong>Methods: </strong>Analyses (<i>n</i> = 23,491) utilized cross-sectional data from the Comprehensive cohort of the Canadian Longitudinal Study on Aging (CLSA), a population-based study of community-dwelling adults aged 45-85 years. Executive function was assessed by neurocognitive battery. Perceived social support was measured using the 19-item Medical Outcomes Study-Social Support Survey. Logistic regression models were adjusted for sociodemographic, health, and social covariates.</p><p><strong>Results: </strong>Positive social interactions as well as affectionate and emotional/informational functional social support were positively associated with executive function.</p><p><strong>Discussion: </strong>Social support plays an important role in cognitive health. Diversifying social programming beyond tangible social support to target other subtypes of support may help preserve executive function in middle-aged and older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241279879"},"PeriodicalIF":2.2,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}