Aging and health research最新文献

{"title":"Dietary variety and nutrient intake among Japanese community-dwelling older adults: A cross-sectional study","authors":"Mika Kimura ,&nbsp;Ai Moriyasu ,&nbsp;Ryo Miyazaki","doi":"10.1016/j.ahr.2024.100200","DOIUrl":"10.1016/j.ahr.2024.100200","url":null,"abstract":"<div><h3>Background</h3><p>Maintaining good nutritional status through a varied diet is key to healthy aging.</p></div><div><h3>Methods</h3><p>This cross-sectional study investigated the association between dietary variety based on the food frequency score (FFS, the score of the frequency of daily intake of 10 food groups, range 0–30) and nutrient intake based on a brief self-administered diet history questionnaire. Data from 130 older adults were analyzed. In addition, the association between FFS and estimated average requirement (EAR) deficiency in the Dietary Reference Intakes for Japanese was investigated.</p></div><div><h3>Results</h3><p>FFS significantly correlated with most of 29 nutrients investigated, except for carbohydrate and sodium, and inversely correlated with alcohol. FFS categorized into tertiles was significantly associated with many of 29 nutrients, except for carbohydrates, n-3 unsaturated fat, vitamin D, vitamin B12, sodium, and manganese, and inversely associated with alcohol. Multiple logistic regression analysis showed that a higher FFS significantly decreased the odds of EAR deficiencies of vitamin A, thiamine, vitamin C, calcium, magnesium, and zinc. The calculated cutoff values of FFS for EAR deficiencies were 17 for vitamin A, vitamin C, and calcium or 18 for thiamine, magnesium, and zinc.</p></div><div><h3>Conclusion</h3><p>Based on FFS, this study found that dietary variety was significantly associated with various nutrients and inversely associated with EAR deficiency rates among community-dwelling older adults. These results indicate that improving FFS may help maintain nutritional status, and the simple recommendation of a daily intake of 10 food groups may be useful for community-dwelling older adults.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 3","pages":"Article 100200"},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000210/pdfft?md5=425959fed96516a88a25bab60089065e&pid=1-s2.0-S2667032124000210-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141963303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balance and strength measures are associated with incident dementia in older men","authors":"Jack Paterson ,&nbsp;Michelle Trevenen ,&nbsp;Keith Hill ,&nbsp;Osvaldo P. Almeida ,&nbsp;Bu B. Yeap ,&nbsp;Jonathan Golledge ,&nbsp;Graeme J. Hankey ,&nbsp;Leon Flicker","doi":"10.1016/j.ahr.2024.100199","DOIUrl":"10.1016/j.ahr.2024.100199","url":null,"abstract":"<div><h3>Background</h3><p>As people age the risk of dementia increases. Balance and strength deteriorate with ageing, but their associations with dementia are not clear. We aimed to determine relationships of balance and strength performance with incident dementia in the Health in Men Study (HIMS) cohort.</p></div><div><h3>Methods</h3><p>We used wave 4 of the HIMS as baseline for analyses (2011–2013), following 1261 men until December 2017 via data linkage to determine incident dementia. Balance was measured using a modified Balance Outcome Measure for Elder Rehabilitation (mBOOMER) Score and strength with the knee extension test. Cox proportional hazards regression was used, adjusting for sociodemographic and health data. Strength and balance scores were analysed non-linearly using restricted cubic splines.</p></div><div><h3>Results</h3><p>13.7% of men were diagnosed with dementia over a mean period of 4.7 (SD 1.5) years. Higher baseline mBOOMER scores were associated with a reduced risk of incident dementia, with greater changes in risk at higher mBOOMER scores (9 vs 8: HR 0.80, 95% CI 0.73–0.88; 12 vs 11: 0.49, 95% HR 0.36–0.68). Higher baseline lower limb strength was associated with a reduced risk of incident dementia, with greater changes occurring at lower scores, plateauing at around 25 kg (5 vs 4: HR 0.93, 95% CI 0.89–0.98; 25 vs 24: HR 0.99, 95% CI 0.95–1.03).</p></div><div><h3>Conclusions</h3><p>This study demonstrated a non-linear association of better performance in both strength and balance with reduced likelihood of incident dementia. These results raise the hypothesis that strategies to improve strength and balance could reduce the incidence of dementia in older men.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 3","pages":"Article 100199"},"PeriodicalIF":0.0,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000209/pdfft?md5=58c6ab653c866f4daad40d93953bdacc&pid=1-s2.0-S2667032124000209-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual frailty screening: A quality improvement project to enhance community-based assessment","authors":"Titus A. Chan ,&nbsp;Anne H.J. Summach ,&nbsp;Tammy O'Rourke","doi":"10.1016/j.ahr.2024.100198","DOIUrl":"10.1016/j.ahr.2024.100198","url":null,"abstract":"<div><h3>Background</h3><p>Conventional approaches to frailty assessment rely on in-person evaluation by health professionals in medical settings. The COVID-19 pandemic drastically limited access to both primary care and face-to-face appointments, highlighting a need for novel and forward-thinking frailty screening methods to bridge this gap. Community-based seniors-serving organizations are well-positioned to implement remote frailty assessment, given its potential to enhance virtual services and referrals.</p></div><div><h3>Methods</h3><p>The Clinical Frailty Scale (CFS) was adapted and implemented as Virtual Frailty Screening (VFS), using the Plan-Do-Study-Act (PDSA) framework, in an inner-city organization for older adults. Participants participated in phone assessments by social workers (SWs); in-person visits included the CFS for comparative purposes. As a component of our larger quality improvement initiative, pilot data were analyzed descriptively alongside inferential methods consisting of Kendall's τ_b, <em>Χ</em>²-test of association, and Wilcoxon matched-pairs signed-rank test.</p></div><div><h3>Results</h3><p>Over 101 older adults were screened, with 79.21 % being assigned as very mild to moderately frail. VFS usage enabled crucial referrals for 70 older adults to receive long-term frailty-specific support and services in the community. Analysis found that the VFS performed similarly to the CFS, established by high convergent validity and alignment between both scales.</p></div><div><h3>Conclusions</h3><p>Findings support the implementation of remote frailty assessment by SWs in community-based seniors serving organizations. This integration bridges immediate service gaps, introducing a transformative approach to frailty assessment which has the potential for scalability. Success was attributed to a multidisciplinary approach with rapid PDSA changes in a nimble organization.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 3","pages":"Article 100198"},"PeriodicalIF":0.0,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000192/pdfft?md5=a848f5c63a1e516efcc89eb353422d31&pid=1-s2.0-S2667032124000192-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141639353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The accuracy of bedside attention tests for delirium detection in older outpatients with cognitive impairment","authors":"D.W.P. Quispel-Aggenbach ,&nbsp;Sytse U Zuidema ,&nbsp;Hendrika J Luijendijk","doi":"10.1016/j.ahr.2024.100196","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100196","url":null,"abstract":"<div><h3>Background</h3><p>To determine the test accuracy of four observations, three explorations and four short tests commonly used in psychiatric examinations to detect attention disorders related to delirium in older outpatients.</p></div><div><h3>Method</h3><p>We performed a test accuracy study among 86 older patients referred for cognitive screening to an outpatient clinic of a psychiatric institution. Eleven index tests were applied without knowledge of the reference standard. A geriatrician or psychiatrist blinded to the results of the index tests determined the reference diagnosis with DSM-IV-TR criteria. Observations were lack of adequate/ regular eye-contact, dozing off during conversation, dozing off when not stimulated, and losing the point of story. Explored was lack of concentration during activities, difficulty following conversation, and being easily distracted. Serial 7s, WORLD spelled backward, months of the year backward (MOTYB) and counting back from 20 to 0 were applied. Test accuracy was calculated for the single tests and combinations.</p></div><div><h3>Results</h3><p>Dozing off during conversation scored high specificity (97.9 %) as did dozing off when not stimulated (97.9 %), but both had low sensitivity (&lt; 27.9 %). Test accuracy of the exploration questions was low. Serial 7s and WORLD spelled backwards had high sensitivity (92.7 %, respectively 80.5 %) but low specificity (&lt; 51.1 % %). The best combination was MOTYB with WORLD spelled backward (sensitivity of 63.4 %, specificity of 77.8 %).</p></div><div><h3>Conclusions</h3><p>No single observation, exploration or short test of attention was found to have both high sensitivity and specificity. Probably, attention deficits in delirium are best detected with a combination of observations and short tests as part of a comprehensive psychiatric examination.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 3","pages":"Article 100196"},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000179/pdfft?md5=a775706520258d311c82a0b09ad0ac9a&pid=1-s2.0-S2667032124000179-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overuse of benzodiazepines for anxiety disorders in older adults and cognitive decline: Which alternatives?","authors":"Leonardo Massoni","doi":"10.1016/j.ahr.2024.100197","DOIUrl":"10.1016/j.ahr.2024.100197","url":null,"abstract":"<div><p>Benzodiazepines (BDZs) are psychotropic drugs that are often used to treat anxiety, including in older people. It is known that BDZs are sometimes prescribed inappropriately or used for longer than allowed by the guidelines. As a result, BDZs may be associated with tolerance symptoms, cognitive impairment, and confusion, especially when taken by geriatric patients. On the other hand, chronic anxiety is also known to be associated with cognitive decline in older age. This review analyzes the effects of inappropriate consumption of BDZs over a long period of time in older adults and proposes therapeutic alternatives to combat anxiety symptoms in the older adults.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 3","pages":"Article 100197"},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000180/pdfft?md5=0b0bfe3c362423a0525a458ad582d734&pid=1-s2.0-S2667032124000180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141399894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rapid evidence review on health literacy and health behaviors in older populations","authors":"Brianna Rae Kirby,&nbsp;Olivia Lindly","doi":"10.1016/j.ahr.2024.100195","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100195","url":null,"abstract":"<div><p>Chronic health conditions such as cancer, diabetes, and heart disease are highly prevalent in the older adult population. Engaging in health behaviors can help prevent the onset of or better manage these conditions. To better understand how to increase older adult engagement in health behaviors, this rapid evidence review evaluated the relationship between health literacy and health behaviors in adults over the age of 65. The databases utilized for this review were PubMed (Medline), EBSCO (APA PsycInfo, Academic Search, and CINAHL Plus.) All six studies included demonstrated significant and positive associations between adequate health literacy and certain health behaviors including pap-smears, mammograms, physical activity, dietary variety, participation in medical checkups, patient participation in health care, hand hygiene practices, and diabetes self-management behaviors. Adequate health literacy was, however, associated with alcohol consumption in two studies. Knowing this, health professionals can utilize health literacy screening and interventions to promote health behaviors in older adults.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 3","pages":"Article 100195"},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000167/pdfft?md5=1fe740102767ef7e101e8c9f7df9f4fb&pid=1-s2.0-S2667032124000167-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141324900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Informal caregiving time and its monetary value in the context of older adults in Singapore","authors":"Nur Diyana Binte Azman ,&nbsp;Abhijit Visaria ,&nbsp;Veronica Shimin Goh ,&nbsp;Truls Østbye ,&nbsp;David Matchar ,&nbsp;Rahul Malhotra","doi":"10.1016/j.ahr.2024.100193","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100193","url":null,"abstract":"<div><h3>Background</h3><p>Little is known about the caregiving time of different types of caregivers in Singapore or its monetary value. We quantified the caregiving time of primary informal, secondary informal, and migrant domestic worker (MDW) caregivers of older adults and estimated the monetary value of caregiving time of primary and secondary informal caregivers.</p></div><div><h3>Methods</h3><p>278 primary informal caregivers reported the time provided by themselves, secondary informal caregivers and MDW caregivers in a typical week helping their care-recipients, aged ≥75 years, with activities of daily living (ADLs), instrumental ADLs, healthcare and social care use, other needs, and supervision of MDW caregivers. We estimated monetary value using the proxy good method.</p></div><div><h3>Results</h3><p>On average, primary and secondary informal caregivers provided 33.0 (annual monetary value: S$15,959) and 8.4 (annual monetary value: S$4,062) caregiving hours/week. MDW caregivers provided even more – 42.0 h/week. Care-recipients received 60.5 h of care/week on average. Nationally, the monetary value of informal caregiving time for Singaporeans aged ≥75 years requiring human assistance was about S$1.28 billion.</p></div><div><h3>Conclusion</h3><p>This study highlights the substantial time commitment of informal and MDW caregivers. Our estimates of the monetary value of informal caregiving time can inform economic evaluations of care models for older adults and policies for supporting informal caregivers, particularly in societies that rely heavily on informal care.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100193"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000143/pdfft?md5=2c8b5cd6e8f0712aab6e7704f77f8965&pid=1-s2.0-S2667032124000143-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive impairments by formaldehyde exposure in Alzheimer's disease","authors":"Iman Attiah,&nbsp;Lujain Redha,&nbsp;Shakeel Ahmed Ansari","doi":"10.1016/j.ahr.2024.100194","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100194","url":null,"abstract":"<div><p>Formaldehyde (FA) is a highly reactive molecule that is considered as a community concern due to the huge human exposure in industries, dissection unit in hospitals and academics. Furthermore, it is used in manufacturing paper and plywood, and preservation of biological specimens. FA is present normally in certain concentration in the brain and its metabolism plays a major role in methylation and demethylation of DNA, RNA and histones. However, excess concentration of FA reduces the cognitive function and causes dementia especially in aging brain. Recent studies investigated the link between excess exposure to FA and age-related cognitive impairment through NMDA-receptor dysregulation and other mechanisms including amyloid-β (Aβ) accumulation, alterations in alcohol dehydrogenase-5 (ALDH5) and Tau dysmetabolism and aggregation which serves as major causes of Alzheimer's disease (AD). Recent hypothesis agreed that when FA causes Aβ to accumulate in extracellular space, it prevents the medications that are dissolved in the interstitial fluid from permeating the injured cortical neurons and leads to neurons death. Although treatment of AD with phototherapy has been achieved before which involves the destruction of Aβ deposit; however, reducing the amount of exposure to FA and its derivatives remains a golden step in the prevention.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100194"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000155/pdfft?md5=7471fc1ad8482072f9d2953bc3c549da&pid=1-s2.0-S2667032124000155-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141244391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between sleep problems and self-perception of health among community-dwelling older adults: Data from the 2019 national health survey","authors":"Jaquelini Betta Canever ,&nbsp;Letícia Martins Cândido ,&nbsp;Katia Jakovljevic Pudla Wagner ,&nbsp;Ana Lúcia Danielewicz ,&nbsp;Helena Iturvides Cimarosti ,&nbsp;Núbia Carelli Pereira de Avelar","doi":"10.1016/j.ahr.2024.100192","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100192","url":null,"abstract":"<div><h3>Background</h3><p>Sleep problems in the older adults are often linked to their self-perceived health status, significantly affecting their overall well-being. Investigating this relationship is essential to understand how sleep impacts health perception in older adults and to develop targeted strategies to improve their quality of life and health outcomes. The objective was to verifying the association between sleep problems and negative self-perception of health in community-dwelling older adults.</p></div><div><h3>Methods</h3><p>Cross-sectional study, with data from 43,554 older adults participants of the National Health Survey (PNS-2019). The exposure variable was self-report of sleep problems in the last 15 days (difficulty in falling asleep, waking up frequently at night, or sleeping more than usual) and the study endpoints were self-perception of health (positive/negative). Associations were checked using multivariable logistic regression.</p></div><div><h3>Results</h3><p>Older adults with sleep problems were 1.92 (95 %CI 1.77; 2.08) more likely to have a negative self-perception of health when compared to older adults without sleep problems.</p></div><div><h3>Conclusions</h3><p>These findings reinforce the need for programs aimed at reducing sleep problems in older adults, since these are associated with negative self-perceptions of health. A better understanding of these associations may help health care professionals to better control sleep disturbances as well as their outcomes.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100192"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667032124000131/pdfft?md5=ca8ec57770268998917882a7df95e203&pid=1-s2.0-S2667032124000131-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140645781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between healthcare use and migration background in persons with dementia: A cohort study in the Netherlands","authors":"Bianca T. Strooij ,&nbsp;Marieke T. Blom ,&nbsp;Hein P.J. van Hout ,&nbsp;Otto R. Maarsingh ,&nbsp;Petra J.M. Elders ,&nbsp;Jos P.C.M. van Campen ,&nbsp;Iris van der Heide ,&nbsp;Karlijn J. Joling","doi":"10.1016/j.ahr.2024.100191","DOIUrl":"https://doi.org/10.1016/j.ahr.2024.100191","url":null,"abstract":"<div><h3>Background</h3><p>: Qualitative research shows barriers in access to healthcare for persons with a migration background, possibly leading to healthcare inequalities. We aimed to compare healthcare use between older community-dwelling persons with a migration background and native Dutch persons with dementia.</p></div><div><h3>Methods</h3><p>: Observational cohort study using electronic health records of NIVEL Primary Care Database (2013–2014) linked to nationwide administrative registries managed by Statistics Netherlands. We included all community-dwelling persons with dementia in the Netherlands aged 65 years and older. Negative binomial and logistic regression analyses were conducted to assess differences in healthcare use outcomes. The largest migrant groups (persons born in Surinam, Turkey and Morocco) were studied separately.</p></div><div><h3>Results</h3><p>: 138,864 persons with dementia were included in the study, whereof 3,991 persons with a migration background and 132,477 native Dutch persons. Moroccan-born persons showed 1.46 higher odds of having an unplanned hospital admission compared to native Dutch persons (95 % Confidence Interval [CI] 1.22–1.74). Persons with a migration background used less professional home care (Odds Ratio [OR] 0.55, 95 %CI 0.51–0.59), and received less home visits from their general practitioner (OR 0.50, 95 %CI 0.43–0.57) than native Dutch persons. Moroccan-born persons had more often an out-of-hours general practitioner consultation compared to native Dutch persons (Incidence Rate Ratio 1.36, 95 %CI 1.18–1.57).</p></div><div><h3>Conclusions</h3><p>: We found significant quantitative differences in healthcare use between persons with a migration background and native Dutch persons with dementia. Further research is needed to gain insight into the reasons of these differences, with consideration of specific migration background.</p></div>","PeriodicalId":72129,"journal":{"name":"Aging and health research","volume":"4 2","pages":"Article 100191"},"PeriodicalIF":0.0,"publicationDate":"2024-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266703212400012X/pdfft?md5=916be7ee51e7298fae4b48d79917c733&pid=1-s2.0-S266703212400012X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140631773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}