Cultural differences are some of the most subtle, yet critical, factors affecting how people with Medicare understand their benefits, rights and choices. This brief explores the lessons we have learned from an effort to develop and test Medicare education materials suitable for audiences of varying cultural backgrounds.
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Alzheimers Dement
December 2024
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Background: Fatigue is prevalent in later life and may increase dementia risk independent of health conditions. Yet, existing epidemiologic studies include samples that are not nationally representative of U.S.
View Article and Find Full Text PDFBackground: Alzheimer's disease and related dementias (ADRD) prevalence varies geographically in the US. The Appalachian region has lower educational attainment and health care access barriers compared to non-Appalachian regions. The objective of this proposal is to assess whether the geographic variation of ADRD in Central Appalachia is explained by county-level sociodemographic factors or access to care.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
University of Southern California, Los Angeles, CA, USA.
Background: Early-stage cognitive impairment remains severely under-detected. In the U.S.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
Sheba Medical Center, Joseph Sagol Neuroscience Center, Ramat Gan, Israel.
Background: Cognitive problems are thought to increase vulnerability to geriatric traumatic brain injury (TBI) due to increased fall risk, but little is known about prevalence of cognitive impairment and Alzheimer's disease and related dementias (ADRD) among elders who receive treatment for a TBI.
Method: Enrollees 65 and older in the nationally representative Health and Retirement Study (HRS) who consented to link survey data to Medicare claims and without a TBI prior to enrollment were studied. We used claims 2000-2018 to obtain incident TBI diagnoses, defined using inpatient and outpatient International Classification of Disease (ICD) 9 and 10 codes received the same day as an emergency room (ER) visit code and a computed tomography (CT) scan code.
Background: Geographical differences in the burden of Alzheimer's disease and related dementias (ADRD) exist in the US. Rural and Appalachian areas are characterized by limited access to primary and specialty health care in comparison to their urban and non-Appalachian counterparts. Better access to telehealth can improve detection of ADRD in remote regions but it highly relies on availability of broadband services.
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