Trends in Alzheimer Disease Mortality Among American Indian and Alaska Native People Between 2011 and 2019.

Alzheimer Dis Assoc Disord

Institute for Research and Education to Advance Community Health (IREACH), Elson S. Floyd College of Medicine, Washington State University, Seattle, WA.

Published: June 2023

AI Article Synopsis

  • The number of American Indian and Alaska Native individuals living with dementia is projected to rise significantly by 2060, highlighting the need to understand health disparities related to Alzheimer's disease.
  • The study analyzed Alzheimer disease mortality rates and various social determinants across 646 counties, finding that areas with more AI/AN residents had lower mortality rates, while deprived counties had higher rates of Alzheimer's mortality.
  • The results suggest a need for targeted resources and intervention strategies in regions facing higher Alzheimer's mortality, particularly those that are more deprived or urban.

Article Abstract

Purpose: The 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.

Methods: We 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.

Results: AD 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.

Conclusions: Findings have implications for prioritizing areas where more resources for AD care, education, or outreach are needed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239373PMC
http://dx.doi.org/10.1097/WAD.0000000000000555DOI Listing

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