Prevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity.


Journal

Alzheimer's & dementia : the journal of the Alzheimer's Association
ISSN: 1552-5279
Titre abrégé: Alzheimers Dement
Pays: United States
ID NLM: 101231978

Informations de publication

Date de publication:
07 2022
Historique:
revised: 01 07 2021
received: 16 03 2021
accepted: 11 08 2021
pubmed: 11 11 2021
medline: 20 7 2022
entrez: 10 11 2021
Statut: ppublish

Résumé

Housing insecure veterans are aging, but the prevalence of Alzheimer's disease and related dementias (AD/ADRD) in the population is unknown. We calculated the prevalence of AD/ADRD diagnoses in 2018 among veterans that experienced homelessness, were at-risk for homelessness, or were stably housed. We determined acute care (emergency department, hospitalizations, psychiatric hospitalizations), and any long-term care (nursing home, and community-based) use by housing status among veterans with an AD/ADRD diagnosis. The overall prevalence of AD/ADRD diagnoses for homeless, at-risk, and stably housed veterans was 3.66%, 13.48%, and 3.04%, respectively. Housing insecure veterans with AD/ADRD used more acute care, and were more likely to have a nursing home admission compared to stably housed veterans. At risk, but not homeless veterans, were more likely to use US Department of Veterans Affairs-paid home and community-based care than stably housed veterans. The prevalence of AD/ADRD diagnoses is greater among housing insecure veterans than stably housed veterans.

Identifiants

pubmed: 34757668
doi: 10.1002/alz.12476
pmc: PMC10257219
mid: NIHMS1832030
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

1306-1313

Subventions

Organisme : NIA NIH HHS
ID : R21 AG059623
Pays : United States
Organisme : NICHD NIH HHS
ID : P2C HD065702
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG060871
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG031679
Pays : United States
Organisme : NIA NIH HHS
ID : RF1 AG069771
Pays : United States

Informations de copyright

© 2021 the Alzheimer's Association.

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Auteurs

Eric Jutkowitz (E)

Center of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, Rhode Island, USA.

Christopher Halladay (C)

Center of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.

Jack Tsai (J)

VA National Center on Homelessness among Veterans, Tampa, Florida, USA.
School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas, USA.

Dina Hooshyar (D)

VA National Center on Homelessness among Veterans, Tampa, Florida, USA.
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Lien Quach (L)

Center of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Department of Gerontology, University of Massachusetts Boston, Boston, Massachusetts, USA.
VA Boston Healthcare System, Boston, Massachusetts, USA.

Thomas O'Toole (T)

Providence VA Medical Center, Providence, Rhode Island, USA.
Brown University Warren Alpert Medical School, Providence, Rhode Island, USA.

James L Rudolph (JL)

Center of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, Rhode Island, USA.

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