Inequalities in dementia incidence between six racial and ethnic groups over 14 years
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- Elizabeth Rose Mayeda
- Department of Epidemiology and Biostatistics University of California, San Francisco San Francisco CA USA
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- M.Maria Glymour
- Department of Epidemiology and Biostatistics University of California, San Francisco San Francisco CA USA
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- Charles P. Quesenberry
- Kaiser Permanente Division of Research Oakland CA USA
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- Rachel A. Whitmer
- Department of Epidemiology and Biostatistics University of California, San Francisco San Francisco CA USA
説明
<jats:title>Abstract</jats:title><jats:sec><jats:title>Introduction</jats:title><jats:p>Reducing racial/ethnic disparities is a primary objective of the National Alzheimer's Plan (NAPA), yet direct comparisons within large samples representing diversity of the United States are lacking.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Dementia incidence from January 1, 2000 to December 31, 2013 and a 25‐year cumulative risk in 274,283 health care members aged 64+ (n = 18,778 African‐American, n = 4543 American Indian/Alaska Native [AIAN], n = 21,000 Latino, n = 440 Pacific Islander, n = 206,490 white, n = 23,032 Asian‐Americans). Cox proportional hazard models were adjusted for age, sex, medical utilization, and comorbidities.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Dementia incidence (n = 59,555) was highest for African‐Americans (26.6/1000 person‐years) and AIANs (22.2/1000 person‐years); intermediate for Latinos (19.6/1000 person‐years), Pacific Islanders (19.6/1000 person‐years), and whites (19.3/1000 person‐years) and lowest among Asian‐Americans (15.2/1000 person‐years). Risk was 65% greater for African‐Americans (hazard ratio = 1.65; 95% confidence interval = 1.58–1.72) versus Asian‐Americans. Cumulative 25‐year risk at age 65 was as follows: 38% African‐Americans, 35% AIANs, 32% Latino, 25% Pacific Islanders, 30% white, and 28% Asian‐Americans.</jats:p></jats:sec><jats:sec><jats:title>Discussion</jats:title><jats:p>Dementia rates varied over 60% between groups, providing a comprehensive benchmark for the NAPA goal of reducing disparities.</jats:p></jats:sec>
収録刊行物
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- Alzheimer's & Dementia
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Alzheimer's & Dementia 12 (3), 216-224, 2016-02-10
Wiley
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詳細情報 詳細情報について
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- CRID
- 1361418519076463872
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- ISSN
- 15525279
- 15525260
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- Web Site
- https://api.elsevier.com/content/article/PII:S1552526015030319?httpAccept=text/xml
- https://api.elsevier.com/content/article/PII:S1552526015030319?httpAccept=text/plain
- https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1016%2Fj.jalz.2015.12.007
- https://onlinelibrary.wiley.com/doi/pdf/10.1016/j.jalz.2015.12.007
- https://onlinelibrary.wiley.com/doi/full-xml/10.1016/j.jalz.2015.12.007
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