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• W2896583880 abstract "Although undiagnosed and untreated dementia is a problem across all racial and ethnic groups, it may be more common among African Americans and Hispanics than among whites. This study explored differences in knowledge about one's dementia status and treatment by race/ethnicity. Using national survey data from the 2014 Health and Retirement Study (HRS), we identified individuals age ≥65 years with dementia based on a validated algorithm developed by Crimmins and colleagues. For self-respondents, HRS assessed cognitive function using tests adapted from the Telephone Interview for Cognitive Status, whereas for respondents represented by a proxy, HRS collected data on proxy's assessment of the person's memory, daily function, and cognitive limitation. We classified individuals as having dementia if their scores ranged from 0-6 on a 27-point scale for self-reports, and 6-11 on an 11-point scale for proxy-reports. Among those identified as having dementia, we analyzed whether they recalled receiving an Alzheimer's disease (AD) or dementia diagnosis from their doctor and whether they were taking any medication for memory problem, stratified by race/ethnicity and respondent type (self vs. proxy) and adjusted for HRS sampling weights. We identified 719 whites, 331 African Americans, and 226 Hispanics as having dementia. Cognitive scores were similar across racial/ethnic groups, regardless of whether they used a proxy. Overall, 28% of whites, 22% of African Americans, and 20% of Hispanics reported they were informed of the dementia diagnosis by their doctor. Knowledge about one's AD/dementia status was poor among self-respondents compared to proxy-respondents (White: 16% vs. 68%; African American: 11% vs. 74%; Hispanics: 11% vs. 57%). AD/dementia drug treatment rates were low (White: 15%; African American: 11%; Hispanic: 13%), especially among self-respondents compared to proxy-respondents (White: 9% vs. 36%; African American: 6% vs. 36%; Hispanics: 6% vs. 38%). Our findings suggest substantial discrepancies in knowledge about dementia status and treatment between self- and proxy-reports, especially among African Americans. In general, awareness of dementia and use of AD/dementia medications were low, particularly among self-respondents, possibly reflecting the impact of cognitive impairment on patients’ ability to recall dementia diagnosis or differential access, utilization, or quality of care resulting in underdiagnosis . Percentage of dementia respondents reported being told by a doctor that they had Alzheimer's disease or dementia, by race/ethnicity and by respondent type (self vs. proxy reports). Percentage of dementia respondents reported taking medication for memory problem, by race/ethnicity and by respondent type (self vs. proxy reports)." @default.
• W2896583880 created "2018-10-26" @default.
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• W2896583880 date "2018-07-01" @default.
• W2896583880 modified "2023-10-16" @default.
• W2896583880 title "P1‐570: RACIAL/ETHNIC DIFFERENCES IN KNOWLEDGE ABOUT DEMENTIA AND TREATMENT" @default.
• W2896583880 doi "https://doi.org/10.1016/j.jalz.2018.06.582" @default.
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