Predictors of hospitalization and institutionalization in Medicaid patient populations with Alzheimer’s Disease

Adrienne, M. Gilligan; Daniel, Chen; Terri, L. Warholak; Edward, Peggy

doi:10.4236/aad.2013.23011

Cited by 5 publications

(5 citation statements)

References 28 publications

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“…This is consistent with the fact that compared to non-Hispanic whites, African Americans are less likely to seek medical attention, and when they do, they present later in the disease course. A growing body of evidence suggests that African Americans are less likely than non-Hispanic whites to receive Alzheimer's treatment, such as ChEI therapy or memantine (Gilligan et al, 2012). Our current finding that African American females were associated with LOAD contributes to the existing literature on AD among African Americans.…”

Section: Discussionsupporting

confidence: 54%

The role of ethnicity, biological sex, and psychotropic agents in early and late onset Alzheimer’s disease

Miller

Desai

Roley

et al. 2022

Front. Aging Neurosci.

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ObjectiveThis study investigates differences in pharmacological and demographic factors among male and female patients with Late-onset Alzheimer’s disease (LOAD) and Early-onset Alzheimer’s disease (EOAD).MethodData are from 10,126 AD patients, 9,290 were diagnosed with LOAD, while 836 were diagnosed with EOAD. Data were collected from the Prisma Health Upstate Alzheimer’s patients’ registry between 2016 and 2021. The logistic regression analysis was used to assess the association between pharmacological and demographic factors in males and females with LOAD and EOAD.ResultsIn the adjusted analysis for males, patients that were administered memantine [odd ratio (OR) = 1.588, 95% CI, 1.175–2.145, p = 0.003], and buspirone [OR = 1.971, 95% CI, 1.221–3.183, p = 0.006] were more likely to be associated with EOAD, while increasing age [OR = 0.816, 95% CI, 0.799–0.834, p < 0.001] was associated with LOAD. Female patients with a history of alcohol (ETOH) use were more likely to be associated with EOAD while increasing age [OR = 0.845, 95% CI, 0.834–0.857, p < 0.001], treatment with memantine [OR = 0.774, 95% CI, 0.627–0.956, p = 0.017], African Americans [OR = 0.621, 95% CI, 0.462–0.835, p = 0.002] and tobacco use [OR = 0.529, 95% CI, 0.424–0.660, p < 0.001] were associated with LOAD.ConclusionOur findings identified specific demographic and pharmacological factors associated with males and females with LOAD and EOAD. These findings suggest the need to develop strategies to eliminate disparity in the care of LOAD or EOAD patients.

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Section: Discussionsupporting

confidence: 54%

The role of ethnicity, biological sex, and psychotropic agents in early and late onset Alzheimer’s disease

Miller

Desai

Roley

et al. 2022

Front. Aging Neurosci.

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“…In a large, three-state study, Gilligan, Malone, Warholak, and Armstrong (2013a) found that, after controlling for demographics and pharmacotherapy exposure, African-American Medicaid beneficiaries with dementia were significantly more likely than their white counterparts to be hospitalized.…”

Section: Use Of Long-term Services and Supports And Other Health Servmentioning

confidence: 99%

Racial and Ethnic Disparities Among Individuals with Alzheimer’s Disease in the United States: A Literature Review

Lines¹,

Sherif²,

Wiener³

2014

115

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This study reviews the published literature on racial and ethnic disparities among people with Alzheimer’s disease (AD) and related dementias in the United States. To identify relevant studies, we searched electronic sources for peer-reviewed journal articles and unpublished research reports that were published through July 2014; related to the AD population and their caregivers; and provided evidence of racial and ethnic disparities, discussed reasons for disparities, or described interventions to address disparities. The literature shows consistent and adverse disparities among blacks and Hispanics compared with non-Hispanic whites concerning AD, including the disease’s prevalence and incidence, mortality, participation in clinical trials, use of medications and other interventions, use of long-term services and supports, health care expenditures, quality of care, and caregiving. The literature suggests numerous underlying causes, including factors related to measurement of the disease, genetics, socioeconomic factors, cultural differences, lack of culturally competent clinicians, and discrimination. Although these disparities are well known, little is known about the effectiveness of various strategies, such as cultural competence training, to address these differences, and very few studies evaluate possible interventions.

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“…Although research has suggested that individuals from ethnic minorities make use of many types of community support and educational resources when they are equally available, it has also suggested that disparities arise in access to quality long-term care. A meta-analysis by Cooper et al (2010) found that individuals of minority ethnicity were 40% less likely than Whites to enter a long-term care facility, and a similar finding was reported by Gilligan, Malone, Warholak, and Armstrong (2013b) in a Medicare-Medicaid sample from Florida, New Jersey, and New York.…”

Section: Social Services and Supportive Carementioning

confidence: 54%

Epidemiology of dementia and mild cognitive impairment.

Plassman

Potter

2018

APA Handbook of Dementia.

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Predictors of hospitalization and institutionalization in Medicaid patient populations with Alzheimer’s Disease

Abstract: ABSTRACT

Cited by 5 publications

References 28 publications

The role of ethnicity, biological sex, and psychotropic agents in early and late onset Alzheimer’s disease

The role of ethnicity, biological sex, and psychotropic agents in early and late onset Alzheimer’s disease

Racial and Ethnic Disparities Among Individuals with Alzheimer’s Disease in the United States: A Literature Review

Epidemiology of dementia and mild cognitive impairment.

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