TY - JOUR
T1 - Dementia Attributable Healthcare Utilizations in the Caribbean versus United States
AU - Li, Jing
AU - Weiss, Jordan
AU - Rajadhyaksha, Ashish
AU - Acosta, Daisy
AU - Harrati, Amal
AU - Jiménez Velázquez, Ivonne Z.
AU - Liu, Mao Mei
AU - Guerra, Jorge J.Llibre
AU - Rodriguez, Juan De Jesús Llibre
AU - Dow, William H.
N1 - Publisher Copyright:
© 2023 - IOS Press. All rights reserved.
PY - 2023/11/7
Y1 - 2023/11/7
N2 - Background: Despite the high burden of Alzheimer's disease and other dementias among the Hispanic population worldwide, little is known about how dementia affects healthcare utilizations among this population outside of the US, in particular among those in the Caribbean region. Objective: This study examines healthcare utilization associated with Alzheimer's disease and other dementias among older adults in the Caribbean as compared to the US. Methods: We conducted harmonized analyses of two population-based surveys, the 10/66 Dementia Group Research data collected in Dominican Republic, Cuba, and Puerto Rico, and the US-based Health and Retirement Study. We examined changes in hospital nights and physician visits in response to incident and ongoing dementias. Results: Incident dementia significantly increased the risk of hospitalization and number of hospital nights in both populations. Ongoing dementia increased the risk of hospitalization and hospital nights in the US, with imprecise estimates for the Caribbean. The number of physician visits was elevated in the US but not in the Caribbean. Conclusions: The concentration of increased healthcare utilization on hospital care and among patients with incident dementia suggests an opportunity for improved outpatient management of new and existing dementia patients in the Caribbean.
AB - Background: Despite the high burden of Alzheimer's disease and other dementias among the Hispanic population worldwide, little is known about how dementia affects healthcare utilizations among this population outside of the US, in particular among those in the Caribbean region. Objective: This study examines healthcare utilization associated with Alzheimer's disease and other dementias among older adults in the Caribbean as compared to the US. Methods: We conducted harmonized analyses of two population-based surveys, the 10/66 Dementia Group Research data collected in Dominican Republic, Cuba, and Puerto Rico, and the US-based Health and Retirement Study. We examined changes in hospital nights and physician visits in response to incident and ongoing dementias. Results: Incident dementia significantly increased the risk of hospitalization and number of hospital nights in both populations. Ongoing dementia increased the risk of hospitalization and hospital nights in the US, with imprecise estimates for the Caribbean. The number of physician visits was elevated in the US but not in the Caribbean. Conclusions: The concentration of increased healthcare utilization on hospital care and among patients with incident dementia suggests an opportunity for improved outpatient management of new and existing dementia patients in the Caribbean.
KW - Alzheimer's disease
KW - Caribbean
KW - dementia
KW - healthcare utilization
KW - Hispanics
UR - http://www.scopus.com/inward/record.url?scp=85176969345&partnerID=8YFLogxK
U2 - 10.3233/JAD-230505
DO - 10.3233/JAD-230505
M3 - Article
C2 - 37840491
AN - SCOPUS:85176969345
SN - 1387-2877
VL - 96
SP - 801
EP - 811
JO - Journal of Alzheimer's Disease
JF - Journal of Alzheimer's Disease
IS - 2
ER -