Preclinical Dementia and Economic Well-Being Trajectories of Racially Diverse Older Adults.

TitlePreclinical Dementia and Economic Well-Being Trajectories of Racially Diverse Older Adults.
Publication TypeJournal Article
Year of PublicationForthcoming
AuthorsMudrazija, S, Palms, J, Lee, JHyun, Maher, A, Zahodne, LB, Chopik, WJ
JournalJournal of Aging and Health
ISSN Number1552-6887
KeywordsAlzheimer’s disease and related dementias, economic well-being, Health and Retirement Study, preclinical, racial/ethnic disparities

ObjectivesThis study examined the magnitude, changes, and racial/ethnic disparities in the economic costs of the 16-year preclinical phase of dementia-a period of cognitive decline without significant impact on daily activities. The study utilized two dementia algorithms to classify individuals with incident dementia in the Health and Retirement Study. These cases were compared to matched controls in terms of poverty status, labor force participation, and unsecured debts. Older adults classified with dementia were more likely to drop out of the labor force and become poor than similar older adults without dementia. Racial/ethnic disparities in poverty persisted during the preclinical period, with non-Hispanic Black older adults more likely to leave the labor force and Hispanic older adults more likely to have unsecured debt. Findings highlight the economic costs during prodromal phase of dementia, emphasizing need for early interventions to reduce financial strain across diverse older adults.

Citation Key13804
PubMed ID38444178