|Title||Racial/Ethnic and Nativity Differences in Cognitive Life Expectancies Among Older Adults in the United States.|
|Publication Type||Journal Article|
|Year of Publication||2019|
|Authors||Garcia, MA, Downer, B, Chiu, C-T, Saenz, JL, Rote, S, Wong, R|
|Date Published||2019 03 14|
|Keywords||African Americans, Aged, Aged, 80 and over, Case-Control Studies, Cognitive Dysfunction, Dementia, Emigration and Immigration, Ethnic Groups, European Continental Ancestry Group, Female, Hispanic Americans, Humans, Latin America, Life Expectancy, Male, Middle Aged, Sex Factors, United States|
BACKGROUND AND OBJECTIVES: To document racial/ethnic and nativity differences by gender in cognitive life expectancies among older adults in the United States.
RESEARCH DESIGN AND METHODS: Sullivan-based life tables were used to estimate cognitively normal, cognitively impaired/no dementia (CIND), and dementia life expectancies by gender for White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults 50 years and older in the Health and Retirement Study.
RESULTS: Among women, the number of years spent living with dementia for Whites, Blacks, U.S.-born Hispanics, and foreign-born Hispanics was 1.6, 3.9, 4.7, and 6.0 years, respectively. For men, Whites lived 1.1 years with dementia compared to 3.1 years for Blacks, 3.0 years for U.S.-born Hispanics and 3.2 years for foreign-born Hispanics. Similar patterns were observed for race/ethnic and nativity differences in CIND life expectancies. Blacks and Hispanics spend a larger fraction of their remaining years with CIND and dementia relative to Whites, regardless of gender. Foreign-born Hispanic men and women and Black men are particularly disadvantaged in the proportion of years spent after age 50 with CIND and/or dementia.
DISCUSSION AND IMPLICATIONS: Disparities in cognitive life expectancies indicate that intervention strategies should target the specific needs of minority and immigrant older adults with dementia. Given that education is a strong predictor of cognitive health, improving access to the social and economic resources that delay dementia onset is key to improving the well-being of diverse older adults.
|User Guide Notes|
|PubMed Central ID||PMC6417765|
|Grant List||P30 AG043097 / AG / NIA NIH HHS / United States |
R01 AG010939 / AG / NIA NIH HHS / United States
T32 AG000270 / AG / NIA NIH HHS / United States
T32 AG000037 / AG / NIA NIH HHS / United States
P30 AG043073 / AG / NIA NIH HHS / United States