Dementia Prevalence in the United States in 2000 and 2012: Estimates Based on a Nationally Representative Study.

TitleDementia Prevalence in the United States in 2000 and 2012: Estimates Based on a Nationally Representative Study.
Publication TypeJournal Article
Year of Publication2018
AuthorsHudomiet, P, Hurd, MD, Rohwedder, S
JournalJournals of Gerontology Series B: Psychological Sciences and Soc Sciences
ISSN Number1758-5368
KeywordsCognitive Ability, Dementia

Objectives: Age- and sex-specific rates of dementia are estimated in the U.S. population aged 65 or older in 2000 and 2012 using a large nationally representative dataset, the Health and Retirement Study (HRS), and accounting for mortality selection and specificities of the interview protocol.

Method: A latent cognitive ability model is estimated by maximum simulated likelihood. Prevalence of dementia is identified using HRS cognition measures and the Aging, Demographics and Memory Study (ADAMS), a subset of the HRS (n = 856) with clinical assessment for dementia. Different cognitive measures are collected in self and proxy interviews. From 2006 onward, the HRS collected fewer interviews by proxy. Selection into proxy interviews is modeled as well as survival into the ADAMS sample from the previous HRS interview.

Results: The prevalence of dementia decreased from 12.0% (SE = 0.48%) in 2000 to 10.5% (SE = 0.49%) in 2012 in the 65+ population, a statistically significant decline of 12.6% (p < .01). The percentage change in prevalence was larger among males (16.6% vs 9.5%), and younger individuals.

Discussion: The prevalence of dementia among those 65 or older decreased between 2000 and 2012, although less rapidly than reported in other studies. The difference is primarily due to our modeling selection into proxy interviews.

User Guide Notes

Alternate JournalJ Gerontol B Psychol Sci Soc Sci
Citation Key9589
PubMed ID29669104
PubMed Central IDPMC6018928
Grant ListP30 AG012846 / AG / NIA NIH HHS / United States
R01 AG053972 / AG / NIA NIH HHS / United States
U01 AG009740 / AG / NIA NIH HHS / United States