%0 Report %D 2021 %T Cognitive Impairment and Prevalence of Memory-Related Diagnoses among U.S. Older Adults %A Qian, Yuting %A Chen, Xi %A Tang, Diwen %A Amy Kelley %A Li, Jing %K cognitive aging %K cognitive impairment %K Dementia %K Medicare %K memory-related diagnosis %X Cognitive impairment creates significant challenges to health and well-being of the fast-growing aging population. Early recognition of cognitive impairment may confer important advantages, allowing for diagnosis and appropriate treatment, education, psychosocial support, and improved decision-making regarding life planning, health care, and financial matters. Yet the prevalence of memory-related diagnoses among older adults with early symptoms of cognitive impairment is unknown. Using 2000-2014 Health and Retirement Survey - Medicare linked data, we leveraged within-individual variation in a longitudinal cohort design to examine the relationship between incident cognitive impairment and receipt of diagnosis among American older adults. Receipt of a memory-related diagnosis was determined by ICD-9-CM codes. Incident cognitive impairment was assessed using the modified Telephone Interview of Cognitive Status (TICS). We found overall low prevalence of early memory-related diagnosis, or high rate of underdiagnosis, among older adults showing symptoms of cognitive impairment, especially among non-whites and socioeconomically disadvantaged subgroups. Our findings call for targeted interventions to improve the rate of early diagnosis, especially among vulnerable populations. %B GLO Discussion Paper %I Global Labor Organization %C Essen, Germany %G eng %U https://www.econstor.eu/bitstream/10419/229436/1/GLO-DP-0777.pdf