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Suspected undiagnosed ADRD among Middle Eastern and North African Americans

BACKGROUND: ADRD underdiagnosis among minority populations is well-established and known to be more prevalent among women. Yet, it remains unclear if these patterns exist among Middle Eastern and North African (MENA) adults. We estimated ADRD underdiagnosis among MENA and other US- and foreign-born...

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Autores principales: Kindratt, Tiffany Billmeier, Ajrouch, Kristine J, Zahodne, Laura B, Dallo, Florence J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Journal Experts 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10055530/
https://www.ncbi.nlm.nih.gov/pubmed/36993201
http://dx.doi.org/10.21203/rs.3.rs-1983254/v1
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author Kindratt, Tiffany Billmeier
Ajrouch, Kristine J
Zahodne, Laura B
Dallo, Florence J.
author_facet Kindratt, Tiffany Billmeier
Ajrouch, Kristine J
Zahodne, Laura B
Dallo, Florence J.
author_sort Kindratt, Tiffany Billmeier
collection PubMed
description BACKGROUND: ADRD underdiagnosis among minority populations is well-established and known to be more prevalent among women. Yet, it remains unclear if these patterns exist among Middle Eastern and North African (MENA) adults. We estimated ADRD underdiagnosis among MENA and other US- and foreign-born non-Hispanic Whites and compared sex-stratified results. METHODS: We linked 2000–2017 National Health Interview Survey and 2001 –2018 Medical Expenditure Panel Survey data (ages > = 65 years, n = 23,981). Undiagnosed ADRD was suspected if participants reported cognitive limitations without corresponding ADRD diagnosis. RESULTS: Undiagnosed ADRD was highest among MENA adults (15.8%) compared to non-Hispanic Whites (US-born = 8.1%; foreign-born = 11.8%). MENA women had 2.52 times greater odds (95% CI = 1.31 –4.84) of undiagnosed ADRD compared to US-born White women after adjusting for risk factors. DISCUSSION: This study contributes the first national estimates of undiagnosed ADRD among MENA adults. Continued research is needed to facilitate policy changes that more comprehensively address health disparities and related resource allocation.
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spelling pubmed-100555302023-03-30 Suspected undiagnosed ADRD among Middle Eastern and North African Americans Kindratt, Tiffany Billmeier Ajrouch, Kristine J Zahodne, Laura B Dallo, Florence J. Res Sq Article BACKGROUND: ADRD underdiagnosis among minority populations is well-established and known to be more prevalent among women. Yet, it remains unclear if these patterns exist among Middle Eastern and North African (MENA) adults. We estimated ADRD underdiagnosis among MENA and other US- and foreign-born non-Hispanic Whites and compared sex-stratified results. METHODS: We linked 2000–2017 National Health Interview Survey and 2001 –2018 Medical Expenditure Panel Survey data (ages > = 65 years, n = 23,981). Undiagnosed ADRD was suspected if participants reported cognitive limitations without corresponding ADRD diagnosis. RESULTS: Undiagnosed ADRD was highest among MENA adults (15.8%) compared to non-Hispanic Whites (US-born = 8.1%; foreign-born = 11.8%). MENA women had 2.52 times greater odds (95% CI = 1.31 –4.84) of undiagnosed ADRD compared to US-born White women after adjusting for risk factors. DISCUSSION: This study contributes the first national estimates of undiagnosed ADRD among MENA adults. Continued research is needed to facilitate policy changes that more comprehensively address health disparities and related resource allocation. American Journal Experts 2023-03-24 /pmc/articles/PMC10055530/ /pubmed/36993201 http://dx.doi.org/10.21203/rs.3.rs-1983254/v1 Text en https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) , which allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator. The license allows for commercial use.
spellingShingle Article
Kindratt, Tiffany Billmeier
Ajrouch, Kristine J
Zahodne, Laura B
Dallo, Florence J.
Suspected undiagnosed ADRD among Middle Eastern and North African Americans
title Suspected undiagnosed ADRD among Middle Eastern and North African Americans
title_full Suspected undiagnosed ADRD among Middle Eastern and North African Americans
title_fullStr Suspected undiagnosed ADRD among Middle Eastern and North African Americans
title_full_unstemmed Suspected undiagnosed ADRD among Middle Eastern and North African Americans
title_short Suspected undiagnosed ADRD among Middle Eastern and North African Americans
title_sort suspected undiagnosed adrd among middle eastern and north african americans
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10055530/
https://www.ncbi.nlm.nih.gov/pubmed/36993201
http://dx.doi.org/10.21203/rs.3.rs-1983254/v1
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