ADDRESSING DISPARITIES IN ADRD PREVALENCE AND MORTALITY RATES BETWEEN RURAL AND URBAN COMMUNITIES
2024

Disparities in Dementia Rates Between Rural and Urban Areas

publication Evidence: moderate

Author Information

Author(s): Ferdows Nasim

Primary Institution: Northeastern University

Hypothesis

Are there differences in ADRD prevalence and mortality rates between rural and urban communities?

Conclusion

The study found that dementia prevalence is higher in rural areas, but claims-based studies may underestimate these rates due to limited healthcare access.

Supporting Evidence

  • Higher ADRD mortality rates were found in rural areas based on CDC data.
  • Cognitive tests indicated higher dementia prevalence in rural areas compared to urban areas.
  • Claims data showed lower prevalence rates for dementia in rural areas.

Takeaway

People in rural areas might have more dementia than we think, but it's hard to tell because they don't always get the healthcare they need.

Methodology

The study analyzed national county-level data from the CDC Wonder database and used Health and Retirement Study data.

Potential Biases

Claims-based studies may underestimate dementia rates due to limited healthcare access in rural areas.

Limitations

The study may not fully capture the healthcare access issues faced by rural residents.

Participant Demographics

The study involved a nationally representative sample of US older adults.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.1822

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