Dementia Diagnosis, Healthcare Use, and Outmigration of Older Adults in Puerto Rico After Hurricane Maria
2024

Dementia Diagnosis and Migration of Older Adults in Puerto Rico After Hurricane Maria

Sample size: 72117 publication Evidence: moderate

Author Information

Author(s): Kim Jeung Hyun, Lee Yoojin, Liao Yanru, Rivera-Hernandez Maricruz

Primary Institution: Brown University

Hypothesis

Does the diagnosis of Alzheimer's Disease and Related Dementias (ADRD) among older adults in Puerto Rico influence their decision to migrate to the U.S. mainland after Hurricane Maria?

Conclusion

Older adults diagnosed with ADRD were more likely to migrate to the mainland U.S. after Hurricane Maria, likely seeking better healthcare.

Supporting Evidence

  • There was a significant increase in outmigration among Medicare beneficiaries in Puerto Rico after Hurricane Maria.
  • Older adults diagnosed with ADRD were more likely to migrate compared to those without the diagnosis.
  • Higher healthcare utilization was linked to the decision to migrate.

Takeaway

Older people with dementia in Puerto Rico moved to the mainland U.S. after a big storm because they wanted better healthcare.

Methodology

Logistic regression analysis of Medicare beneficiary data.

Potential Biases

Potential bias in data collection from Medicare beneficiaries.

Limitations

The study may not capture all factors influencing migration decisions.

Participant Demographics

Older adults in Puerto Rico, specifically those diagnosed with ADRD.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.4156

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