TY - JOUR
T1 - Prevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity
AU - Jutkowitz, Eric
AU - Halladay, Christopher
AU - Tsai, Jack
AU - Hooshyar, Dina
AU - Quach, Lien
AU - O'Toole, Thomas
AU - Rudolph, James L.
N1 - Funding Information:
Dr. Jutkowitz reports grants outside the submitted work from the National Institute on Aging (1R21AG059623, 1R01AG060871, and RF1AG069771) and a Brown University Big Data Collaborative Seed Award. He serves on a Data Safety Monitoring Board for a National Institute on Aging study awarded to the Indiana University School of Nursing. Mr. Halladay has nothing to disclose. Dr. Tsai has nothing to disclose. Dr. Hooshyar reports serving as co‐investigator on a VA Rehabilitation Research and Development grant, which does not support her salary. VA supports her travel to attend meetings and conferences. She has not received any support from non‐VA sources to attend meetings and/conferences. Dr. Quach reports grants outside the submitted work from the National Institutes of Health (P2CHD065702 and the Claude D. Pepper Older Americans Independence Center P30‐AG031679). Dr. O'Toole has nothing to disclose. Dr. Rudolph reports grants outside the submitted work from the VA Health Services Research and Development Center of Innovation in Long Term Services and Supports (CIN 13‐419;), VA HSR&D Small Award Initiative For impact (SWIFT) and the Evaluation of Veteran Directed Care (SDR 16‐194). He has received travel support from VA Health Services Research and Development and the RECALL Foundation, payments from the Medical University of South Carolina, and participated on a Data Safety Monitoring or Advisory Board for Indiana University, Purdue University, and Regenstreif Institute. He reports an unpaid relationship with the American Delirium Society. This research was supported by a Memorandum of Understanding between the VA National Center on Homelessness among Veterans (Drs. Hooshyar and Tsai) and the VA Health Services Research and Development Center of Innovation in Long Term Services and Supports (Drs. Jutkowitz and Rudolph and Mr. Halladay). The statements and opinions expressed are those of the authors and do not represent the official policy or procedures of the United States Government or the Department of Veterans Affairs.
Funding Information:
This research was supported by a Memorandum of Understanding between the VA National Center on Homelessness Among Veterans (Drs. Hooshyar and Tsai) and the VA Health Services Research and Development Center of Innovation in Long Term Services and Supports (Drs. Jutkowitz and Rudolph and Mr. Halladay). The statements and opinions expressed are those of the authors and do not represent the official policy or procedures of the United States Government or the Department of Veterans Affairs.
Publisher Copyright:
© 2021 the Alzheimer's Association
PY - 2021
Y1 - 2021
N2 - Introduction: Housing insecure veterans are aging, but the prevalence of Alzheimer's disease and related dementias (AD/ADRD) in the population is unknown. Methods: We calculated the prevalence of AD/ADRD diagnoses in 2018 among veterans that experienced homelessness, were at-risk for homelessness, or were stably housed. We determined acute care (emergency department, hospitalizations, psychiatric hospitalizations), and any long-term care (nursing home, and community-based) use by housing status among veterans with an AD/ADRD diagnosis. Results: The overall prevalence of AD/ADRD diagnoses for homeless, at-risk, and stably housed veterans was 3.66%, 13.48%, and 3.04%, respectively. Housing insecure veterans with AD/ADRD used more acute care, and were more likely to have a nursing home admission compared to stably housed veterans. At risk, but not homeless veterans, were more likely to use US Department of Veterans Affairs–paid home and community-based care than stably housed veterans. Discussion: The prevalence of AD/ADRD diagnoses is greater among housing insecure veterans than stably housed veterans.
AB - Introduction: Housing insecure veterans are aging, but the prevalence of Alzheimer's disease and related dementias (AD/ADRD) in the population is unknown. Methods: We calculated the prevalence of AD/ADRD diagnoses in 2018 among veterans that experienced homelessness, were at-risk for homelessness, or were stably housed. We determined acute care (emergency department, hospitalizations, psychiatric hospitalizations), and any long-term care (nursing home, and community-based) use by housing status among veterans with an AD/ADRD diagnosis. Results: The overall prevalence of AD/ADRD diagnoses for homeless, at-risk, and stably housed veterans was 3.66%, 13.48%, and 3.04%, respectively. Housing insecure veterans with AD/ADRD used more acute care, and were more likely to have a nursing home admission compared to stably housed veterans. At risk, but not homeless veterans, were more likely to use US Department of Veterans Affairs–paid home and community-based care than stably housed veterans. Discussion: The prevalence of AD/ADRD diagnoses is greater among housing insecure veterans than stably housed veterans.
KW - Alzheimer's disease and related dementias
KW - dementia
KW - housing insecurity
KW - veterans
UR - http://www.scopus.com/inward/record.url?scp=85118800856&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85118800856&partnerID=8YFLogxK
U2 - 10.1002/alz.12476
DO - 10.1002/alz.12476
M3 - Article
C2 - 34757668
AN - SCOPUS:85118800856
SN - 1552-5260
JO - Alzheimer's and Dementia
JF - Alzheimer's and Dementia
ER -