ArticleJournal of the American Geriatrics Society2015
High rates of Native Hawaiian and older Japanese adults hospitalized with dementia in Hawai'i.
Article in Journal of the American Geriatrics Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 28 citations in OpenAlex.
- No meaningful clinical differences in patient reported outcome scores for Native Hawaiian/Pacific Islanders following knee or hip arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Article
- Risk factors associated with 1-year mortality after osteoporotic hip fracture in Hawai'i: higher mortality risk among Native Hawaiians and other Pacific Islanders.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- Examining racial disparities in utilization rate and perioperative outcomes following knee and hip arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- The prevalence of bilateral and ipsilateral radiographic osteoarthritis is high in White, Asian and Native Hawaiian/Pacific Islanders presenting for unilateral knee or hip arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- The Prevalence of Hospitalized Parkinson's Disease Patients in All Case Hospitalization among Different Race/Ethnic Subgroups in Hawaii.Journal of Parkinson's disease · 2024Article
- Resources and Methods for Examining Native Hawaiian, Pacific Islander, and Filipino Health Disparities.Hawai'i journal of health & social welfare · 2023Article
- Alzheimer's disease and its related dementias in US Native Americans: A major public health concern.Ageing research reviews · 2023Review
- Nontuberculous mycobacterial skin and soft tissue infection in Hawai'i.BMC infectious diseases · 2022Article
- Hospital Disparities between Native Hawaiian and Other Pacific Islanders and Non-Hispanic Whites with Alzheimer's Disease and Related Dementias.Journal of aging and health · 2020Article
- Prevalence of Selected Chronic Conditions Among Children, Adolescents, and Young Adults in Acute Care Settings in Hawai'i.Preventing chronic disease · 2020Article
- Alzheimer's Disease and its Related Dementias among Asian Americans, Native Hawaiians, and Pacific Islanders: A Scoping Review.Journal of Alzheimer's disease : JAD · 2020Article
- United States Indigenous Populations and Dementia: Is There a Case for Culture-based Psychosocial Interventions?The Gerontologist · 2017Article
- Inequalities in dementia incidence between six racial and ethnic groups over 14 years.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2016Article
- Multiracial participants in Alzheimer's research: scoping review and recommendations.Alzheimer's & dementia (New York, N. Y.)Review
- Comparison of sample characteristics of Wisconsin Alzheimer's Disease Research Center participants with the Wisconsin state population-An evaluation of the recruitment effort.Alzheimer's & dementia (New York, N. Y.)Article
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
Data on dementia in Native Hawaiians and many Asian subgroups in the United States are limited. Inpatients with dementia have higher costs, longer stays, and higher mortality than those without dementia. This study compared rates of inpatients with a dementia diagnosis for disaggregated Asian and Pacific Islanders (Native Hawaiian, Chinese, Japanese, Filipino) with those of whites according to age (18-59, 60-69, 70-79, 80-89, ≤90) for all adults hospitalized in Hawai'i between December 2006 and December 2010; 13,465 inpatients with a dementia diagnosis were identified using International Classification of Diseases, Ninth Revision, codes. Rates were calculated using population size denominators derived from the U.S. Census. In all age categories, Native Hawaiians had the highest unadjusted rates of inpatients with dementia and were more likely to have a dementia diagnosis at discharge at younger ages than other racial and ethnic groups. In adjusted models (controlling for sex, residence location, and insurer), Native Hawaiian inpatients aged 18 to 59 (aRR = 1.50, 95% CI = 0.84-2.69), 60 to 69 (aRR = 2.53, 95% CI = 1.74-3.68), 70 to 79 (aRR = 2.19, 95% CI = 1.78-2.69), and 80 to 89 (aRR = 2.53, 95% CI = 1.24-1.71) were significantly more likely to have dementia than whites, as were Japanese aged 70 to 79 (aRR = 1.30, 95% CI = 1.01-1.67), 80 to 89 (aRR = 1.29, 95% CI = 1.05-1.57), and 90 and older (aRR = 1.51, 95% CI = 1.24-1.85). Japanese aged 18 to 59 had were significantly less likely to have dementia than whites (aRR = 0.40, 95% CI = 0.17-0.94). These patterns have important public health and clinical care implications for Native Hawaiians and older Japanese populations. Future studies should consider whether preventable medical risk, caregiving, socioeconomic conditions, genetic disposition, or a combination of these factors are responsible for these findings.
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