ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2016
Rural-Urban Differences in Alzheimer's Disease and Related Disorders Diagnostic Prevalence in Kentucky and West Virginia.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Geographical inequalities in dementia diagnosis and care: A systematic review.International psychogeriatrics · 2025Pooled it
- Results of a Randomized Trial Testing the Efficacy of Tele-Savvy, an Online Synchronous/Asynchronous Psychoeducation Program for Family Caregivers of Persons Living with Dementia.The Gerontologist · 2022Trial
- Demographic trends in mortality related to Alzheimer's disease and pneumonia: a two-decade (1999-2022) analysis from the CDC WONDER database.Annals of medicine and surgery (2012) · 2026Article
- Association of physical activity with motoric cognitive risk syndrome among the middle-aged and older adults in China.Scientific reports · 2026Article
- Broadband Availability and Alzheimer's Disease and Related Dementias Prevalence in Central Appalachia.Journal of social service research · 2026Article
- Supporting Individuals With Cognitive Impairment and Family Members in Rural Communities: Protocol for a Mixed Methods Digital Health Study.JMIR research protocols · 2025Article
- Plasma biomarkers identify brain ATN abnormalities in a dementia-free population-based cohort.Alzheimer's research & therapy · 2025Article
- Implementing early detection of cognitive impairment in primary care to improve care for older adults.Journal of internal medicine · 2025Review
- Nutritional strategies against dementia in rural populations.Frontiers in nutrition · 2025Review
- Regional differences in the incidence of Alzheimer's disease and related dementias in South Carolina.Frontiers in neurology · 2025Article
- Home health utilization in the Veterans Health Administration: Are there rural and urban differences?The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Article
- Testing the 'Faith Moves Mountains model' to increase Alzheimer's disease awareness, detection, and diagnosis among rural, racially, and ethnically diverse older adults.Aging & mental health · 2024Article
- Biomarkers of Alzheimer's disease and neurodegeneration in dried blood spots-A new collection method for remote settings.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- Features of the Physical and Social Neighborhood Environment and Neighborhood-Level Alzheimer's Disease and Related Dementia in South Carolina.Environmental health perspectives · 2024Article
- Geographic Variation of Prevalence of Alzheimer's Disease and Related Dementias in Central Appalachia.Journal of Alzheimer's disease : JAD · 2024Article
- Global rural health disparities in Alzheimer's disease and related dementias: State of the science.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Review
- ChatGPT vs Google for Queries Related to Dementia and Other Cognitive Decline: Comparison of Results.Journal of medical Internet research · 2023Article
- A call for clinical trial globalization in Alzheimer's disease and related dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Charting the Next Road Map for CSF Biomarkers in Alzheimer's Disease and Related Dementias.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeOlder adults living in rural areas may face barriers to obtaining a diagnosis of Alzheimer's disease and related disorders (ADRD). We sought to examine rural-urban differences in prevalence of ADRD among Medicare beneficiaries in Kentucky and West Virginia, 2 contiguous, geographically similar states with large rural areas and aged populations.
methodsWe used Centers for Medicare and Medicaid Services Public Use Files data from 2007 to 2013 to assess prevalence of ADRD at the county level among all Medicare beneficiaries in each state. Rural-Urban Continuum Codes were used to classify counties as rural or urban. We used Poisson regression to estimate unadjusted and adjusted prevalence ratios. Primary analyses focused on 2013 data and were repeated for 2007 to 2012. This study was completely ecologic.
findingsAfter adjusting for state, average beneficiary age, percent of female beneficiaries, percent of beneficiaries eligible for Medicaid in each county, Central Appalachian county, percent of age-eligible residents enrolled in Medicare, and percent of residents under age 65 enrolled in Medicare in our adjusted models, we found that 2013 ADRD diagnostic prevalence was 11% lower in rural counties (95% CI: 9%-13%).
conclusionsMedicare beneficiaries in rural counties in Kentucky and West Virginia may be underdiagnosed with respect to ADRD. However, due to the ecologic design, and evidence of a younger, more heavily male beneficiary population in some rural areas, further studies using individual-level data are needed to confirm the results.
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