Evidence map›Paper›PMID 26639973›Full record

SynthesisJournal of Alzheimer's disease : JAD2016

A Meta-Analysis of Alzheimer's Disease Incidence and Prevalence Comparing African-Americans and Caucasians.

Kyle Steenland, Felicia C Goldstein, Allan Levey, Whitney Wharton

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of Alzheimer's disease : JAD, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 158 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed, 4 pooled it
12.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

158 citing papers in PubMed, 4 syntheses or guidelines pooled it, 225 citations in OpenAlex.

  1. Pooled it
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  5. Trial
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  8. Article
  9. The role of polygenic risk in Alzheimer's disease prediction for African Americans.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Observational
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  19. Local genetic correlation analysis of Alzheimer's disease and stroke implicatesmedRxiv : the preprint server for health sciences · 2025
    Article
  20. Article

98 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kyle SteenlandDepartment of Environmental Health, Rollins School of Public Health, Emory University, and Emory Alzheimer's Disease Research Center, Atlanta, GA, USA.
Felicia C GoldsteinDepartment of Neurology, Emory University School of Medicine, and Emory Alzheimer's Disease Research Center, Atlanta, GA, USA.
Allan LeveyDepartment of Neurology, Emory University School of Medicine, and Emory Alzheimer's Disease Research Center, Atlanta, GA, USA.
Whitney WhartonDepartment of Neurology, Emory University School of Medicine, and Emory Alzheimer's Disease Research Center, Atlanta, GA, USA.
Emory University · US

Funding

The Emory Alzheimer's Disease CenterP50AG025688 · NIA · EMORY UNIVERSITY · PI LEVEY, ALLAN I · 2005 to 2019
$25.7M
Air Pollution and Alzheimer's Disease and Related Dementias: A National StudyR01AG074357 · NIA · EMORY UNIVERSITY · PI STEENLAND, NELSON K · 2021 to 2025
$3.4M
NIA NIH HHS P50 AG025688NIA NIH HHS R01 AG074357
6 · The paper itself

Abstract

backgroundSeveral studies have shown higher Alzheimer's disease (AD) incidence rates are in African-Americans (AAs) than Caucasians (CCs). If this finding is consistent across studies, it raises important etiologic questions regarding factors responsible for this discrepancy. It also affects the likely public health burden of AD in the US in the future, as the non-Caucasian population becomes the majority.

objectiveEstimate the AA/CC rate ratio for AD incidence across all available studies.

methodsWe conducted a meta-analysis of population-based studies for the rate ratio (RR) of AD incidence for AAs versus CCs, after identifying six relevant studies from the literature. We calculated an AA/CC rate ratio across all studies using inverse-variance weighting, and assessed inter-study heterogeneity. Using these incidence data, as well as data on survival after diagnosis, and on all-cause mortality, we also estimated the US prevalence of AD among AAs and CCs.

resultsThere were six population-based studies with data comparing AD incidence between AAs and CCs, with an estimated 370 AA and 640 CC incident cases. The meta-analysis RR showed that the AD rate for AAs was 64% higher than for CCs (RR = 1.64 (95% CI 1.35-2.00)) 1.35-2.00)), with no evidence of heterogeneity. We estimated the current US AD prevalence for ages 65-90 to be 5.5% for CCs, and 8.6% for AAs (prevalence ratio 1.56).

conclusionAAs have an increased risk of incident and prevalent AD compared to CCs for reasons which are unknown, but are hypothesized to reflect biological, psychological, and socioeconomic factors.

Indexed as

Black or African AmericanWhite PeopleAlzheimer DiseaseCommunity Health PlanningFemaleFollow-Up StudiesHumansIncidenceMalePrevalenceAfrican-AmericanAlzheimer’s diseaseCaucasianincidenceprevalencerace

Identifiers

PMID26639973
PMCPMC4739787
OpenAlexW2252502539

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.