Evidence map›Paper›PMID 35212389›Full record

ArticleJournal of the American Geriatrics Society2022

Prevalence of dementia and mild cognitive impairment before incarceration.

Randall L Kuffel, Amy L Byers, Brie Williams, Richard Fortinsky, Yixia Li, Michael A Ruderman, Lisa C Barry

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  7. The Impact of Prior Incarceration on Cognitive Trajectories Among Older Adults: Evidence From the Health and Retirement Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  8. Review
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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

7 authors at 3 institutions in 1 country.

Randall L KuffelSan Francisco Veterans Health Care System, San Francisco, California, USA.ORCID 0000-0002-2241-0217
Amy L ByersSan Francisco Veterans Health Care System, San Francisco, California, USA.
Brie WilliamsDepartment of Medicine, Division of Geriatrics, University of California, San Francisco, California, USA.
Richard FortinskySan Francisco Veterans Health Care System, San Francisco, California, USA.
Yixia LiSan Francisco Veterans Health Care System, San Francisco, California, USA.
Michael A RudermanSan Francisco Veterans Health Care System, San Francisco, California, USA.
Lisa C BarryCenter on Aging, School of Medicine, University of Connecticut, Farmington, Connecticut, USA.
San Francisco VA Health Care System · USUniversity of California, San Francisco · USUniversity of Connecticut · US

Funding

Research Education ComponentP30AG067988 · NIA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Richard H Fortinsky, GEORGE A KUCHEL · 2021 to 2026
$9.5M
Advancing Health Disparities Research in Aging: The Aging Research in Criminal Justice & Health (ARCH) NetworkR24AG065175 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LISA C BARRY, BRIE A WILLIAMS · 2019 to 2026
$3.3M
Precursors of Suicide in Older Adults Transitioning from Prison to CommunityRF1MH117604 · NIMH · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI BARRY, LISA C, BYERS, AMY LYNN · 2018 to 2020
$2.0M
CSRD VA IK6 CX002386HSRD VA SDR 02-237NIA NIH HHS P30 AG067988NIA NIH HHS R24 AG065175NIMH NIH HHS RF1 MH117604
6 · The paper itself

Abstract

backgroundAccumulating evidence indicates that behaviors in Alzheimer's disease and related dementias could result in incarceration. Yet, the proportion of persons diagnosed with dementia and mild cognitive impairment (MCI) before they were incarcerated is largely unknown. By leveraging a national sample of mid- to late-life adults who were incarcerated, we determined the prevalence of dementia and MCI before their incarceration.

methodsIn this current study, participants were Medicare-eligible U.S. veterans who transitioned from incarceration to the community in mid- to late-life from October 1, 2012, to September 30, 2018, after having been incarcerated for ≤10 consecutive years (N = 17,962). Medical claims data were used to determine clinical diagnoses of dementia and MCI up to three years before incarceration. Demographics, comorbidities, and duration of incarceration among those with dementia and MCI were compared to those with neither diagnosis.

resultsParticipants were >97% male, 65% non-Hispanic white, 30% non-Hispanic black, and 3.3% had a diagnosis of either dementia (2.5%) or MCI (0.8%) before their most recent incarceration. Individuals with MCI or dementia diagnoses were older, were more likely to be non-Hispanic white, had more medical and psychiatric comorbidities, and experienced homelessness and traumatic brain injury at higher rates than those with neither diagnosis. Average duration of incarceration was significantly shorter among those with MCI (201.8 [±248.0] days) or dementia (312.8 [±548.3] days), as compared to those with neither diagnosis (497.0 [±692.7] days) (p < 0.001).

conclusionsThese findings raise awareness of the proportion of incarcerated persons in the United States who have a diagnosis of MCI or dementia before they are incarcerated. Improved understanding of pathways linking cognitive impairment to incarceration in mid- to late-life are needed to inform appropriateness of incarceration, optimization of health care, and prevention of interpersonal harm in this medically vulnerable population.

Indexed as

Alzheimer DiseaseCognitive DysfunctionAgedComorbidityFemaleHumansMaleMedicarePrevalenceUnited Statesdementiaincarcerationjailmild cognitive impairmentprisoners

Identifiers

PMID35212389
PMCPMC9177569
OpenAlexW4214539570

What OpenQuestion holds

Textmetadata
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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.