ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2023
Geographic Patterns of Dementia in the United States: Variation by Place of Residence, Place of Birth, and Subpopulation.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Mapping intersectionality in dementia care research: a decadal scoping review.Frontiers in dementia · 2026Pooled it
- State Policy Liberalism in Adolescence and Risk for Dementia from 2000 to 2016 among Older U.S. Adults.Journal of health and social behavior · 2026Article
- Living in the United States Stroke Belt and cognitive change in the Women's Health Study: a cohort study.BMC neurology · 2026Observational
- The social environment and cognitive aging over the life course: laying out critical concepts and research gaps.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- Undiagnosed dementia and mortality among older adults in the United States and Brazil: A cross-national cohort study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Memory trajectories before and after a negative wealth shock, the United States Health and Retirement Study, 1998-2020.American journal of epidemiology · 2026Article
- Mortality trends for chronic kidney disease and dementia in the United States, 1999-2020: a 22-year retrospective analysis.Annals of medicine and surgery (2012) · 2026Article
- Trends in Dementia Associated Mortality among Patients with Underlying Stroke: A Nationwide Retrospective Analysis (1999-2023).Journal of epidemiology and global health · 2025Article
- Unraveling disparities in county-level dementia diagnosis prevalence across the United States.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Aging, Alzheimer's disease, and stroke: A 25-year longitudinal analysis of U.S. mortality trends.Journal of Alzheimer's disease : JAD · 2025Article
- Alzheimer's Disease in Illinois: Analyzing Disparities and Projected Trends.Geriatrics (Basel, Switzerland) · 2025Review
- Associations between U.S. County-Level Social Infrastructure and Dementia among Medicare Beneficiaries, 2020.Alzheimer's & dementia. Behavior & socioeconomics of aging · 2025Article
- Regional disparities in cognitive life expectancy: The role of birth and current residence in the United States.Health & place · 2025Article
- Regional variability of the impact of cardiometabolic diseases on incident dementia in United States Medicare beneficiaries.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- 2025 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2025Review
- Social determinants of health and mild cognitive impairment in a diverse community sample.Journal of the American Geriatrics Society · 2025Article
- The role of educational attainment and quality in U.S. regional variation in prevalence of dementia and CIND.PloS one · 2025Article
- Variation in Adult Cognition Across Domains and Life Course Place Effects in the UK.Journal of aging and health · 2024Article
- Socioeconomic and medical determinants of state-level subjective cognitive decline in the United States.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- Place of Birth and Cognitive Function Among Older Americans: Findings From the Harmonized Cognitive Assessment Protocol.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectivesThe prevalence of dementia varies geographically in the United States. However, the extent to which this variation reflects contemporary place-based experiences versus embodied exposures from earlier in the life course remains unclear, and little is known regarding the intersection of place and subpopulation. This study, therefore, evaluates whether and how risk for assessed dementia varies by place of residence and birth, overall and by race/ethnicity and education.
methodsWe pool data from the 2000 to 2016 waves of the Health and Retirement Study, a nationally representative panel survey of older U.S. adults (n = 96,848 observations). We estimate the standardized prevalence of dementia by Census division of residence and birth. We then fit logistic regression models of dementia on region of residence and birth, adjusting for sociodemographic characteristics, and examine interactions between region and subpopulation.
resultsThe standardized prevalence of dementia ranges from 7.1% to 13.6% by division of residence and from 6.6% to 14.7% by division of birth, with rates highest throughout the South and lowest in the Northeast and Midwest. In models accounting for region of residence, region of birth, and sociodemographic covariates, Southern birth remains significantly associated with dementia. Adverse relationships between Southern residence or birth and dementia are generally largest for Black and less-educated older adults. As a result, sociodemographic disparities in predicted probabilities of dementia are largest for those residing or born in the South. DISCUSSION: The sociospatial patterning of dementia suggests its development is a lifelong process involving cumulated and heterogeneous lived experiences embedded in place.
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