Evidence map›Paper›PMID 37793395›Full record

ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2023

The Prevalence of Cognitive Impairment and Dementia in Incarcerated Older Adults.

Jacques Baillargeon, Lannette C Linthicum, Owen J Murray, Mukaila A Raji, Yong-Fang Kuo, John S Pulvino, Sadaf A Milani, Brie Williams, Gwen R Baillargeon, Patricia A Blair and 2 more

Open access · bronzeAbstract read
In one paragraph

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 12 citations in OpenAlex.

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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
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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

12 authors at 3 institutions in 1 country.

Jacques BaillargeonDepartment of Epidemiology, School of Public and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.
Lannette C LinthicumDepartment of Health Services, Texas Department of Criminal Justice, Huntsville, Texas, USA.
Owen J MurrayCorrectional Managed Care Division, University of Texas Medical Branch, Galveston, Texas, USA.
Mukaila A RajiDepartment of Internal Medicine, University of Texas Medical Branch, Galveston, Texas, USA.ORCID 0000-0002-7460-7281
Yong-Fang KuoDepartment of Biostatistics and Data Science, School of Public and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.ORCID 0000-0003-1927-0927
John S PulvinoCorrectional Managed Care Division, University of Texas Medical Branch, Galveston, Texas, USA.
Sadaf A MilaniDepartment of Epidemiology, School of Public and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.ORCID 0000-0001-6631-6532
Brie WilliamsDivision of Geriatrics, University of California at San Francisco, San Francisco, California, USA.
Gwen R BaillargeonCorrectional Managed Care Division, University of Texas Medical Branch, Galveston, Texas, USA.
Patricia A BlairSchool of Nursing, University of Texas Medical Branch, Galveston, Texas, USA.
M Kristen PeekDepartment of Population Health Sciences, School of Public and Population Health, University of Texas Medical Branch, Galveston, Texas, USA.
Joseph V PennCorrectional Managed Care Division, University of Texas Medical Branch, Galveston, Texas, USA.
The University of Texas Medical Branch at Galveston · USTexas Department of State Health Services · USUniversity of California, San Francisco · US

Funding

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
NIA NIH HHS R24 AG065175
6 · The paper itself

Abstract

objectivesIn view of the growing number of older incarcerated persons in the United States, cognitive impairment represents one of the most challenging and costly health care issues facing the U.S. correctional system. This study examined the prevalence and correlates of this growing public health issue in the nation's largest prison system.

methodsIn this study of a random sample of 143 older (≥55 years) adults incarcerated in the Texas prison system, we assessed-using the Montreal Cognitive Assessment (MoCA)-the percentage of inmates who met the MoCA thresholds for mild cognitive impairment (MCI; <23) and dementia (<18). Due to sample size limitations, our multivariable analysis assessed the binary outcome, MoCA <23.

resultsOverall, 35.0% of our random sample of incarcerated older adults in Texas met the threshold for MCI and 9.1% met the threshold for dementia. After adjusting for covariates, study participants who were Black (odds ratio [OR] = 4.12, 95% confidence interval [CI] = 1.57-10.82), Hispanic (OR = 4.34, 95% CI = 1.46-12.93), and those with a diagnosis of major depressive disorder (8.56, 95% CI = 1.21-60.72) all had higher prevalence of a positive screen for MCI or dementia. Dementia was underdiagnosed in our study sample of incarcerated adults, with 15.4% of MoCA-diagnosed dementia patients having a dementia diagnosis documented in their medical records. DISCUSSION: Future studies of cognitive impairment in prisons and jails can inform health care planning and resource allocation, such as expansion of access to palliative care, advance care planning, and targeted cognitive screening in older age groups.

Indexed as

Cognitive DysfunctionDementiaMajor Depressive DisorderPrisonersAgedHumansNeuropsychological TestsPrevalenceDementiaMild cognitive impairmentPrison

Identifiers

PMID37793395
PMCPMC13376969
OpenAlexW4387327406

What OpenQuestion holds

Textmetadata
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.