Evidence map›Paper›PMID 38053404›Full record

ArticleJournal of the American Geriatrics Society2024

Risk of dementia among veterans experiencing homelessness and housing instability.

Jill S Roncarati, Frank DeVone, Christopher Halladay, Jack Tsai, Eric Jutkowitz

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Dementia care and mortality in people experiencing homelessness: A matched cohort study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  5. Social determinants of dementia: A scoping review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  6. Article
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

5 authors at 3 institutions in 2 countries.

Jill S RoncaratiU.S. Department of Veterans Affairs, Center for Healthcare Organization & Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, Massachusetts, USA.ORCID 0000-0003-2735-3845
Frank DeVoneCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Christopher HalladayCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.
Jack TsaiU.S. Department of Veterans Affairs, National Center on Homelessness Among Veterans, Tampa, Florida, USA.
Eric JutkowitzCenter of Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island, USA.ORCID 0000-0002-1735-8434
Providence VA Medical Center · USUnited States Department of Veterans Affairs · USBrown University · US

Funding

Person-Reported and Health Care Utilization Outcomes of Home and Community Based Care Recipients With and Without Alzheimer's Disease and its Related DementiasRF1AG069771 · NIA · UNIVERSITY OF MINNESOTA · PI JUTKOWITZ, ERIC, SHIPPEE, TETYANA P. · 2020 to 2023
$2.4M
Microsimulation Modeling to Compare the Effectiveness and Cost-Effectiveness of Nondrug Interventions to Manage Clinical Symptoms in Racially/Ethnically Diverse Persons with DementiaR01AG060871 · NIA · BROWN UNIVERSITY · PI JUTKOWITZ, ERIC · 2019 to 2022
$1.7M
NIA NIH HHS 1R01AG060871NIA NIH HHS 1RF1AG069771NIA NIH HHS R01 AG060871NIA NIH HHS RF1 AG069771
6 · The paper itself

Abstract

backgroundIn the United States, nearly 85,000 Veterans experienced homelessness during 2020, and thousands more are experiencing housing instability, representing a significant proportion of the population.

methodsWe examined the rate of ADRD diagnosis for Veterans experiencing homelessness and housing instability compared to a matched cohort of stably housed Veterans over a nine-year period using cox proportional hazard models.

resultsIn the matched cohort, 95% (n = 88,811) of Veterans were men, and 67% (n = 59,443) were White and were on average 63 years old (SD = 10.8). Veterans with housing instability had a higher hazard of 1.53 (95% confidence interval (CI) 1.50, 1.59) for ADRD compared to Veterans without housing instability.

conclusionsVeterans experiencing housing instability have a substantially higher risk of receiving an ADRD diagnosis than a matched cohort of stably housed Veterans. Health systems and providers should consider cognitive screening among people experiencing housing insecurity. Existing permanent supportive housing programs should consider approaches to modify wraparound services to support Veterans experiencing ADRD.

Indexed as

Alzheimer DiseaseIll-Housed PersonsSubstance-Related DisordersVeteransFemaleHousing InstabilityHumansMaleUnited StatesAlzheimer's diseasedementiahousing instabilitypermanent supportive housingveterans experiencing homelessness

Identifiers

PMID38053404
PMCPMC10922215
OpenAlexW4389393868

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.