Evidence map›Paper›PMID 41658010›Full record

ArticleJournal of social service research2026

Broadband Availability and Alzheimer's Disease and Related Dementias Prevalence in Central Appalachia.

Jenna I Rajczyk, James F Burke, Wendy Y Xu, Jeffrey J Wing

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of social service research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

4 authors.

Jenna I RajczykDivision of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio, USA.
James F BurkeDepartment of Neurology, College of Medicine, The Ohio State University, Columbus, Ohio, USA.
Wendy Y XuDivision of Health Services Management and Policy, College of Public Health, The Ohio State University, United States, Columbus, Ohio, USA.
Jeffrey J WingDivision of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio, USA.

Funding

Role of Geography on Alzheimer’s Disease and Related Dementias in Central AppalachiaR03AG078979 · NIA · OHIO STATE UNIVERSITY · PI WING, JEFFREY JAMES · 2022 to 2023
$148k
NIA NIH HHS R03 AG078979
6 · The paper itself

Abstract

Geographical differences in Alzheimer's disease and related dementias (ADRD) prevalence may be driven by under-diagnosis due to insufficient healthcare access. Telehealth may improve ADRD detection in remote regions but relies on broadband service availability. We evaluated the influence of county-level broadband availability on Appalachian and rural variation of ADRD prevalence in six US Central Appalachian states and hypothesized that accounting for broadband access may accentuate Appalachian/non-Appalachian and rural/urban differences. An ecologic analysis evaluated county-level ADRD prevalence among the Medicare fee-for-service population across 591 Central Appalachian counties from 2015 to 2018. ADRD prevalence by Appalachian/non-Appalachian and rural/urban county-designation was estimated using negative binomial regression sequentially adjusting for age/education, diagnostic access, broadband presence/usage, poverty, and internet access/device ownership. Appalachian counties had lower ADRD prevalence than non-Appalachian counties in rural compared to urban counties (β

Indexed as

Alzheimer’s diseaseAppalachian regionbroadbanddementiarural population

Identifiers

PMID41658010
PMCPMC12880631

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.