Evidence map›Paper›PMID 42800819›Full record

ArticleJournal of racial and ethnic health disparities2026

What Increases the Likelihood of Dementia Among Asian Americans? Analysis of Nativity and Life Course Factors.

Jamil Judith Berard Okada, Michelle Shigi Yang, Roland Alfred Yu, Lisa Du, Bunnarin Theng, Gordon Shen, Wei-Chen Lee

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Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jamil Judith Berard OkadaJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Michelle Shigi YangJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Roland Alfred YuJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Lisa DuJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Bunnarin ThengJohn Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Gordon ShenDepartment of Health Systems and Policy, Oregon Health and Science University-Portland State University, Portland, OR, USA.
Wei-Chen LeeDepartment of Internal Medicine-Geriatric, University of Texas Medical Branch, Galveston, TX, USA. weilee@utmb.edu.ORCID http://orcid.org/0000-0003-4333-5444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe Alzheimer's Association has reported a 746% increase in dementia-related deaths in Asian American populations between 2000 and 2018, the most significant rise compared to all other racial groups. Asian Americans face a unique myriad of obstacles and factors contributing to significant health disparities, including those in dementia. Our aim is to compare determinants and outcomes of dementia between US-born and foreign-born Asian Americans.

methodsData from the 2019-2022 National Health Interview Survey was analyzed to examine the relationship between nativity and dementia. Other life course risk factors and outcomes of having dementia were also included in the analysis. The study sample included 16,331 US-born and 126,978 foreign-born Asian Americans.

resultsForeign-born Asian Americans were found to have a higher proportion of dementia compared to US-born Asian Americans (1.1%>0.4%, p = 0.0140). Risk factors that were found to significantly explain the relationship between nativity and dementia included age > 65, ever being married, having some college education, and having Medicaid coverage. Foreign-born Asian Americans with dementia are more likely to suffer from depression (p < 0.001) and experience/have difficulty in social involvement (p < 0.001) compared to US-born Asian Americans with dementia.

conclusionOur findings reaffirm that nativity contributes to the heterogeneous risk and outcomes of dementia in Asian Americans and the likelihood of having dementia is further impacted by life course factors. Interventions to support Asian American immigrants are needed to reduce the burden of dementia. More studies that identify nativity variations are also recommended to address health disparities that disproportionately affect older immigrants.

Indexed as

Asian AmericanDementiaHealth disparitiesImmigrantNativity

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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.