Prevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity

Eric Jutkowitz, Christopher Halladay, Jack Tsai, Dina Hooshyar, Lien Quach, Thomas O'Toole, James L. Rudolph

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Housing insecure veterans are aging, but the prevalence of Alzheimer's disease and related dementias (AD/ADRD) in the population is unknown. Methods: We calculated the prevalence of AD/ADRD diagnoses in 2018 among veterans that experienced homelessness, were at-risk for homelessness, or were stably housed. We determined acute care (emergency department, hospitalizations, psychiatric hospitalizations), and any long-term care (nursing home, and community-based) use by housing status among veterans with an AD/ADRD diagnosis. Results: The overall prevalence of AD/ADRD diagnoses for homeless, at-risk, and stably housed veterans was 3.66%, 13.48%, and 3.04%, respectively. Housing insecure veterans with AD/ADRD used more acute care, and were more likely to have a nursing home admission compared to stably housed veterans. At risk, but not homeless veterans, were more likely to use US Department of Veterans Affairs–paid home and community-based care than stably housed veterans. Discussion: The prevalence of AD/ADRD diagnoses is greater among housing insecure veterans than stably housed veterans.

Original languageEnglish (US)
JournalAlzheimer's and Dementia
DOIs
StateAccepted/In press - 2021

Keywords

  • Alzheimer's disease and related dementias
  • dementia
  • housing insecurity
  • veterans

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Developmental Neuroscience
  • Clinical Neurology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health
  • Cellular and Molecular Neuroscience

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