Inequity in Health Among People Living With Alzheimer's Disease and Related Dementias in Adult Day Centers. (17th December 2021)

• Record Type: Journal Article
• Authors: Yu, Gary; Wu, Bei; Brody, Abraham; Sadarangani, Tina; Boafo, Jonelle
• Is Part Of: Innovation in aging. Volume 5(2021)Supplement 1
• Page Start: 330
• Page End: 330
• Publication Date: 2021-12-17
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igab046.1275
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: In adult day centers (ADCs), 58% of clients identify as racial/ethnic minorities, and at least 30% have Alzheimer's Disease and related dementias (ADRD). ADCs offer culturally and linguistically congruent care to clients, making them well-positioned to address potential health disparities affecting persons with ADRD. We used data from 53 California ADCs (n=3, 053) to identify differences in clinical characteristics among ADC clients' with ADRD based on demographics such as race and English proficiency. We found that, when compared to their respective counterparts, a significantly greater proportion of racial/ethnic minorities and non-English speakers (p<.001) had 5 or more chronic conditions in addition to ADRD. We noted considerable missing data on race, likely because ADCs in California are not mandated to report data on race/ethnicity. In order to identify inequities in care within this complex population, social determinants of health, including race, must be a standard component of client assessment.