Elizabeth Rose Mayeda|M. Maria Glymour|Charles P. Quesenberry|Rachel A. Whitmer
Inequalities in dementia incidence between six racial and ethnic groups over 14 years
University of California, San Francisco|University of California, San Francisco|Kaiser Permanente|University of California, San Francisco|Kaiser Permanente
abstract introduction reducing racialethnic disparities primary objective national alzheimers plan napa yet direct comparisons within large samples representing diversity united states lacking methods dementia incidence january 1 2000 december 31 2013 25year cumulative risk 274283 health care members aged 64 n 18778 africanamerican n 4543 american indianalaska native aian n 21000 latino n 440 pacific islander n 206490 white n 23032 asianamericans cox proportional hazard models adjusted age sex medical utilization comorbidities results dementia incidence n 59555 highest africanamericans 2661000 personyears aians 2221000 personyears intermediate latinos 1961000 personyears pacific islanders 1961000 personyears whites 1931000 personyears lowest among asianamericans 1521000 personyears risk 65 greater africanamericans hazard ratio 165 95 confidence interval 158172 versus asianamericans cumulative 25year risk age 65 follows 38 africanamericans 35 aians 32 latino 25 pacific islanders 30 white 28 asianamericans discussion dementia rates varied 60 groups providing comprehensive benchmark napa goal reducing disparities