Global rural health disparities in Alzheimer's disease and related dementias: State of the science.
Journal: Alzheimer's & dementia : the journal of the Alzheimer's Association
Volume: 19
Issue: 9
Year of Publication: 2023
Affiliated Institutions:
C.E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida, USA.
University of Kentucky College of Social Work, University of Kentucky, Lexington, Kentucky, USA.
Center for Innovation in Healthy and Resilient Aging, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, USA.
Frederick P. Whiddon College of Medicine, Department of Physiology & Cell Biology, University of South Alabama, Mobile, Alabama, USA.
Department of Human Development, Washington State University, Pullman, Washington, USA.
Division of Nephrology and Hypertension, Department of Internal Medicine, Neurology, Alzheimer's Disease Research Center, University of Kansas, Kansas City, Kansas, USA.
Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.
Memory Keepers Medical Discovery Team, University of Minnesota Medical School, Duluth, Minnesota, USA.
Oregon Alzheimer's Disease Research Center, Oregon Health & Science University, Portland, Oregon, USA.
Neuropsychiatry, Royal Melbourne Hospital, Parkville, Victoria, Australia.
University of Montana School of Public and Community Health Sciences, Missoula, Montana, USA.
School of Psychology, University of New South Wales, Sydney, Australia.
Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, Nevada, USA.
School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Department of Communication Disorders, Center for Brain Biology and Behavior (CB), University of Nebraska at Kearney, and Lincoln, Nebraska, USA.
Department of Psychology and Public Health, Universidad Centroamericana José Simeón Cañas, El Salvador, El Salvador.
Department of Neurology and Alzheimer Center, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Department of Health, Behavior, & Society, University of Kentucky, Lexington, Kentucky, USA.
Human Development and Family Sciences, University of Arkansas, Fayetteville, Arkansas, USA.
School of Kinesiology and Health Sciences, Laurentian University, Sudbury, Ontario, Canada.
Center for Optimal Aging, Department of Physical Therapy, Marymount University, Arlington, Virginia, USA.
Department of Psychology, Arizona State University, Phoenix, Arizona, USA.
Institute for Informatics (I), Center for Population Health Informatics at I, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Department of Brain Health, School of Integrated Health Sciences, University of Nevada, Las Vegas, Nevada, USA.
Department of Family and Preventive Medicine, Division of Hospital Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Center for Translational Behavioral Science, Florida State University College of Medicine, Tallahassee, Florida, USA.
Comprehensive Center for Brain Health, University of Miami Miller School of Medicine, Boca Raton, Florida, USA.
Africa Mental Health Research and Training Foundation, Nairobi, Kenya.
Amissa, Charlotte, North Carolina, USA.
Department of Medicine, University of California, San Francisco, USA.
Clemson School of Nursing, Clemson University, Clemson, South Carolina, USA.
Sandler School of Social Work, College of Social Work and Criminal Justice, Florida Atlantic University, Boca Raton, Florida, USA.
Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, Colorado, USA.
School of Nursing, University of Louisville, Louisville, Kentucky, USA.
School of Public Health, Department of Social & Behavioral Health, University of Nevada, Las Vegas, USA.
Department of Clinical Research and Leadership, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.
Alzheimer's Therapeutic Research Institute, Alzheimer's Clinical Trials Consortium, University of Southern California, San Diego, California, USA.
Scientific Engagement, Medical & Scientific Relations, Alzheimer's Association, Chicago, Illinois, USA.
Abstract summary
Individuals living in rural communities are at heightened risk for Alzheimer's disease and related dementias (ADRD), which parallels other persistent place-based health disparities. Identifying multiple potentially modifiable risk factors specific to rural areas that contribute to ADRD is an essential first step in understanding the complex interplay between various barriers and facilitators.An interdisciplinary, international group of ADRD researchers convened to address the overarching question of: "What can be done to begin minimizing the rural health disparities that contribute uniquely to ADRD?" In this state of the science appraisal, we explore what is known about the biological, behavioral, sociocultural, and environmental influences on ADRD disparities in rural settings.A range of individual, interpersonal, and community factors were identified, including strengths of rural residents in facilitating healthy aging lifestyle interventions.A location dynamics model and ADRD-focused future directions are offered for guiding rural practitioners, researchers, and policymakers in mitigating rural disparities.Rural residents face heightened Alzheimer's disease and related dementia (ADRD) risks and burdens due to health disparities. Defining the unique rural barriers and facilitators to cognitive health yields insight. The strengths and resilience of rural residents can mitigate ADRD-related challenges. A novel "location dynamics" model guides assessment of rural-specific ADRD issues.
Authors & Co-authors:
Wiese
Gibson
Guest
Nelson
Weaver
Gupta
Carmichael
Lewis
Lindauer
Loi
Peterson
Radford
Rhodus
Wong
Zuelsdorff
Saidi
Valdivieso-Mora
Franzen
Pope
Killian
Shrestha
Heyn
Ng
Prusaczyk
John
Kulshreshtha
Sheffler
Besser
Daniel
Tolea
Miller
Musyimi
Corkey
Yank
Williams
Rahemi
Park
Magzamen
Newton
Harrington
Flatt
Arora
Walter
Griffin
Babulal
Study Outcome
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