Arbeitspapier

Cognitive Impairment and Prevalence of Memory-Related Diagnoses among U.S. Older Adults

Cognitive impairment creates significant challenges to health and well-being of the fast-growing aging population. Early recognition of cognitive impairment may confer important advantages, allowing for diagnosis and appropriate treatment, education, psychosocial support, and improved decision-making regarding life planning, health care, and financial matters. Yet the prevalence of memory-related diagnoses among older adults with early symptoms of cognitive impairment is unknown. Using 2000-2014 Health and Retirement Survey - Medicare linked data, we leveraged within-individual variation in a longitudinal cohort design to examine the relationship between incident cognitive impairment and receipt of diagnosis among American older adults. Receipt of a memory-related diagnosis was determined by ICD-9-CM codes. Incident cognitive impairment was assessed using the modified Telephone Interview of Cognitive Status (TICS). We found overall low prevalence of early memory-related diagnosis, or high rate of underdiagnosis, among older adults showing symptoms of cognitive impairment, especially among non-whites and socioeconomically disadvantaged subgroups. Our findings call for targeted interventions to improve the rate of early diagnosis, especially among vulnerable populations.

Language
Englisch

Bibliographic citation
Series: IZA Discussion Papers ; No. 14098

Classification
Wirtschaft
Analysis of Health Care Markets
Health and Inequality
Economics of the Elderly; Economics of the Handicapped; Non-labor Market Discrimination
Health: Government Policy; Regulation; Public Health
Urban, Rural, Regional, Real Estate, and Transportation Economics: Household Analysis: General
Subject
cognitive impairment
cognitive aging
dementia
Medicare
memory-related diagnosis

Event
Geistige Schöpfung
(who)
Qian, Yuting
Chen, Xi
Tang, Diwen
Kelley, Amy S.
Li, Jing
Event
Veröffentlichung
(who)
Institute of Labor Economics (IZA)
(where)
Bonn
(when)
2021

Handle
Last update
16.01.2025, 11:44 AM CET

Data provider

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Object type

  • Arbeitspapier

Associated

  • Qian, Yuting
  • Chen, Xi
  • Tang, Diwen
  • Kelley, Amy S.
  • Li, Jing
  • Institute of Labor Economics (IZA)

Time of origin

  • 2021

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