Global rural health disparities in Alzheimer's disease and related dementias: State of the science
INTRODUCTION 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...
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| creator | Wiese, Lisa Ann Kirk Gibson, Allison Guest, Marc Aaron Nelson, Amy R. Weaver, Raven Gupta, Aditi Carmichael, Owen Lewis, Jordan P. Lindauer, Allison Loi, Samantha Peterson, Rachel Radford, Kylie Rhodus, Elizabeth K. Wong, Christina G. Zuelsdorff, Megan Saidi, Ladan Ghazi Valdivieso‐Mora, Esmeralda Franzen, Sanne Pope, Caitlin N. Killian, Timothy S. Shrestha, Hom L. Heyn, Patricia C. Ng, Ted Kheng Siang Prusaczyk, Beth John, Samantha Kulshreshtha, Ambar Sheffler, Julia L. Besser, Lilah Daniel, Valerie Tolea, Magdalena I. Miller, Justin Musyimi, Christine Corkey, Jon Yank, Veronica Williams, Christine L Rahemi, Zahra Park, JuYoung Magzamen, Sheryl Newton, Robert L. Harrington, Candace Flatt, Jason D. Arora, Sonakshi Walter, Sarah Griffin, Percy Babulal, Ganesh M. |
| description | INTRODUCTION
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.
METHODS
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.
RESULTS
A range of individual, interpersonal, and community factors were identified, including strengths of rural residents in facilitating healthy aging lifestyle interventions.
DISCUSSION
A location dynamics model and ADRD‐focused future directions are offered for guiding rural practitioners, researchers, and policymakers in mitigating rural disparities.
HIGHLIGHTS
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. |
| doi_str_mv | 10.1002/alz.13104 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10524180</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2818057735</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4164-16fcec634f0e9da1c9e0bf8dd591467ce59f4da8de7134167c318fac1ea88bfa3</originalsourceid><addsrcrecordid>eNp1kcFO3DAQhi3UCij00BeofCs9LHiSOHF6qVaopUgrcQAuvVgTe9y4cpKtnS2Cp6_p0hU9cLEtz-dvxvoZewfiFIQozjA8nEIJotpjhyBlsZBF077anWtxwN6k9FOISiiQ--ygbApQsmwPWXcRpg4Dj5uY154wzD23Pq0x-tlT4n7ky_DQkx8ofkiPJcJEHEfLIwWcyXJLA42zx_SJX8_5hk-Ozz3xZDyNho7Za4ch0dun_Yjdfv1yc_5tsbq6uDxfrhamgrpaQO0MmbqsnKDWIpiWROeUtbKFqm4MydZVFpWlBsr8ojElKIcGCJXqHJZH7PPWu950A1mTZ8p_0uvoB4z3ekKv_6-Mvtc_pt8ahCwqUCIbTp4Mcfq1oTTrwSdDIeBI0ybpQmVKNk0pM_pxi5o4pRTJ7fqA0I-h6ByK_htKZt8_H2xH_kshA2db4M4Hun_ZpJer71vlH7aKmLE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2818057735</pqid></control><display><type>article</type><title>Global rural health disparities in Alzheimer's disease and related dementias: State of the science</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Wiese, Lisa Ann Kirk ; Gibson, Allison ; Guest, Marc Aaron ; Nelson, Amy R. ; Weaver, Raven ; Gupta, Aditi ; Carmichael, Owen ; Lewis, Jordan P. ; Lindauer, Allison ; Loi, Samantha ; Peterson, Rachel ; Radford, Kylie ; Rhodus, Elizabeth K. ; Wong, Christina G. ; Zuelsdorff, Megan ; Saidi, Ladan Ghazi ; Valdivieso‐Mora, Esmeralda ; Franzen, Sanne ; Pope, Caitlin N. ; Killian, Timothy S. ; Shrestha, Hom L. ; Heyn, Patricia C. ; Ng, Ted Kheng Siang ; Prusaczyk, Beth ; John, Samantha ; Kulshreshtha, Ambar ; Sheffler, Julia L. ; Besser, Lilah ; Daniel, Valerie ; Tolea, Magdalena I. ; Miller, Justin ; Musyimi, Christine ; Corkey, Jon ; Yank, Veronica ; Williams, Christine L ; Rahemi, Zahra ; Park, JuYoung ; Magzamen, Sheryl ; Newton, Robert L. ; Harrington, Candace ; Flatt, Jason D. ; Arora, Sonakshi ; Walter, Sarah ; Griffin, Percy ; Babulal, Ganesh M.</creator><creatorcontrib>Wiese, Lisa Ann Kirk ; Gibson, Allison ; Guest, Marc Aaron ; Nelson, Amy R. ; Weaver, Raven ; Gupta, Aditi ; Carmichael, Owen ; Lewis, Jordan P. ; Lindauer, Allison ; Loi, Samantha ; Peterson, Rachel ; Radford, Kylie ; Rhodus, Elizabeth K. ; Wong, Christina G. ; Zuelsdorff, Megan ; Saidi, Ladan Ghazi ; Valdivieso‐Mora, Esmeralda ; Franzen, Sanne ; Pope, Caitlin N. ; Killian, Timothy S. ; Shrestha, Hom L. ; Heyn, Patricia C. ; Ng, Ted Kheng Siang ; Prusaczyk, Beth ; John, Samantha ; Kulshreshtha, Ambar ; Sheffler, Julia L. ; Besser, Lilah ; Daniel, Valerie ; Tolea, Magdalena I. ; Miller, Justin ; Musyimi, Christine ; Corkey, Jon ; Yank, Veronica ; Williams, Christine L ; Rahemi, Zahra ; Park, JuYoung ; Magzamen, Sheryl ; Newton, Robert L. ; Harrington, Candace ; Flatt, Jason D. ; Arora, Sonakshi ; Walter, Sarah ; Griffin, Percy ; Babulal, Ganesh M.</creatorcontrib><description>INTRODUCTION
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.
METHODS
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.
RESULTS
A range of individual, interpersonal, and community factors were identified, including strengths of rural residents in facilitating healthy aging lifestyle interventions.
DISCUSSION
A location dynamics model and ADRD‐focused future directions are offered for guiding rural practitioners, researchers, and policymakers in mitigating rural disparities.
HIGHLIGHTS
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.</description><identifier>ISSN: 1552-5260</identifier><identifier>ISSN: 1552-5279</identifier><identifier>EISSN: 1552-5279</identifier><identifier>DOI: 10.1002/alz.13104</identifier><identifier>PMID: 37218539</identifier><language>eng</language><publisher>United States</publisher><subject>Alzheimer Disease - epidemiology ; community engagement ; community‐based action ; facilitators and barriers to ADRD diagnosis and treatment ; global disparities ; health disparities ; Humans ; location dynamics ; modifiable ADRD risk factors ; Risk Factors ; rural ; rural culture ; Rural Health ; Rural Population ; underserved ; under‐represented</subject><ispartof>Alzheimer's & dementia, 2023-09, Vol.19 (9), p.4204-4225</ispartof><rights>2023 the Alzheimer's Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4164-16fcec634f0e9da1c9e0bf8dd591467ce59f4da8de7134167c318fac1ea88bfa3</citedby><cites>FETCH-LOGICAL-c4164-16fcec634f0e9da1c9e0bf8dd591467ce59f4da8de7134167c318fac1ea88bfa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Falz.13104$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Falz.13104$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37218539$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wiese, Lisa Ann Kirk</creatorcontrib><creatorcontrib>Gibson, Allison</creatorcontrib><creatorcontrib>Guest, Marc Aaron</creatorcontrib><creatorcontrib>Nelson, Amy R.</creatorcontrib><creatorcontrib>Weaver, Raven</creatorcontrib><creatorcontrib>Gupta, Aditi</creatorcontrib><creatorcontrib>Carmichael, Owen</creatorcontrib><creatorcontrib>Lewis, Jordan P.</creatorcontrib><creatorcontrib>Lindauer, Allison</creatorcontrib><creatorcontrib>Loi, Samantha</creatorcontrib><creatorcontrib>Peterson, Rachel</creatorcontrib><creatorcontrib>Radford, Kylie</creatorcontrib><creatorcontrib>Rhodus, Elizabeth K.</creatorcontrib><creatorcontrib>Wong, Christina G.</creatorcontrib><creatorcontrib>Zuelsdorff, Megan</creatorcontrib><creatorcontrib>Saidi, Ladan Ghazi</creatorcontrib><creatorcontrib>Valdivieso‐Mora, Esmeralda</creatorcontrib><creatorcontrib>Franzen, Sanne</creatorcontrib><creatorcontrib>Pope, Caitlin N.</creatorcontrib><creatorcontrib>Killian, Timothy S.</creatorcontrib><creatorcontrib>Shrestha, Hom L.</creatorcontrib><creatorcontrib>Heyn, Patricia C.</creatorcontrib><creatorcontrib>Ng, Ted Kheng Siang</creatorcontrib><creatorcontrib>Prusaczyk, Beth</creatorcontrib><creatorcontrib>John, Samantha</creatorcontrib><creatorcontrib>Kulshreshtha, Ambar</creatorcontrib><creatorcontrib>Sheffler, Julia L.</creatorcontrib><creatorcontrib>Besser, Lilah</creatorcontrib><creatorcontrib>Daniel, Valerie</creatorcontrib><creatorcontrib>Tolea, Magdalena I.</creatorcontrib><creatorcontrib>Miller, Justin</creatorcontrib><creatorcontrib>Musyimi, Christine</creatorcontrib><creatorcontrib>Corkey, Jon</creatorcontrib><creatorcontrib>Yank, Veronica</creatorcontrib><creatorcontrib>Williams, Christine L</creatorcontrib><creatorcontrib>Rahemi, Zahra</creatorcontrib><creatorcontrib>Park, JuYoung</creatorcontrib><creatorcontrib>Magzamen, Sheryl</creatorcontrib><creatorcontrib>Newton, Robert L.</creatorcontrib><creatorcontrib>Harrington, Candace</creatorcontrib><creatorcontrib>Flatt, Jason D.</creatorcontrib><creatorcontrib>Arora, Sonakshi</creatorcontrib><creatorcontrib>Walter, Sarah</creatorcontrib><creatorcontrib>Griffin, Percy</creatorcontrib><creatorcontrib>Babulal, Ganesh M.</creatorcontrib><title>Global rural health disparities in Alzheimer's disease and related dementias: State of the science</title><title>Alzheimer's & dementia</title><addtitle>Alzheimers Dement</addtitle><description>INTRODUCTION
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.
METHODS
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.
RESULTS
A range of individual, interpersonal, and community factors were identified, including strengths of rural residents in facilitating healthy aging lifestyle interventions.
DISCUSSION
A location dynamics model and ADRD‐focused future directions are offered for guiding rural practitioners, researchers, and policymakers in mitigating rural disparities.
HIGHLIGHTS
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.</description><subject>Alzheimer Disease - epidemiology</subject><subject>community engagement</subject><subject>community‐based action</subject><subject>facilitators and barriers to ADRD diagnosis and treatment</subject><subject>global disparities</subject><subject>health disparities</subject><subject>Humans</subject><subject>location dynamics</subject><subject>modifiable ADRD risk factors</subject><subject>Risk Factors</subject><subject>rural</subject><subject>rural culture</subject><subject>Rural Health</subject><subject>Rural Population</subject><subject>underserved</subject><subject>under‐represented</subject><issn>1552-5260</issn><issn>1552-5279</issn><issn>1552-5279</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFO3DAQhi3UCij00BeofCs9LHiSOHF6qVaopUgrcQAuvVgTe9y4cpKtnS2Cp6_p0hU9cLEtz-dvxvoZewfiFIQozjA8nEIJotpjhyBlsZBF077anWtxwN6k9FOISiiQ--ygbApQsmwPWXcRpg4Dj5uY154wzD23Pq0x-tlT4n7ky_DQkx8ofkiPJcJEHEfLIwWcyXJLA42zx_SJX8_5hk-Ozz3xZDyNho7Za4ch0dun_Yjdfv1yc_5tsbq6uDxfrhamgrpaQO0MmbqsnKDWIpiWROeUtbKFqm4MydZVFpWlBsr8ojElKIcGCJXqHJZH7PPWu950A1mTZ8p_0uvoB4z3ekKv_6-Mvtc_pt8ahCwqUCIbTp4Mcfq1oTTrwSdDIeBI0ybpQmVKNk0pM_pxi5o4pRTJ7fqA0I-h6ByK_htKZt8_H2xH_kshA2db4M4Hun_ZpJer71vlH7aKmLE</recordid><startdate>202309</startdate><enddate>202309</enddate><creator>Wiese, Lisa Ann Kirk</creator><creator>Gibson, Allison</creator><creator>Guest, Marc Aaron</creator><creator>Nelson, Amy R.</creator><creator>Weaver, Raven</creator><creator>Gupta, Aditi</creator><creator>Carmichael, Owen</creator><creator>Lewis, Jordan P.</creator><creator>Lindauer, Allison</creator><creator>Loi, Samantha</creator><creator>Peterson, Rachel</creator><creator>Radford, Kylie</creator><creator>Rhodus, Elizabeth K.</creator><creator>Wong, Christina G.</creator><creator>Zuelsdorff, Megan</creator><creator>Saidi, Ladan Ghazi</creator><creator>Valdivieso‐Mora, Esmeralda</creator><creator>Franzen, Sanne</creator><creator>Pope, Caitlin N.</creator><creator>Killian, Timothy S.</creator><creator>Shrestha, Hom L.</creator><creator>Heyn, Patricia C.</creator><creator>Ng, Ted Kheng Siang</creator><creator>Prusaczyk, Beth</creator><creator>John, Samantha</creator><creator>Kulshreshtha, Ambar</creator><creator>Sheffler, Julia L.</creator><creator>Besser, Lilah</creator><creator>Daniel, Valerie</creator><creator>Tolea, Magdalena I.</creator><creator>Miller, Justin</creator><creator>Musyimi, Christine</creator><creator>Corkey, Jon</creator><creator>Yank, Veronica</creator><creator>Williams, Christine L</creator><creator>Rahemi, Zahra</creator><creator>Park, JuYoung</creator><creator>Magzamen, Sheryl</creator><creator>Newton, Robert L.</creator><creator>Harrington, Candace</creator><creator>Flatt, Jason D.</creator><creator>Arora, Sonakshi</creator><creator>Walter, Sarah</creator><creator>Griffin, Percy</creator><creator>Babulal, Ganesh M.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202309</creationdate><title>Global rural health disparities in Alzheimer's disease and related dementias: State of the science</title><author>Wiese, Lisa Ann Kirk ; Gibson, Allison ; Guest, Marc Aaron ; Nelson, Amy R. ; Weaver, Raven ; Gupta, Aditi ; Carmichael, Owen ; Lewis, Jordan P. ; Lindauer, Allison ; Loi, Samantha ; Peterson, Rachel ; Radford, Kylie ; Rhodus, Elizabeth K. ; Wong, Christina G. ; Zuelsdorff, Megan ; Saidi, Ladan Ghazi ; Valdivieso‐Mora, Esmeralda ; Franzen, Sanne ; Pope, Caitlin N. ; Killian, Timothy S. ; Shrestha, Hom L. ; Heyn, Patricia C. ; Ng, Ted Kheng Siang ; Prusaczyk, Beth ; John, Samantha ; Kulshreshtha, Ambar ; Sheffler, Julia L. ; Besser, Lilah ; Daniel, Valerie ; Tolea, Magdalena I. ; Miller, Justin ; Musyimi, Christine ; Corkey, Jon ; Yank, Veronica ; Williams, Christine L ; Rahemi, Zahra ; Park, JuYoung ; Magzamen, Sheryl ; Newton, Robert L. ; Harrington, Candace ; Flatt, Jason D. ; Arora, Sonakshi ; Walter, Sarah ; Griffin, Percy ; Babulal, Ganesh M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4164-16fcec634f0e9da1c9e0bf8dd591467ce59f4da8de7134167c318fac1ea88bfa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Alzheimer Disease - epidemiology</topic><topic>community engagement</topic><topic>community‐based action</topic><topic>facilitators and barriers to ADRD diagnosis and treatment</topic><topic>global disparities</topic><topic>health disparities</topic><topic>Humans</topic><topic>location dynamics</topic><topic>modifiable ADRD risk factors</topic><topic>Risk Factors</topic><topic>rural</topic><topic>rural culture</topic><topic>Rural Health</topic><topic>Rural Population</topic><topic>underserved</topic><topic>under‐represented</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wiese, Lisa Ann Kirk</creatorcontrib><creatorcontrib>Gibson, Allison</creatorcontrib><creatorcontrib>Guest, Marc Aaron</creatorcontrib><creatorcontrib>Nelson, Amy R.</creatorcontrib><creatorcontrib>Weaver, Raven</creatorcontrib><creatorcontrib>Gupta, Aditi</creatorcontrib><creatorcontrib>Carmichael, Owen</creatorcontrib><creatorcontrib>Lewis, Jordan P.</creatorcontrib><creatorcontrib>Lindauer, Allison</creatorcontrib><creatorcontrib>Loi, Samantha</creatorcontrib><creatorcontrib>Peterson, Rachel</creatorcontrib><creatorcontrib>Radford, Kylie</creatorcontrib><creatorcontrib>Rhodus, Elizabeth K.</creatorcontrib><creatorcontrib>Wong, Christina G.</creatorcontrib><creatorcontrib>Zuelsdorff, Megan</creatorcontrib><creatorcontrib>Saidi, Ladan Ghazi</creatorcontrib><creatorcontrib>Valdivieso‐Mora, Esmeralda</creatorcontrib><creatorcontrib>Franzen, Sanne</creatorcontrib><creatorcontrib>Pope, Caitlin N.</creatorcontrib><creatorcontrib>Killian, Timothy S.</creatorcontrib><creatorcontrib>Shrestha, Hom L.</creatorcontrib><creatorcontrib>Heyn, Patricia C.</creatorcontrib><creatorcontrib>Ng, Ted Kheng Siang</creatorcontrib><creatorcontrib>Prusaczyk, Beth</creatorcontrib><creatorcontrib>John, Samantha</creatorcontrib><creatorcontrib>Kulshreshtha, Ambar</creatorcontrib><creatorcontrib>Sheffler, Julia L.</creatorcontrib><creatorcontrib>Besser, Lilah</creatorcontrib><creatorcontrib>Daniel, Valerie</creatorcontrib><creatorcontrib>Tolea, Magdalena I.</creatorcontrib><creatorcontrib>Miller, Justin</creatorcontrib><creatorcontrib>Musyimi, Christine</creatorcontrib><creatorcontrib>Corkey, Jon</creatorcontrib><creatorcontrib>Yank, Veronica</creatorcontrib><creatorcontrib>Williams, Christine L</creatorcontrib><creatorcontrib>Rahemi, Zahra</creatorcontrib><creatorcontrib>Park, JuYoung</creatorcontrib><creatorcontrib>Magzamen, Sheryl</creatorcontrib><creatorcontrib>Newton, Robert L.</creatorcontrib><creatorcontrib>Harrington, Candace</creatorcontrib><creatorcontrib>Flatt, Jason D.</creatorcontrib><creatorcontrib>Arora, Sonakshi</creatorcontrib><creatorcontrib>Walter, Sarah</creatorcontrib><creatorcontrib>Griffin, Percy</creatorcontrib><creatorcontrib>Babulal, Ganesh M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Alzheimer's & dementia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wiese, Lisa Ann Kirk</au><au>Gibson, Allison</au><au>Guest, Marc Aaron</au><au>Nelson, Amy R.</au><au>Weaver, Raven</au><au>Gupta, Aditi</au><au>Carmichael, Owen</au><au>Lewis, Jordan P.</au><au>Lindauer, Allison</au><au>Loi, Samantha</au><au>Peterson, Rachel</au><au>Radford, Kylie</au><au>Rhodus, Elizabeth K.</au><au>Wong, Christina G.</au><au>Zuelsdorff, Megan</au><au>Saidi, Ladan Ghazi</au><au>Valdivieso‐Mora, Esmeralda</au><au>Franzen, Sanne</au><au>Pope, Caitlin N.</au><au>Killian, Timothy S.</au><au>Shrestha, Hom L.</au><au>Heyn, Patricia C.</au><au>Ng, Ted Kheng Siang</au><au>Prusaczyk, Beth</au><au>John, Samantha</au><au>Kulshreshtha, Ambar</au><au>Sheffler, Julia L.</au><au>Besser, Lilah</au><au>Daniel, Valerie</au><au>Tolea, Magdalena I.</au><au>Miller, Justin</au><au>Musyimi, Christine</au><au>Corkey, Jon</au><au>Yank, Veronica</au><au>Williams, Christine L</au><au>Rahemi, Zahra</au><au>Park, JuYoung</au><au>Magzamen, Sheryl</au><au>Newton, Robert L.</au><au>Harrington, Candace</au><au>Flatt, Jason D.</au><au>Arora, Sonakshi</au><au>Walter, Sarah</au><au>Griffin, Percy</au><au>Babulal, Ganesh M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Global rural health disparities in Alzheimer's disease and related dementias: State of the science</atitle><jtitle>Alzheimer's & dementia</jtitle><addtitle>Alzheimers Dement</addtitle><date>2023-09</date><risdate>2023</risdate><volume>19</volume><issue>9</issue><spage>4204</spage><epage>4225</epage><pages>4204-4225</pages><issn>1552-5260</issn><issn>1552-5279</issn><eissn>1552-5279</eissn><abstract>INTRODUCTION
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.
METHODS
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.
RESULTS
A range of individual, interpersonal, and community factors were identified, including strengths of rural residents in facilitating healthy aging lifestyle interventions.
DISCUSSION
A location dynamics model and ADRD‐focused future directions are offered for guiding rural practitioners, researchers, and policymakers in mitigating rural disparities.
HIGHLIGHTS
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.</abstract><cop>United States</cop><pmid>37218539</pmid><doi>10.1002/alz.13104</doi><tpages>22</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1552-5260 |
| ispartof | Alzheimer's & dementia, 2023-09, Vol.19 (9), p.4204-4225 |
| issn | 1552-5260 1552-5279 1552-5279 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10524180 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Alzheimer Disease - epidemiology community engagement community‐based action facilitators and barriers to ADRD diagnosis and treatment global disparities health disparities Humans location dynamics modifiable ADRD risk factors Risk Factors rural rural culture Rural Health Rural Population underserved under‐represented |
| title | Global rural health disparities in Alzheimer's disease and related dementias: State of the science |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T18%3A33%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Global%20rural%20health%20disparities%20in%20Alzheimer's%20disease%20and%20related%20dementias:%20State%20of%20the%20science&rft.jtitle=Alzheimer's%20&%20dementia&rft.au=Wiese,%20Lisa%20Ann%20Kirk&rft.date=2023-09&rft.volume=19&rft.issue=9&rft.spage=4204&rft.epage=4225&rft.pages=4204-4225&rft.issn=1552-5260&rft.eissn=1552-5279&rft_id=info:doi/10.1002/alz.13104&rft_dat=%3Cproquest_pubme%3E2818057735%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2818057735&rft_id=info:pmid/37218539&rfr_iscdi=true |