An outcome-wide analysis of the effects of diagnostic labeling of Alzheimer's disease and related dementias on social relationships

© 2023 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association..

INTRODUCTION: This study examines how receiving a dementia diagnosis influences social relationships by race and ethnicity.

METHODS: Using data from the Health and Retirement Study (10 waves; 7,159 observations) of adults 70 years and older predicted to have dementia using Gianattasio-Power scores (91% accuracy), this study assessed changes in social support, engagement, and networks after a dementia diagnosis. We utilized quasi-experimental methods to estimate treatment effects and subgroup analyses by race/ethnicity.

RESULTS: A diagnostic label significantly increased the likelihood of gaining social support but reduced social engagement and one measure of social networks. With some exceptions, the results were similar by race and ethnicity.

DISCUSSION: Results suggest that among older adults with assumed dementia, being diagnosed by a doctor may influence social relationships in both support-seeking and socially withdrawn ways. This suggests that discussing services and supports at the time of diagnosis is important for healthcare professionals.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

Alzheimer's & dementia : the journal of the Alzheimer's Association - 20(2024), 3 vom: 02. März, Seite 1614-1626

Sprache:

Englisch

Beteiligte Personen:

Amano, Takashi [VerfasserIn]
Halvorsen, Cal J [VerfasserIn]
Kim, Seoyoun [VerfasserIn]
Reynolds, Addam [VerfasserIn]
Scher, Clara [VerfasserIn]
Jia, Yuane [VerfasserIn]

Links:

Volltext

Themen:

Diagnostic label of dementia
Health and Retirement Study (HRS)
Journal Article
Outcome-wide analysis
Propensity score analysis
Social engagement
Social network
Social support

Anmerkungen:

Date Completed 18.03.2024

Date Revised 03.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/alz.13574

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365443727