RACIAL DISPARITIES IN DELAYED DEMENTIA DIAGNOSIS: STRUCTURAL DETERMINANTS AND VALIDATION OF TIMELINESS MEAS…
Federal financial assistance recorded from USAspending. This is not a procurement contract.
Assistance award details
- Assistance award identifier
- ASST_NON_R00AG078405_075
- FAIN
- R00AG078405
- Recipient
- RUTGERS THE STATE UNIVERSITY OF NEW JERSEY
- Awarding agency
- Department of Health and Human Services
- Funding agency
- Department of Health and Human Services
- Assistance listing (CFDA)
- 93.866
- Total obligated
- $742,019
- Period
- Sep 1, 2022 – May 31, 2027
- Fiscal year
- 2024
- Place of performance state
- NJ
- Source file
- FY2024_All_Assistance_Full_20261006.zip
Description
RACIAL DISPARITIES IN DELAYED DEMENTIA DIAGNOSIS: STRUCTURAL DETERMINANTS AND VALIDATION OF TIMELINESS MEASURES - PROJECT SUMMARY THE NUMBER OF PEOPLE IMPACTED BY ALZHEIMERâS DISEASE AND ALZHEIMERâS DISEASE RELATED DEMENTIAS (ADRD) IS 5 MILLION IN THE US ALONE AND IS EXPECTED TO GROW, ESPECIALLY IN BLACK COMMUNITIES. BLACK OLDER ADULTS HAVE A 40-80% HIGHER INCIDENCE OF ADRD AND APPROXIMATELY DOUBLE THE RISK OF UNDERDIAGNOSIS. INNOVATIVE USE OF SURVEY-MEDICARE CLAIMS LINKED DATA HOLDS PROMISE TO ADVANCE OUR UNDERSTANDING OF DISPARITIES IN TIMELY ADRD DIAGNOSIS AND THEIR CONTRIBUTING FACTORS. HOWEVER, NO PRIOR RESEARCH HAS VALIDATED THIS APPROACH. ALSO, PRIOR RESEARCH ON RISK FACTORS FOR DELAYED ADRD DIAGNOSIS HAS FOCUSED ON INDIVIDUAL-LEVEL CHARACTERISTICS THAT ARE DIFFICULT TO MODIFY. I SEEK TO FILL THIS GAP BY VALIDATING THE MEASURE OF TIMELINESS OF ADRD DIAGNOSIS WITH RESPECT TO THE SURVIVAL BENEFITS AND EXAMINING PLACED-BASED STRUCTURAL FACTORS ASSOCIATED WITH DISPARITIES IN TIMELY ADRD DIAGNOSIS. RESIDENTIAL RACIAL SEGREGATION AND GEOGRAPHIC FEATURES OF HEALTH CARE ACCESS ARE IMPORTANT TO CONSIDER TOGETHER. WHILE UNEQUAL DISTRIBUTION OF HEALTH CARE RESOURCES IN SEGREGATED AREAS MAY BE THE PRIMARY DRIVER OF THE RACIAL DISPARITIES IN TIMELY DIAGNOSIS, RESIDENTIAL SEGREGATION MAY CAPTURE UNOBSERVED FEATURES OF STRUCTURAL RACISM INFLUENCING HEALTH CARE UTILIZATION PATTERNS BY RACE. THESE FACTORS CAN BE MUTUALLY REINFORCING DRIVERS OF POOR DIAGNOSIS IN THE BLACK POPULATION. IN THE K99 PHASE, I WILL CONDUCT A ROBUST EPIDEMIOLOGICAL ANALYSIS TO EXAMINE THE TIMELINESS OF ADRD DIAGNOSIS RELATED TO SURVIVAL USING THE HEALTH AND RETIREMENT STUDY AND THE NATIONAL HEALTH AND AGING TRENDS STUDY. IN THE R00 PHASE, I WILL EXAMINE THE ASSOCIATION BETWEEN RESIDENTIAL RACIAL SEGREGATION OR HEALTH CARE ACCESS FEATURES AND RACIAL DISPARITIES IN THE TIMELINESS OF ADRD DIAGNOSIS WHILE EXTENDING MY INQUIRY TO THE COHORT FROM THE REASONS FOR GEOGRAPHIC AND RACIAL DISPARITIES IN STRO