IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp14098.html
   My bibliography  Save this paper

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

Author

Listed:
  • Qian, Yuting

    (Yale University)

  • Chen, Xi

    (Yale University)

  • Tang, Diwen

    (Fudan University, China)

  • Kelley, Amy S.

    (Icahn School of Medicine)

  • Li, Jing

    (Singapore Management University)

Abstract

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.

Suggested Citation

  • Qian, Yuting & Chen, Xi & Tang, Diwen & Kelley, Amy S. & Li, Jing, 2021. "Cognitive Impairment and Prevalence of Memory-Related Diagnoses among U.S. Older Adults," IZA Discussion Papers 14098, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp14098
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp14098.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Abrevaya, Jason, 1997. "The equivalence of two estimators of the fixed-effects logit model," Economics Letters, Elsevier, vol. 55(1), pages 41-43, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kunz, J.S.; & Staub, K.E.; & Winkelmann, R.;, 2018. "Predicting fixed effects in panel probit models," Health, Econometrics and Data Group (HEDG) Working Papers 18/23, HEDG, c/o Department of Economics, University of York.
    2. Falco, Paolo & Maloney, William F. & Rijkers, Bob & Sarrias, Mauricio, 2015. "Heterogeneity in subjective wellbeing: An application to occupational allocation in Africa," Journal of Economic Behavior & Organization, Elsevier, vol. 111(C), pages 137-153.
    3. Christoph Basten & Steven Ongena, 2019. "The Geography of Mortgage Lending in Times of FinTech," Swiss Finance Institute Research Paper Series 19-39, Swiss Finance Institute.
    4. Bai, Yiyi & Lu, Liping, 2020. "Households rejecting loan offers from banks," Journal of Banking & Finance, Elsevier, vol. 119(C).
    5. Nikolay Marinov, 2005. "Do Economic Sanctions Destabilize Country Leaders?," American Journal of Political Science, John Wiley & Sons, vol. 49(3), pages 564-576, July.
    6. William H. Greene & David A. Hensher, 2008. "Modeling Ordered Choices: A Primer and Recent Developments," Working Papers 08-26, New York University, Leonard N. Stern School of Business, Department of Economics.
    7. Willam Greene, 2005. "Fixed and Random Effects in Stochastic Frontier Models," Journal of Productivity Analysis, Springer, vol. 23(1), pages 7-32, January.
    8. Nancy D. Ursel & Ligang Zhong, 2022. "Unionization and CEO turnover," Industrial Relations Journal, Wiley Blackwell, vol. 53(1), pages 53-70, January.
    9. Deokrye Baek & Yongjun Choi & Hong Lee, 2019. "Universal Welfare May Be Costly: Evidence from School Meal Programs and Student Fitness in South Korea," Sustainability, MDPI, vol. 11(5), pages 1-18, March.
    10. Berthold, Norbert & Gründler, Klaus, 2013. "The determinants of stagflation in a panel of countries," Discussion Paper Series 117 [rev.], Julius Maximilian University of Würzburg, Chair of Economic Order and Social Policy.
    11. Chen, Ruiyuan & El Ghoul, Sadok & Guedhami, Omrane & Wang, He, 2017. "Do state and foreign ownership affect investment efficiency? Evidence from privatizations," Journal of Corporate Finance, Elsevier, vol. 42(C), pages 408-421.
    12. William Greene, 2007. "Discrete Choice Modeling," Working Papers 07-6, New York University, Leonard N. Stern School of Business, Department of Economics.
    13. Aistov, Andrey V. (Аистов, Андрей) & Aleksandrova, Ekaterina A. (Александрова, Екатерина), 2018. "Ex Post Moral Hazard in Private Health Insurance [Постконтрактный Оппортунизм На Рынке Добровольного Медицинского Страхования]," Ekonomicheskaya Politika / Economic Policy, Russian Presidential Academy of National Economy and Public Administration, vol. 3, pages 148-181, June.
    14. Rainer Winkelmann & Lin Xu, 2022. "Testing the binomial fixed effects logit model, with an application to female labour supply," Empirical Economics, Springer, vol. 62(2), pages 679-708, February.
    15. Stephen Nelson, 2010. "Does compliance matter? Assessing the relationship between sovereign risk and compliance with international monetary law," The Review of International Organizations, Springer, vol. 5(2), pages 107-139, June.
    16. Aistov, Andrey, 2019. "Happy together: A regression discontinuity approach," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 53, pages 73-99.
    17. William Greene, 2014. "Models for ordered choices," Chapters, in: Stephane Hess & Andrew Daly (ed.), Handbook of Choice Modelling, chapter 15, pages 333-362, Edward Elgar Publishing.
    18. William Greene, 2002. "The Behavior of the Fixed Effects Estimator in Nonlinear Models," Working Papers 02-05, New York University, Leonard N. Stern School of Business, Department of Economics.
    19. Irwin, Nicholas & Wolf, David, 2022. "Time is money: Water quality's impact on home liquidity and property values," Ecological Economics, Elsevier, vol. 199(C).
    20. Berthold, Norbert & Gründler, Klaus, 2012. "Stagflation in the world economy: A revival?," Discussion Paper Series 117, Julius Maximilian University of Würzburg, Chair of Economic Order and Social Policy.

    More about this item

    Keywords

    cognitive impairment; cognitive aging; dementia; Medicare; memory-related diagnosis;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • R20 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Household Analysis - - - General

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:iza:izadps:dp14098. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Holger Hinte (email available below). General contact details of provider: https://edirc.repec.org/data/izaaade.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.