- •What is the primary question addressed by this study?How do dementia prevalence and cognitive impairment severity vary according to race, ethnicity, educational attainment, and neighborhood context in a population of older adults receiving Medicaid-funded home- and community-based services in lieu of nursing home care?
- •What is the main finding of this study?Compared with non-Hispanic White individuals, Hispanic, but not non-Hispanic Black, individuals in the study cohort had greater severity of cognitive impairment. Dementia prevalence and cognitive impairment severity were both greater among those with less than high school education, and both were greater among those living in neighborhoods that were less socially vulnerable.
- •What is the meaning of the finding?Racial and ethnic group differences in dementia and cognitive impairment severity are less pronounced among older adults receiving Medicaid home- and community-based services than among other community-dwelling older adults, and older adults receiving these services may be more likely to move to lower social vulnerability neighborhoods where family members reside when they have dementia and more severe cognitive impairment.
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An earlier version of this article was presented virtually at the all-online 2021 Annual Scientific Meeting of the Gerontological Society of America, November 10, 2021.