Skip to main content

Demographics and the Epidemiological Risk Factors for Dementia in Hispanic/Latino Populations

  • Chapter
  • First Online:
Caring for Latinxs with Dementia in a Globalized World

Abstract

The aging of the Hispanic/Latino population, their projected gains in life expectancy, and their high prevalence of chronic health conditions raise concerns about the well-being of their elder in the coming decades. This chapter examines demographic and epidemiologic risk factors for dementia in Hispanics/Latinos as well as provides estimates of the prevalence of dementia and associated mortality risks in a sample of elderly Hispanics/Latinos. Aging trends come from the 2014 National Population Projections by the Census Bureau. Their prevalence and mortality rates are estimated using data from the National Longitudinal Mortality Study (NLMS). The NLMS sample in this study consists of Hispanics/Latinos of any race and non-Hispanic White individuals in selected Current Population Study (CPS) surveys who were enrolled in Medicare and who reached age 65 between 1991 and 2011. The findings confirm that male and female Hispanics/Latinos have a higher prevalence of dementia than non-Hispanic White individuals in the same age groups for ages 60–64 and 65–69 and for females ages 70–74. At older ages, Hispanics/Latinos have similar or lower rates of dementia than non-Hispanic/Latino White individuals. We find differences in the prevalence of dementia by Hispanic country of origin and by educational attainment, but not by nativity (U.S.-born vs. foreign-born). In terms of mortality, Hispanics/Latinos afflicted with dementia are less likely to die at each age group compared to non-Hispanic White individuals with dementia. These patterns could be idiosyncratic to our Medicare-CPS linked sample, warranting further research.

This chapter is released to inform interested parties of research and to encourage discussion. Any views expressed on statistical, methodological, technical, or operational issues are those of the authors and not necessarily those of the U.S. Census Bureau. All results have been reviewed by the Census Bureau’s Disclosure Review Board to ensure that no confidential information is released.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Administration for Community Living. (2016). A statistical profile of Hispanic older Americans aged 65+. Washington, DC: US Department of Health and Human Services.

    Google Scholar 

  • Aguero-Torres, H., Fratiglioni, L., Guo, Z., Viitanen, M., & Winblad, B. (1999). Mortality from dementia in advanced age: A 5-year follow-up study in incident dementia cases. Journal of Clinical Epidemiology, 52(8), 737–743.

    Article  CAS  PubMed  Google Scholar 

  • Alvarez, P., Rengifo, J., Emrani, T., & Gallagher-Thompson, D. (2014). Latino older adults and mental health: A review and commentary. Clinical Gerontologist, 37(1), 33–48.

    Article  Google Scholar 

  • Alzheimer’s Association. (2007). Alzheimer’s disease and type 2 diabetes: A growing connection. Chicago, IL: Alzheimer’s Association. Retrieved from https://www.alz.org/national/documents/latino_brochure_diabetes.pdf

    Google Scholar 

  • Alzheimer’s Association. (2013). 2013 Alzheimer’s disease facts and figures. Chicago, IL: Alzheimer's Association. Retrieved from http://www.sciencedirect.com/science/article/pii/S1552526013000769

    Book  Google Scholar 

  • Alzheimer’s Association. (2016a). 2016 Alzheimer’s disease facts and figures. Chicago, IL: Alzheimer’s Association.

    Book  Google Scholar 

  • Alzheimer’s Association. (2016b). What is dementia? Chicago, IL: Alzheimer's Association. Retrieved from http://www.alz.org/what-is-dementia.asp

    Google Scholar 

  • Barcellos, S. H., Goldman, D. P., & Smith, J. P. (2012). Undiagnosed disease, especially diabetes, casts doubt on some of reported health ‘advantage’ of recent Mexican immigrants. Health Aff (Millwood), 31, 2727–2737.

    Article  Google Scholar 

  • Barnes, D. E., & Yaffe, K. (2011). The projected effect of risk factor reduction on Alzheimer’s disease prevalence. The Lancet Neurology, 10(9), 819–828.

    Article  PubMed  PubMed Central  Google Scholar 

  • Baumgart, M., Snyder, H. M., Carrillo, M. C., Fazio, S., Kim, H., & Johns, H. (2015). Summary of evidence on modifiable risk factors for cognitive decline and dementia: A population-based perspective. Alzheimer’s & Dementia, 11(6), 718–726.

    Article  Google Scholar 

  • Campos, M., Edland, S. D., & Peavy, G. M. (2013). An exploratory study of APOE-E4 genotype and risk of Alzheimer’s disease in Mexican Hispanics. Journal of the American Geriatrics Society, 61(6), 1038–1040.

    Article  PubMed  PubMed Central  Google Scholar 

  • Center on Aging Society. (2003). Older Hispanic Americans: Less care for chronic conditions. Data profile, 9. Washington, DC: Georgetown University Health Policy Institute. Retrieved from https://hpi.georgetown.edu/agingsociety/pubhtml/hispanics/hispanics.html

  • Centers for Disease Control and Prevention (CDC). (2014). National diabetes statistics report: Estimates of diabetes and its burden in the United States (p. 2014). Atlanta, GA: U.S. Department of Health and Human Services.

    Google Scholar 

  • Centers for Medicare & Medicaid Services (CMS). (2014a). ICD-9-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles, Version 31, Effective October 1, 2013. Retrieved from https://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/codes.html

  • Centers for Medicare & Medicaid Services (CMS). (2014b). 2015 ICD-10-CM and GEMs. Retrieved from https://www.cms.gov/Medicare/Coding/ICD10/2015-ICD-10-CM-and-GEMs.html

  • Chatterjee, S., Peters, S. A., Woodward, M., Mejia Arango, S., Batty, G. D., Beckett, N., … Huxley, R. R. (2016). Type 2 diabetes as a risk factor for dementia in women compared with men: A pooled analysis of 2.3 million people comprising more than 100,000 cases of dementia. Diabetes Care, 39(2), 300–307.

    CAS  PubMed  Google Scholar 

  • Chen, J.-H., Lin, K.-P., & Chen, Y.-C. (2009). Risk factors for dementia. Journal of the Formosan Medical Association, 108(10), 754–764.

    Article  PubMed  Google Scholar 

  • Clark, C. M., DeCarli, C., Mungas, D., Chui, H. I., Higdon, R., Núñez, J., … van Belle, G. (2005). Earlier onset of Alzheimer disease symptoms in Latino individuals compared with Anglo individuals. Archives of Neurology, 62(5), 774–778.

    Article  PubMed  Google Scholar 

  • Colby, S. L., & Ortman, J. M. (2015). Projections of the size and composition of the U.S. population: 2014 to 2060. U.S. Census Bureau current population reports, P25–1143. Retrieved from https://www.census.gov/content/dam/Census/library/publications/2015/demo/p25-1143.pdf

  • Cooper, C., Tandy, A. R., Balamurali, T., & Livingston, G. (2010). A systematic review and meta-analysis of ethnic differences in use of dementia treatment, care, and research. The American Journal of Geriatric Psychiatry, 18(3), 193–203.

    Article  PubMed  Google Scholar 

  • Daviglus, M. L., Talavera, G. A., Avilés-Santa, L., Allison, M., Cai, J., Criqui, M. H., … Stamler, J. (2012). Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. JAMA, 308(17), 1775–1784.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Demirovic, J., Prineas, R., Loewenstein, D., Bean, J., Duara, R., Sevush, S., & Szapocznik, J. (2003). Prevalence of dementia in three ethnic groups: The South Florida program on aging and health. Annals of Epidemiology, 13(6), 472–478.

    Article  PubMed  Google Scholar 

  • Espino, D. V., Moulton, C. P., del Aguila, D., Parker, R. W., Lewis, R. M., & Miles, T. P. (2001). Mexican American elders with dementia in long term care. Clinical Gerontologist, 23(3/4), 83–96.

    Article  Google Scholar 

  • Farrer, L. A., Cupples, L. A., Haines, J. L., Hyman, B., Kukull, W. A., Mayeux, R., … van Duijn, C. M. (1997). Effects of age, sex, and ethnicity on the association between apolipoprotein E genotype and Alzheimer disease. A meta-analysis. APOE and Alzheimer disease Meta Analysis Consortium. JAMA, 278(16), 1349–1356.

    Article  CAS  PubMed  Google Scholar 

  • Flegal, K. M., Carroll, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among US adults, 1999–2008. JAMA, 303(3), 235–241.

    Article  CAS  PubMed  Google Scholar 

  • Galea, S., Tracy, M., Hoggatt, K. J., DiMaggio, C., & Karpati, A. (2011). Estimated deaths attributable to social factors in the United States. American Journal of Public Health, 101(8), 1456–1465.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gamboa, R., Hernandez-Pacheco, G., Hesiquio, R., Zuñiga, J., Massó, F., Montaño, L. F., … Vargas-Alarcón, G. (2000). Apolipoprotein E polymorphism in the Indian and Mestizo populations of Mexico. Human Biology, 72(6), 975–981.

    CAS  PubMed  Google Scholar 

  • Golden, S. H., Brown, A., Cauley, J. A., Chin, M. H., Gary-Webb, T. L., Kim, C., … Anton, B. (2012). Health disparities in endocrine disorders: Biological, clinical, and nonclinical factors – An Endocrine Society scientific statement. The Journal of Clinical Endocrinology and Metabolism, 97(9), E1579–E1639.

    Article  PubMed  PubMed Central  Google Scholar 

  • Green, R. C., Cupples, L. A., Go, R., Benke, K. S., Edeki, T., Griffith, P. A., … MIRAGE Study Group. (2002). Risk of dementia among white and African American relatives of patients with Alzheimer disease. JAMA, 287(3), 329–336.

    Article  PubMed  Google Scholar 

  • Gurland, B. J., Wilder, D. E., Lantigua, R., Stern, Y., Chen, J., Killeffer, E. H., & Mayeux, R. (1999). Rates of dementia in three ethnoracial groups. International Journal of Geriatric Psychiatry, 14(6), 481–493.

    Article  CAS  PubMed  Google Scholar 

  • Haan, M. N., Mungas, D. M., Gonzalez, H. M., Ortiz, T. A., Acharya, A., & Jagust, W. J. (2003). Prevalence of dementia in older Latinos: The influence of type 2 diabetes mellitus, stroke and genetic factors. Journal of the American Geriatrics Society, 51, 169–177.

    Article  PubMed  Google Scholar 

  • Hebert, L.E., Weuve, J., Scherr, P.A., & Evans, D.A. 2013. Alzheimer disease in the United States (2010–2050) estimated using the 2010 census. Neurology, 80(19): 1778–1783.

    Google Scholar 

  • Holtzman, D. M., Herz, J., & Bu, G. (2012). Apolipoprotein E and apolipoprotein E receptors: Normal biology and roles in Alzheimer disease. Cold Spring Harbor Perspectives in Medicine, 2(3), a006312.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kotagal, V., Langa, K. M., Plassman, B. L., Fisher, G. G., Giordani, B. J., Wallace, R. B., … Foster, N. L. (2015). Factors associated with cognitive evaluations in the United States. Neurology, 84(1), 64–71.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lautenschlager, N. T., Cupples, L. A., Rao, V. S., Auerbach, S. A., Becker, R., Burke, J., … Farrer, L. A. (1996). Risk of dementia among relatives of Alzheimer’s disease patients in the MIRAGE study: What is in store for the oldest old? Neurology, 46(3), 641–650.

    Article  CAS  PubMed  Google Scholar 

  • Lee, Y. (2010). Systematic review of health behavioral risks and cognitive health in older adults. International Psychogeriatrics, 22(2), 174.

    Article  PubMed  Google Scholar 

  • Lines, L. M., & Wiener, J. M. (2014). Racial and ethnic disparities in Alzheimer’s disease: A literature review. Washington, DC: U.S. Department of Health and Human Services Assistant Secretary for Planning and Evaluation office of Disability, Aging and Long-Term Care Policy.

    Google Scholar 

  • Lopez, L., & Golden, S. H. (2014). A new era in understanding diabetes disparities among U.S. Latinos—All are not equal. Diabetes Care, 37, 2081–2083.

    Article  PubMed  PubMed Central  Google Scholar 

  • Loy, C. T., Schofield, P. R., Turner, A. M., & Kwok, J. B. (2014). Genetics of dementia. Lancet, 383, 828–840.

    Article  CAS  PubMed  Google Scholar 

  • Manly, J. J., & Mayeux, R. (2004). Ethnic differences in dementia and Alzheimer’s disease. In N. B. Anderson, R. A. Bulatao, & B. Cohen (Eds.), Critical perspectives on racial and ethnic differences in health in late life (pp. 95–141). Washington, DC: The National Academies Press National Research Council Panel on Race, Ethnicity, and Health in Later Life.

    Google Scholar 

  • Manuel, D. G., Garner, R., Finès, P., Bancej, C., Flanagan, W., Tu, K., … Bernier, J. (2016). Alzheimer’s and other dementias in Canada, 2011 to 2031: A micro-simulation population health modeling (POHEM) study of projected prevalence, health burden, health services, and caregiving use. Population Health Metrics, 14, 37.

    Article  PubMed  PubMed Central  Google Scholar 

  • Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099–1104.

    Article  Google Scholar 

  • Mayeda, E. R., Glymour, M. M., Quesenberry, C. P., & Whitmer, R. A. (2016). Inequalities in dementia incidence between six racial and ethnic groups over 14 years. Alzheimer’s & Dementia, 12(3), 216–224.

    Article  Google Scholar 

  • Middleton, L. E., & Yaffe, K. (2010). Targets for the prevention of dementia. Journal of Alzheimer’s Disease, 20(3), 915–924.

    Article  PubMed  Google Scholar 

  • National Institute on Aging. (2015). Alzheimer’s disease genetics, fact sheet. NIH Publication #15-6424. Bethesda, MD: U.S. National Institutes of Health. Retrieved from https://www.nia.nih.gov/alzheimers/publication/alzheimers-disease-genetics-fact-sheet

  • Newcomer, R., Covinsky, K. E., Clay, T., & Yaffe, K. (2003). Predicting 12-month mortality for persons with dementia. Journal of Gerontology, 58B(3), S187–S198.

    Article  Google Scholar 

  • Ninomiya, T. (2014). Diabetes mellitus and dementia. Current Diabetes Reports, 14, 487.

    Article  CAS  PubMed  Google Scholar 

  • Noble, J. M., Manly, J. J., Schupf, N., Tang, M.-X., & Luchsinger, J. A. (2012). Type 2 diabetes and ethnic disparities in cognitive impairment. Ethnicity & Disease, 22(1), 38–44.

    Google Scholar 

  • Novak, K., & Riggs, J. (2004). Hispanics/Latinos and Alzheimer’s disease. Chicago, IL: Alzheimer’s Association. Retrieved from https://www.alz.org/national/documents/reporthispanic.pdf

    Google Scholar 

  • O’Brien, J. T., Holmes, C., Jones, M., Jones, R., Livingston, G., McKeith, I., … Burns, A. (2017). Clinical practice with anti-dementia drugs: A revised (third) consensus statement from the British Association of Psychopharmacology. Journal of Psychopharmacology, 31(2), 147–168.

    Article  PubMed  Google Scholar 

  • Ortman, J. M., Velkoff, V. A., & Hogan, H. (2014). An aging nation: The older population in The United States. Current population reports, P25–1140. Washington, DC: U. S. Census Bureau.

    Google Scholar 

  • Pastor, P., & Goate, A. M. (2004). Molecular genetics of Alzheimer’s disease. Current Psychiatry Reports, 6, 125–133.

    Article  PubMed  Google Scholar 

  • Plassman, B. L., Langa, K. M., Fisher, G. G., Heeringa, S. G., Weir, D. R., Ofstedal, M. B., … Wallace, R. B. (2007). Prevalence of dementia in the United States: The aging, demographics, and memory study. Neuroepidemiology, 29, 125–132.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Prince, M., Bryce, R., & Ferri, C. (2011). World Alzheimer report 2011: The benefits of early diagnosis and intervention. London: Alzheimer’s Disease International. Retrieved from https://www.alz.co.uk/research/world-report-2011

    Google Scholar 

  • Ryan, C. L., & Bauman, K. (2016). Educational attainment in the United States: 2015 Population characteristics. Current population reports, P20–578. Washington, DC: U.S. Census Bureau. Retrieved from https://www.census.gov/content/dam/Census/library/publications/2016/demo/p20-578.pdf

  • Schnaider Beeri, M., Goldbourt, U., Silverman, J. M., Noy, S., Schmeidler, J., Ravona-Springer, R., … Davidson, M. (2004). Diabetes mellitus in midlife and the risk of dementia three decades later. Neurology, 63, 1902–1907.

    Article  CAS  PubMed  Google Scholar 

  • Schneiderman, N., Llabre, M., Cowie, C. C., Barnhart, J., Carnethon, M., Gallo, L. C., … Avilés-Santa, M. L. (2014). Prevalence of diabetes among Hispanics/Latinos from diverse backgrounds: The Hispanic community health study/study of Latinos (HCHS/SOL). Diabetes Care, 37(8), 2233–2239.

    Article  PubMed  PubMed Central  Google Scholar 

  • Semper-Ternent, R., Kuo, Y. F., Ray, L. A., Ottenbacher, K. J., Markides, K. S., & Snih, S. A. (2012). Prevalence of health conditions and predictors of mortality in oldest old Mexican Americans and non-Hispanic whites. Journal of the American Medical Directors Association, 13(3), 254–259.

    Article  Google Scholar 

  • Swedish Council on Technology Assessment in Health Care. (2008). Dementia etiology and epidemiology – A systematic review. Volume 1 June 2008 SBU, Stockholm.

    Google Scholar 

  • Tang, M.-X., Cross, P., Andrews, H., Jacobs, D. M., Small, S., Bell, K., … Mayeux, R. (2001). Incidence of AD in African-Americans, Caribbean Hispanics, and Caucasians in northern Manhattan. Neurology, 56(1), 49–56.

    Article  CAS  PubMed  Google Scholar 

  • Tang, M.-X., Stern, Y., Marder, K., Bell, K., Gurland, B., Lantigua, R., … Mayeux, R. (1998). The APOE-epsilon4 allele and the risk of Alzheimer disease among African Americas, whites and Hispanics. JAMA, 279(10), 751–755.

    Article  CAS  PubMed  Google Scholar 

  • U.S. Census Bureau. (2014a). 2014 National Projections. Washington, DC: U.S. Census Bureau Population Division. Retrieved from https://www.census.gov/data/datasets/2014/demo/popproj/2014-popproj.html

  • U.S. Census Bureau. (2014b). Methodology, assumptions, and inputs for the 2014 national projections. Washington, DC: U.S. Census Bureau Population Division. Retrieved from https://www2.census.gov/programs-surveys/popproj/technical-documentation/methodology/methodstatement14.pdf

    Google Scholar 

  • U.S. Census Bureau. (2016). Annual estimates of the resident population by sex, age, race, and Hispanic origin for the United States and states: April 1, 2010 to July 1, 2015. Washington, DC: U.S. Census Bureau Population Division. Retrieved from https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk

  • van den Berg, S., & Splaine, M. (2012). Policy brief, risk factors for dementia. UK: Alzheimer’s Disease International.

    Google Scholar 

  • Wilkins, K., Parsons, G. F., Gentleman, J. F., & Forbes, W. F. (1999). Deaths due to dementia: An analysis of multiple-cause-of-death data. Chronic Diseases in Canada, 20(1), 26–35.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Leticia E. Fernández .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Science+Business Media, LLC, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Fernández, L.E., Johnson, N.J. (2020). Demographics and the Epidemiological Risk Factors for Dementia in Hispanic/Latino Populations. In: Adames, H., Tazeau, Y. (eds) Caring for Latinxs with Dementia in a Globalized World. Springer, New York, NY. https://doi.org/10.1007/978-1-0716-0132-7_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-0716-0132-7_1

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-0716-0130-3

  • Online ISBN: 978-1-0716-0132-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics