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These challenges may be especially burdensome for PLWD in lower\u2010resourced settings, where environmental factors such as social support, health\u2010care infrastructure, and food access are critical for meeting quality standards of eating and swallowing care. However, clinical practices and research methods have not sufficiently focused on the lived environment to promote high\u2010quality, socially and culturally aligned management approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>To address this gap, we developed a conceptual framework informed by the literature, grounded in ecological systems and fundamental cause theories, and refined through iterative discussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Our framework highlights individual\u2010, system\u2010, and community\u2010level factors and resources influencing person\u2010centered eating and swallowing care for PLWD. It identifies areas at risk for inequitable care along the swallowing management continuum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>We propose future research areas to help health\u2010care providers reconcile the demands of eating and swallowing care with the lived realities of PLWD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>There are eating\/swallowing care disparities among persons living with dementia.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>We introduce a conceptual framework applying social and structural determinants of health to eating\/swallowing care.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>We also recommend areas to address disparities and improve eating\/swallowing care.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.70028","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T17:14:31Z","timestamp":1740590071000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Eating and swallowing care disparities in persons with dementia: A conceptual framework"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4750-0769","authenticated-orcid":false,"given":"Raele Donetha","family":"Loy","sequence":"first","affiliation":[{"name":"Department of Medicine School of Medicine and Public Health University of Wisconsin\u2013Madison Madison Wisconsin USA"},{"name":"Center for Health Disparities Research University of Wisconsin\u2013Madison Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Rogus\u2010Pulia","sequence":"additional","affiliation":[{"name":"Department of Medicine School of Medicine and Public Health University of Wisconsin\u2013Madison Madison Wisconsin USA"},{"name":"Center for Health Disparities Research University of Wisconsin\u2013Madison Madison Wisconsin USA"},{"name":"Geriatric Research Education and Clinical Center William S. Middleton Memorial Veterans Hospital Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred","family":"Ketchum","sequence":"additional","affiliation":[{"name":"Center for Health Disparities Research University of Wisconsin\u2013Madison Madison Wisconsin USA"},{"name":"Department of Neurology School of Medicine and Public Health University of Wisconsin\u2013Madison Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Troche","sequence":"additional","affiliation":[{"name":"Laboratory for the Study of Upper Airway Dysfunction Teachers College Columbia University New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana\u00efs","family":"Rameau","sequence":"additional","affiliation":[{"name":"Sean Parker Institute for the Voice Department of Otolaryngology \u2010 Head and Neck Surgery Weill Cornell Medical College New York New York 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