{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:11:28Z","timestamp":1789477888629,"version":"build-2803163510"},"reference-count":58,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T00:00:00Z","timestamp":1776556800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["U54MD000507"],"award-info":[{"award-number":["U54MD000507"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG015292"],"award-info":[{"award-number":["P30AG015292"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG061189"],"award-info":[{"award-number":["R01AG061189"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005002","name":"California Department of Public Health","doi-asserted-by":"publisher","award":["CDPH #24\u201010131"],"award-info":[{"award-number":["CDPH #24\u201010131"]}],"id":[{"id":"10.13039\/100005002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Alzheimer's disease and related dementias (ADRD) and its associated factors are not well understood in the American Indian and Alaska Native (AI\/AN) population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We analyzed Medicare 2019 data for 112,280 AI\/AN and 1,010,862 White beneficiaries aged 68+, examining the prevalence of ADRD\u2010related health conditions and their associations with ADRD through logistic regressions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>AI\/AN beneficiaries had higher age\u2010adjusted ADRD prevalence (15.6%\u00a0vs. 13.3%), and a higher prevalence of 5 of 9 Lancet risk factors: diabetes, alcohol use disorder (AUD), tobacco use disorder, visual and hearing impairments. Traumatic brain injury (TBI), AUD, and visual and hearing impairments had stronger associations with ADRD among AI\/AN beneficiaries, while depression, diabetes, and hypertension had stronger associations among White beneficiaries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>Our findings highlight disparities in ADRD and related health conditions between AI\/AN and White beneficiaries, potentially due to social and systematic health\u2010care inequalities. Addressing these gaps requires culturally tailored prevention and care strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.71385","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T03:22:56Z","timestamp":1776655376000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Alzheimer's disease and related dementias and related health conditions among American Indian and Alaska Native Medicare beneficiaries"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5795-5054","authenticated-orcid":false,"given":"Manxi","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics Joe C. Wen School of Population &amp; Public Health University of California, Irvine Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruqoyat","family":"Abdulsalam","sequence":"additional","affiliation":[{"name":"Centers for American Indian and Alaska Native Health Colorado School of Public Health, University of Colorado Anschutz Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxi","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics Joe C. Wen School of Population &amp; Public Health University of California, Irvine Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjun","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics Joe C. Wen School of Population &amp; Public Health University of California, Irvine Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spero M.","family":"Manson","sequence":"additional","affiliation":[{"name":"Centers for American Indian and Alaska Native Health Colorado School of Public Health, University of Colorado Anschutz Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria M.","family":"Corrada","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics Joe C. Wen School of Population &amp; Public Health University of California, Irvine Irvine California USA"},{"name":"Department of Neurology School of Medicine University of California, Irvine  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"O'Connell","sequence":"additional","affiliation":[{"name":"Centers for American Indian and Alaska Native Health Colorado School of Public Health, University of Colorado Anschutz Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2281-7260","authenticated-orcid":false,"given":"Luohua","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics Joe C. 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