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Age\u2010adjusted incidence was calculated by direct standardization. Among AI\/AN veterans, we determined dementia risk factors using Cox models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Among 31,341 AI\/AN veterans (mean age 67.8 years), 16.2% developed AD\/ADRD over 9.3 years. Age\u2010adjusted incidence was higher among AI\/AN than NHW veterans (19.0\u00a0vs. 16.2 per 1000 person\u2010years; incidence rate ratio: 1.17). Vascular conditions, traumatic brain injury, post\u2010traumatic stress disorder, and depression were associated with risk of dementia among AI\/AN veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>AI\/AN veterans experience higher AD\/ADRD burden driven by modifiable risk factors, though findings may not generalize to non\u2010veteran AI\/AN populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/alz.71856","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T05:02:36Z","timestamp":1789448556000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and risk factors for AD\/ADRD among American Indian and Alaska Native US Veterans"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8186-8140","authenticated-orcid":false,"given":"Christina S.","family":"Dintica","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber","family":"Bahorik","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Xia","sequence":"additional","affiliation":[{"name":"Northern California Institute for Research and Education  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Boscardin","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California, San Francisco  San Francisco California USA"},{"name":"Department of Epidemiology and Biostatistics University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Parko","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine","family":"Yaffe","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California, San Francisco  San Francisco California USA"},{"name":"Department of Epidemiology and Biostatistics University of California, San Francisco  San Francisco California USA"},{"name":"Department of Neurology University of California, San Francisco  San Francisco California USA"},{"name":"San Francisco Veterans Affairs Health Care System  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17215"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17345"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/neu0000720"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010022\u201002237\u20107"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/08982643211014034"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301682"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721714524282"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.13458"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2015.12.007"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615\u2010022\u201001338\u2010y"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.28001"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21040496"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.13849"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.61"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2018.0815"},{"key":"e_1_2_8_17_1","unstructured":"Department of Veterans Affairs.American Indian and Alaska Native service members and Veterans. 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