{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:05:07Z","timestamp":1792785907590,"version":"4.5.0"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1U54CA280922"],"award-info":[{"award-number":["1U54CA280922"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Institutes of Health\/National Institute on Aging","award":["R01AG010939"],"award-info":[{"award-number":["R01AG010939"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institutes of Health\/National Institute on Aging","award":["R01AG068988"],"award-info":[{"award-number":["R01AG068988"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institutes of Health\/National Institute on Aging","award":["R01MD010355"],"award-info":[{"award-number":["R01MD010355"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institutes of Health\/National Institute on Aging","award":["P30AG059301"],"award-info":[{"award-number":["P30AG059301"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institutes of Health\/National Institute on Aging","award":["P30AG024832"],"award-info":[{"award-number":["P30AG024832"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Older Hispanic adults in the United States and Mexico face a high burden of diabetes and dementia, yet cross-national differences in absolute survival associated with these conditions remain unclear. This study compared 5-year survival among Mexican-origin adults aged 74 and older by condition profile and assessed gender differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two representative longitudinal surveys were harmonized: the Hispanic Established Populations for Epidemiologic Study of the Elderly\u2014Centers for Medicare &amp; Medicaid Services (H-EPESE-CMS) linked data for the United States and the Mexican Health and Aging Study (MHAS) for Mexico. Flexible parametric survival models and g-computation estimated standardized 5-year survival, risk differences, and risk ratios across four groups: no condition, diabetes only, dementia only, and dual conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Survival declined steadily with condition burden in both countries. In the United States, standardized 5-year survival was 73.3% (no condition), 57.9% (diabetes only), 49.2% (dementia only), and 36.6% (dual conditions). In Mexico, absolute survival was higher across all groups: 77.5%, 67.9%, 56.8%, and 40.9%, respectively. Hazard ratios confirmed elevated mortality risks, particularly when both were present. Women had lower mortality than men in the United States, but higher mortality in Mexico. However, gender did not significantly modify the association between condition burden and survival in either country.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Five-year survival declines with condition burden in both countries, with lower absolute survival and steeper relative penalties in the U.S. Divergent gender patterns across countries reflect overall mortality differences rather than condition-specific modification, highlighting the need for tailored and integrated approaches to chronic disease and dementia care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geronb\/gbag130","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T10:45:14Z","timestamp":1783334714000},"source":"Crossref","is-referenced-by-count":0,"title":["Aging with dual burdens: cross-national evidence on mortality among older Hispanic adults with diabetes and dementia"],"prefix":"10.1093","volume":"81","author":[{"given":"Hyeran","family":"Chung","sequence":"first","affiliation":[{"name":"Department of Economics and Finance, The University of Texas at El Paso , El Paso, Texas,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfonso","family":"Rojas-Alvarez","sequence":"additional","affiliation":[{"name":"Department of Public Health, The University of Texas at El Paso , El Paso, Texas,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Eduardo","family":"Cabrero Castro","sequence":"additional","affiliation":[{"name":"Department of Public Health, The University of Texas at El Paso , El Paso, Texas,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Downer","sequence":"additional","affiliation":[{"name":"Department of Population Health and Health Disparities, The University of Texas Medical Branch at Galveston , Galveston, Texas,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"2026100905363432800_gbag130-B1","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1007\/s10823-019-09374-8","article-title":"Do income supplemental programs for older adults help reduce primary caregiver burden? 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