{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T23:58:20Z","timestamp":1779235100723,"version":"3.51.4"},"reference-count":51,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T00:00:00Z","timestamp":1596585600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["1R03AG059107-01"],"award-info":[{"award-number":["1R03AG059107-01"]}],"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":["1R03AG063183-01"],"award-info":[{"award-number":["1R03AG063183-01"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>In the next few decades, the number of Mexican American older adults with Alzheimer\u2019s disease and related disorders will increase dramatically. Given that this population underutilizes formal care services, the degree of care responsibilities in Mexican American families is likely to increase at the same time. However, little is known about the changing need for assistance with instrumental day-to-day activities and emotional support by long-term patterns of cognitive impairment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research Design and Methods<\/jats:title>\n                  <jats:p>We use 7 waves of the Hispanic Established Populations for the Epidemiologic Studies of the Elderly (1992\/1993\u20132010\/2011) and trajectory modeling to describe long-term patterns of perceived emotional and instrumental support, and dementia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Results revealed 2 latent classes of both emotional and instrumental support trajectories: low and high support. Specifically, those living alone were more likely to belong to the group with low support than to that with high support. Three latent classes for likely dementia were also revealed: likely dementia, increasing impairment, and no impairment. Those living alone were more likely to belong to the increasing impairment and likely dementia groups. The dual trajectory of emotional and instrumental support with likely dementia revealed that the probability of belonging to the low-support group was highest for those with increasing impairment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>These findings highlight the risk and vulnerability of those who live alone concerning perceived social support and dementia. Implications of the findings for the potential dependency burden on Latino caregivers are discussed.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geront\/gnaa100","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T19:25:18Z","timestamp":1596569118000},"page":"374-382","source":"Crossref","is-referenced-by-count":20,"title":["Dual Trajectories of Dementia and Social Support in the Mexican-Origin Population"],"prefix":"10.1093","volume":"61","author":[{"given":"Sunshine M","family":"Rote","sequence":"first","affiliation":[{"name":"Kent School of Social Work, University of Louisville, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline L","family":"Angel","sequence":"additional","affiliation":[{"name":"LBJ School of Public Affairs and Department of Sociology, The University of Texas at Austin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiwon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Educational Psychology\u2014Quantitative Methods, The University of Texas at Austin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyriakos S","family":"Markides","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,8,5]]},"reference":[{"key":"2021040615393542700_CIT0001","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/B978-0-12-417235-7.00006-8","article-title":"Racial and ethnic inequalities in health","volume-title":"Handbook of aging and the social sciences","author":"Angel","year":"2016"},{"issue":"3","key":"2021040615393542700_CIT0002","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1007\/s10823-014-9234-9","article-title":"Nativity status and sources of care assistance among elderly Mexican-origin adults","volume":"29","author":"Angel","year":"2014","journal-title":"Journal of Cross-Cultural Gerontology"},{"key":"2021040615393542700_CIT0003","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4419-0474-4","volume-title":"Hispanic families at risk: The new economy, work, and the welfare state","author":"Angel","year":"2009"},{"issue":"9","key":"2021040615393542700_CIT0004","first-page":"1","article-title":"United States life tables, 2007","volume":"59","author":"Arias","year":"2011","journal-title":"National Vital Statistics Reports"},{"issue":"6","key":"2021040615393542700_CIT0005","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1016\/j.jalz.2013.11.006","article-title":"Development and validation of a brief dementia screening indicator for primary care","volume":"10","author":"Barnes","year":"2014","journal-title":"Alzheimer\u2019s & Dementia"},{"issue":"4","key":"2021040615393542700_CIT0006","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1093\/geronb\/53B.4.S198","article-title":"Correlates of depressive symptomatology among older community-dwelling Mexican Americans: The Hispanic EPESE","volume":"53","author":"Black","year":"1998","journal-title":"The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences"},{"issue":"4","key":"2021040615393542700_CIT0007","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1177\/0261018311430457","article-title":"Ageing in urban environments: Developing \u201cage-friendly\u201d cities","volume":"32","author":"Buffel","year":"2012","journal-title":"Critical Social Policy"},{"issue":"5","key":"2021040615393542700_CIT0008","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1097\/00006842-197609000-00003","article-title":"Presidential Address-1976. 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