{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T09:44:28Z","timestamp":1769507068962,"version":"3.49.0"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R03AG063183"],"award-info":[{"award-number":["R03AG063183"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Center on Aging and Population Sciences","award":["P30AG066614"],"award-info":[{"award-number":["P30AG066614"]}]},{"name":"Population Research Center","award":["P2CHD042849"],"award-info":[{"award-number":["P2CHD042849"]}]},{"name":"Building Interdisciplinary Research","award":["K12HD052023"],"award-info":[{"award-number":["K12HD052023"]}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Institute of Child Health & Human Development"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>To examine the role of probable dementia on changes in living arrangements and mortality among very old Mexicans and Mexican Americans in 2 different nations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research Design and Methods<\/jats:title>\n                  <jats:p>We employ the Hispanic Established Population for the Epidemiologic Study of the Elderly and the Mexican Health and Aging Study, 2 comparable longitudinal data sets, to identify predictors of changes in living arrangements using multinomial logistic regression, controlling for cognitive status, demographic characteristics, and resources.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In Mexico, women with dementia who lived alone at baseline were more likely to become part of an extended family household than men with similar levels of cognitive impairment. A similar pattern emerges for the oldest Mexican-American women. Spousal loss increases the likelihood of living alone for women in the United States regardless of dementia. Although dementia elevates the risk of mortality for men living alone in the United States, in both countries, women in their 90s who lived alone with dementia had a lower risk of mortality relative to men.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>Longer life spans increase the risk of living alone with dementia in both countries, especially for women. Older individuals in both countries face financial hardships. Mexicans have limited formal options in dementia care. Mexican Americans with dementia continue to live alone despite low income although, unlike the Mexicans, they have access to Medicaid long-term care. For Mexico and the United States, the growing number of older individuals with dementia represents a growing public health concern.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geront\/gnad083","type":"journal-article","created":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T18:57:47Z","timestamp":1688237867000},"source":"Crossref","is-referenced-by-count":3,"title":["Loss of Autonomy: Likely Dementia and Living Arrangement Transitions Among Mexicans and Mexican Americans"],"prefix":"10.1093","volume":"64","author":[{"given":"Jacqueline L","family":"Angel","sequence":"first","affiliation":[{"name":"LBJ School of Public Affairs and Center on Aging and Population Sciences, The University of Texas at Austin , Austin, Texas , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9869-3308","authenticated-orcid":false,"given":"Mariana","family":"L\u00f3pez-Ortega","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Geriatr\u00eda , Mexico City , Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3161-1125","authenticated-orcid":false,"given":"Chi-Tsun","family":"Chiu","sequence":"additional","affiliation":[{"name":"Institute of European and American Studies, Academia Sinica , Taipei , Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunshine M","family":"Rote","sequence":"additional","affiliation":[{"name":"Kent School of Social Work and Family Science, University of Louisville , Louisville, Kentucky , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip","family":"Cantu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u2014Geriatrics, The University of Texas Medical Branch , Galveston, Texas , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Antequera","sequence":"additional","affiliation":[{"name":"LBJ School of Public Affairs, The University of Texas at Austin , Austin, Texas , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching-An","family":"Chen","sequence":"additional","affiliation":[{"name":"Institute of European and American Studies, Academia Sinica , Taipei , Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,7,1]]},"reference":[{"issue":"1","key":"2024013011160100900_CIT0001","first-page":"120","article-title":"Systematic and comparative analysis of the burden of Alzheimer\u2019s disease and other dementias in Mexico. Results at the national and subnational levels, 1990\u20132019","volume":"10","author":"Agudelo-Botero","year":"2022","journal-title":"The Journal of Prevention of Alzheimer\u2019s Disease"},{"issue":"3","key":"2024013011160100900_CIT0002","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1007\/s10823-016-9291-3","article-title":"Institutional context of family eldercare in Mexico and the United States","volume":"31","author":"Angel","year":"2016","journal-title":"Journal of Cross-Cultural Gerontology"},{"issue":"464\u2013473","key":"2024013011160100900_CIT0003","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1093\/geront\/36.4.464","article-title":"Nativity, declining health, and preferences in living arrangements among elderly Mexican Americans: Implications for long term 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