{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T06:37:02Z","timestamp":1768459022207,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T00:00:00Z","timestamp":1701820800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["1R01AG060871"],"award-info":[{"award-number":["1R01AG060871"]}],"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":["1RF1AG069771"],"award-info":[{"award-number":["1RF1AG069771"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012462","name":"Office of Academic Affiliations, Department of Veterans Affairs","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012462","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["ESP 22\u2010116"],"award-info":[{"award-number":["ESP 22\u2010116"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      In the United States, nearly 85,000 Veterans experienced homelessness during 2020, and thousands more are experiencing housing instability, representing a significant proportion of the population.\n                      <jats:sup>1<\/jats:sup>\n                      Many Veterans experiencing homelessness are aging and have complex co\u2010occurring medical, psychiatric, and substance use disorders. Homelessness and older age put Veterans at greater risk for age\u2010related disorders, including Alzheimer's disease and related dementias (ADRD).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We examined the rate of ADRD diagnosis for Veterans experiencing homelessness and housing instability compared to a matched cohort of stably housed Veterans over a nine\u2010year period using cox proportional hazard models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the matched cohort, 95% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200988,811) of Veterans were men, and 67% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200959,443) were White and were on average 63\u2009years old (SD\u2009=\u200910.8). Veterans with housing instability had a higher hazard of 1.53 (95% confidence interval (CI) 1.50, 1.59) for ADRD compared to Veterans without housing instability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Veterans experiencing housing instability have a substantially higher risk of receiving an ADRD diagnosis than a matched cohort of stably housed Veterans. Health systems and providers should consider cognitive screening among people experiencing housing insecurity. Existing permanent supportive housing programs should consider approaches to modify wraparound services to support Veterans experiencing ADRD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18680","type":"journal-article","created":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T03:03:16Z","timestamp":1701831796000},"page":"382-389","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Risk of dementia among veterans experiencing homelessness and housing instability"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2735-3845","authenticated-orcid":false,"given":"Jill S.","family":"Roncarati","sequence":"first","affiliation":[{"name":"U.S. Department of Veterans Affairs, Center for Healthcare Organization &amp; Implementation Research (CHOIR) VA Bedford Healthcare System  Bedford Massachusetts USA"},{"name":"Department of Health Policy and Management Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"},{"name":"Boston Health Care for the Homeless Program  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"DeVone","sequence":"additional","affiliation":[{"name":"Center of Innovation in Long Term Services and Supports Providence VA Medical Center  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Halladay","sequence":"additional","affiliation":[{"name":"Center of Innovation in Long Term Services and Supports Providence VA Medical Center  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Tsai","sequence":"additional","affiliation":[{"name":"U.S. Department of Veterans Affairs National Center on Homelessness Among Veterans  Tampa Florida USA"},{"name":"School of Public Health University of Texas Health Science Center at Houston  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1735-8434","authenticated-orcid":false,"given":"Eric","family":"Jutkowitz","sequence":"additional","affiliation":[{"name":"Center of Innovation in Long Term Services and Supports Providence VA Medical Center  Providence Rhode Island USA"},{"name":"Department of Health Services, Policy &amp; Practice Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,6]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"The U.S. Department of Housing and Urban Development.The 2019\u20132020 Annual Homeless Assessment Report (AHAR) to Congress PART 2: Estimates of Homelessness in the United States.https:\/\/www.huduser.gov\/portal\/sites\/default\/files\/pdf\/2020-AHAR-Part-2.pdf. 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