{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T17:03:39Z","timestamp":1778778219695,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Alzheimer's disease and related dementias (ADRD) are a significant public health concern characterized by memory decline that, over time, leads to loss of independence. This study reports ADRD diagnosis rates among Medicare beneficiaries aged \u2265 65 years in rural America.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a descriptive analysis of Medicare Fee\u2010for\u2010Service (FFS) and Medicare Advantage enrollees using administrative Medicare data from 2020. Combining data from Medicare FFS and Medicare Advantage produces a more complete and representative sample of older adults than previous studies that used FFS data alone. Nonmetropolitan counties were used to define rural. Rural ADRD diagnosis rates, stratified by age, sex, race\/ethnicity, and Census region, were adjusted using the 2000 Census population standard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      The study population consisted of 54 million Medicare data Fee\u2010for\u2010Service (FFS) and Medicare Advantage enrollees aged \u2265 65; 5.3 million beneficiaries were diagnosed with ADRD, and 16.2% (\n                      <jats:italic>n<\/jats:italic>\n                      = 861,337) of beneficiaries diagnosed with ADRD resided in rural America. The age\u2010adjusted ADRD diagnosis rate was slightly lower in rural America (9.6 per 100 beneficiaries) than in the United States (10.0 per 100 beneficiaries). The South Census region had the highest rural ADRD diagnosis rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings underscore the need for targeted interventions and support mechanisms to address the growing burden of ADRD in rural communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jrh.12902","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T08:19:30Z","timestamp":1737533970000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Alzheimer's disease and related dementias among Medicare beneficiaries aged \u2265 65 years in rural America, by Census region and select demographic characteristics: 2020"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8193-2202","authenticated-orcid":false,"given":"Kevin A.","family":"Matthews","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention, Office of Rural Health  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9970-3758","authenticated-orcid":false,"given":"Christian T.","family":"Murray","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Office of Policy, Performance, and Evaluation  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1313-6471","authenticated-orcid":false,"given":"Brenda L.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Division of Health Informatics and Surveillance Center for Surveillance, Epidemiology, and Laboratory Services Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7628-1289","authenticated-orcid":false,"given":"Katie S.","family":"Spears","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Office of Rural Health  Atlanta Georgia USA"},{"name":"Oak Ridge Institute for Science and Education  Oak Ridge Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4270-0051","authenticated-orcid":false,"given":"Eva M. J.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Alzheimer's Association  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6127-6532","authenticated-orcid":false,"given":"Diane M.","family":"Hall","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Office of Rural Health  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8513-2517","authenticated-orcid":false,"given":"Lisa C.","family":"McGuire","sequence":"additional","affiliation":[{"name":"Gerontological Society of America, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2018.06.3063"},{"key":"e_1_2_8_3_1","unstructured":"Symens\u2010SmithA TrevelyanE.In some states more than half of older residents live in rural areas.2019. Accessed February 21 2024.https:\/\/www.census.gov\/library\/stories\/2019\/10\/older\u2010population\u2010in\u2010rural\u2010america.html"},{"key":"e_1_2_8_4_1","unstructured":"FreyWS.Census shows nonmetropolitan America is whiter getting older and losing population.2017. Accessed February 21 2024.https:\/\/www.brookings.edu\/articles\/census\u2010shows\u2010nonmetropolitan\u2010america\u2010is\u2010whiter\u2010getting\u2010older\u2010and\u2010losing\u2010population\/"},{"key":"e_1_2_8_5_1","unstructured":"Centers for Disease Control and Prevention.National Vital Statistics System Mortality 2018\u20132021 on CDC WONDER Online Database released in 2021. Data are from the Multiple Cause of Death Files 2018\u20132021 as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed athttp:\/\/wonder.cdc.gov\/ucd\u2010icd10\u2010expanded.htmlon Mar 21 2023 11:28:07 AM. 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