{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T18:48:40Z","timestamp":1793213320295,"version":"4.5.0"},"reference-count":51,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:00:00Z","timestamp":1750636800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["2017-00981 and 2021-01647"],"award-info":[{"award-number":["2017-00981 and 2021-01647"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2021-01826"],"award-info":[{"award-number":["2021-01826"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Lindh\u00e9s Advokatbyr\u00e5","award":["LA2023-0116"],"award-info":[{"award-number":["LA2023-0116"]}]},{"DOI":"10.13039\/501100021594","name":"Demensfonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021594","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Scandinavia-Japan Sasakawa Foundation"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dementia is linked to increased care use, but formal and informal care use throughout the dementia journey remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate care use before and after the detection of cognitive impairment, no dementia (CIND) and dementia and to identify care-related factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Within a population-based study, we matched older adults (\u226578 years) who developed CIND (n\u2009=\u2009244) and dementia (n\u2009=\u2009175) with cognitively intact participants to form CIND\/intact (n\u2009=\u2009732) and dementia\/intact (n\u2009=\u2009525) samples. Dementia was clinically diagnosed and CIND was determined through a neuropsychological battery. Formal (from public and private providers) and informal (provided by family and friends) care use was interviewed. Care-related factors included age, sex, education, living alone, chronic diseases, and social network. Data was analyzed using logistic regressions and linear mixed-effect models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared to cognitively intact participants, those with CIND had increased care use 3 years after detection (odds ratio [OR] 2.30 and 2.63, 95% confidence interval [95%CI] 1.02\u20135.18 and 1.25\u20135.53) and those with dementia had greater care use over time (OR 2.01, 95% CI 1.20\u20133.38 to OR 13.58, 95% CI 4.46\u201341.34). People with CIND\/dementia showed 6.3 to 32.3\u2005h rapid increase in informal care hours. Older age, female, living alone, and chronic diseases further increased care use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Formal and informal care use during the progression of cognitive impairment begins to increase at the CIND stage, but only informal care hours continue to increase. The findings highlight the complex care needs of people with cognitive impairment and the importance of coordination of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877251350525","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T02:28:27Z","timestamp":1750732107000},"page":"1010-1020","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Formal and informal care use before, during, and after detection of cognitive impairment and dementia: A population-based matched study"],"prefix":"10.1177","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1695-6879","authenticated-orcid":false,"given":"Sakura","family":"Sakakibara","sequence":"first","affiliation":[{"name":"Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6890-0537","authenticated-orcid":false,"given":"Abigail","family":"Dove","sequence":"additional","affiliation":[{"name":"Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6104-9957","authenticated-orcid":false,"given":"Jie","family":"Guo","sequence":"additional","affiliation":[{"name":"Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Grande","sequence":"additional","affiliation":[{"name":"Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"},{"name":"Stockholm Gerontology Research Centre, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7198-9368","authenticated-orcid":false,"given":"Ulrika","family":"Akenine","sequence":"additional","affiliation":[{"name":"Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britt-Marie","family":"Sj\u00f6lund","sequence":"additional","affiliation":[{"name":"Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"},{"name":"Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, University of G\u00e4vle, G\u00e4vle, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3591-8842","authenticated-orcid":false,"given":"Janne","family":"Agerholm","sequence":"additional","affiliation":[{"name":"Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7283-750X","authenticated-orcid":false,"given":"Erika J","family":"Laukka","sequence":"additional","affiliation":[{"name":"Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"},{"name":"Stockholm Gerontology Research Centre, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9064-9222","authenticated-orcid":false,"given":"Amaia","family":"Calderon-Larra\u00f1aga","sequence":"additional","affiliation":[{"name":"Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6140-2968","authenticated-orcid":false,"given":"Weili","family":"Xu","sequence":"additional","affiliation":[{"name":"Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,23]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"World Alzheimer Report 2022. 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