Other Titles
Alzheimer’s Disease and Related Dementias Among Older Black Adults: A Comparative Analysis of US-Born and Non-US-Born Populations [Title Slide]
Abstract
Purpose: This study aims to explore the prevalence of Alzheimer's Disease and Related Dementias (ADRD) among US-born and non-US-born Black individuals, identifying risk factor differences and informing targeted interventions.
Methods: A retrospective cohort study was conducted using data from 77,069 Black individuals in the All of Us Research Program. Two cohorts—US-born and non-US-born individuals with ADRD—were analyzed, with 1:1 propensity score matching applied to balance key demographic and socioeconomic factors. Statistical analyses were performed using R and Python, with significance set at α = 0.05.
Results: Of the 72,311 US-born and 4,758 non-US-born Black individuals, 1:1 propensity score matching resulted in 4,758 matched participants per group. The ADRD prevalence was 3.76% among US-born and 4.12% among non-US-born Black individuals. Prevalence increased with age and was higher among retirees and the unemployed.
Conclusion: Non-US-born Black individuals are at a higher risk for ADRD compared to US-born Blacks, primarily due to socioeconomic and demographic factors. These findings underscore the need for targeted interventions to address health inequities and inform nursing practice, aiming to reduce disparities in ADRD diagnosis and treatment.
Implications: The insights from this study can guide nurses, healthcare administrators, and policymakers in promoting health equity and improving patient outcomes. The findings highlight the need to integrate nativity and socio-economic factors into nursing practice and education, enabling nurses to better address the diverse needs of populations and contribute to creating a more inclusive and equitable healthcare environment.
Sigma Membership
Theta Tau
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Cohort
Research Approach
Quantitative Research
Keywords:
Health Equity, Social Determinants of Health, Public and Community Health, Long-term Care, Cultural Context and Care, Alzheimer's Disease, BIPOC, Black Adults
Recommended Citation
Sorkpor, Setor Kofi; Yang, Yijiong; Lane, Brittany; Miao, Hongyu; and Wang, Jing, "Alzheimer's Disease and Related Dementia Among Black Adults Stratified by Nativity" (2025). Biennial Convention (CONV). 113.
https://www.sigmarepository.org/convention/2025/presentations_2025/113
Conference Name
48th Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2025-11-27
Funder(s)
Florida State University Council on Research and Creativity
Alzheimer's Disease and Related Dementia Among Black Adults Stratified by Nativity
Indianapolis, Indiana, USA
Purpose: This study aims to explore the prevalence of Alzheimer's Disease and Related Dementias (ADRD) among US-born and non-US-born Black individuals, identifying risk factor differences and informing targeted interventions.
Methods: A retrospective cohort study was conducted using data from 77,069 Black individuals in the All of Us Research Program. Two cohorts—US-born and non-US-born individuals with ADRD—were analyzed, with 1:1 propensity score matching applied to balance key demographic and socioeconomic factors. Statistical analyses were performed using R and Python, with significance set at α = 0.05.
Results: Of the 72,311 US-born and 4,758 non-US-born Black individuals, 1:1 propensity score matching resulted in 4,758 matched participants per group. The ADRD prevalence was 3.76% among US-born and 4.12% among non-US-born Black individuals. Prevalence increased with age and was higher among retirees and the unemployed.
Conclusion: Non-US-born Black individuals are at a higher risk for ADRD compared to US-born Blacks, primarily due to socioeconomic and demographic factors. These findings underscore the need for targeted interventions to address health inequities and inform nursing practice, aiming to reduce disparities in ADRD diagnosis and treatment.
Implications: The insights from this study can guide nurses, healthcare administrators, and policymakers in promoting health equity and improving patient outcomes. The findings highlight the need to integrate nativity and socio-economic factors into nursing practice and education, enabling nurses to better address the diverse needs of populations and contribute to creating a more inclusive and equitable healthcare environment.
Description
This study examines the prevalence of ADRD among US-born and non-US-born Black individuals. Using data from the All of Us Research Program, the study compared two cohorts, analyzing risk factors through 1:1 propensity score matching. The results revealed that non-US-born Black individuals had a higher ADRD prevalence than US-born counterparts, with rates increasing with age and being higher among retirees and the unemployed.