Abstract
Estimates of the prevalence of dementia among Latinos in the United States vary from 5% to over 12.9% depending upon the measurement of cognitive impairment employed, the age of the sample, and specific nation of origin (González et al., 2019; Haan, Mungas, Gonzalez, Ortiz, & Jagust, 2003; Langa et al., 2017; Matthews et al., 2019; Mehta & Yeo, 2017). Because of life-long structural disadvantage, including low levels of education, a lack of health insurance, low income, and low levels of savings, Latinos are more likely than non-Latino whites to develop mild cognitive impairment at earlier ages and dementia (Fitten et al., 2014; Mehta & Yeo, 2017). These structural risks in combination with longer life expectancies at birth and at age 65 mean that older Latinos will spend more years with serious cognitive impairment (García et al., 2018). As a consequence, they will need dementia care for a longer time. Such care places great practical and financial strain on families and increasingly requires that they find some alternative sources. The increase in the number of older persons with mild and serious cognitive impairment also places serious fiscal strains on states. The benefits of longer life, then, are accompanied by greater burdens on families and the need for the state to provide affordable and culturally-appropriate alternatives.
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References
Alzheimer’s and Dementia Caregiver Center. (2016a). Adult day centers. Retrieved on 2/28/2020 from http://www.alz.org/care/alzheimers-dementia-adult-day-centers.asp#ixzz4S02HPOWA
Alzheimer’s and Dementia Caregiver Center. (2016b). Adult day centers. Retrieved on 12/5/2016 from http://www.alz.org/care/alzheimers-dementia-adult-day-centers.asp#ixzz4S02HPOWA
Alzheimer’s Family Center. (2017). New findings suggest adult day health care may slow progression of Alzheimer’s Disease. Retrieved on 7/25/2020 from https://afscenter.org/adult-day-care-alzheimers-disease/
American Community Survey. (2007). The American community— Hispanics: 2004. Retrieved from Washington, DC: http://factfinder.census.gov www.census.gov/acs/www/Downloads/ACS/accuracy2004.pdf
Angel, J., & Rote, S. (2019). Why providing culturally appropriate caregiving matters. Retrieved on 7/26/2020 from https://www.expressnews.com/opinion/commentary/article/Why-providing-culturally-appropriate-caregiving-14515538.php
Angel, J. L., Angel, R. J., & Cantu, P. (2019). Medicaid use among older low-income Medicare enrollees in California and Texas: A tale of two states. Journal Health Politics, Policy and the Law, 44(6), 885–910.
Angel, R. J. (2009). Structural and cultural factors in successful aging among older Hispanics. Family & Community Health, 32(1 Suppl), S46–S57. https://doi.org/10.1097/01.FCH.0000342839.05607.2a
Angel, R. J., & Angel, J. L. (2018). Family, intergenerational solidarity, and post-traditional society. New York, NY: Routledge.
Angel, R. J., Montes-de-Oca Zavala, V., & Rodríguez-Rodríguez, V. (2018). Strengthening solidarity: A theoretical inquiry into the roles of civil society organizations in the support of elderly citizens in Mexico City. In W. A. Vega, J. L. Angel, L. M. F. Gutiérrez-Robledo, & K. S. Markides (Eds.), Contextualizing health and aging in the Americas: Effects of space, time and place. New York, NY: Springer.
Brown, H. S., Herrera, A. P., & Angel, J. L. (2013). Opportunity costs associated with caring for older Mexican-Americans. Journal of Cross-Cultural Gerontology, 28, 375–389.
California Association for Adult Day Services. (2020). What is an Alzheimer’s Day Care Resource Center (ADCRC)?. Retrieved on 7/24/2020 from http://www.caads.org/adultdday/factsheet/factsheet_adcrc.html. In The Gerontologist
California Department of Aging. (2020). CBAS Providers. Retrieved on 3/15/2020 from https://www.aging.ca.gov/Providers_and_Partners/Community-Based_Adult_Services/CBAS_Providers/.
California Department of Social Services. (2002). The regions of California: Recommended grouping of the counties for regional studies. Retrieved on 3/15/2020 from https://www.cdss.ca.gov/research/res/pdf/multireports/RegionsofCalifornia.pdf
CalPace. (2020). Find a PACE Program in California. Retrieved on 3/15/2020 from http://www.calpace.org/
Centers for Medicare and Medicaid Services. (2019a). Home and community-based services. Retrieved on 3/1/2020 from https://www.cms.gov/Outreach-and-Education/American-Indian-Alaska-Native/AIAN/LTSS-TA-Center/info/hcbs
Centers for Medicare and Medicaid Services. (2019b). Home and community-based services. Retrieved on 3/8/2020 from https://www.medicaid.gov/medicaid/home-community-based-services/index.html
Centers for Medicare and Medicaid Services. (2020). Home and community-based authorities. Retrieved on 7/20/20 from https://www.medicaid.gov/medicaid/home-community-based-services/home-community-based-services-authorities/index.html
Chappelow, J. (2020). Labor force participation rate. Retrieved on 3/15/2020 from https://www.investopedia.com/terms/p/participationrate.asp
Femia, E. E., Zarit, S. H., Stephens, M. A. P., & Greene, R. (2007). Impact of adult day services on behavioral and psychological symptoms of dementia. The Gerontologist, 47(6), 775–788. https://doi.org/10.1093/geront/47.6.775
Fitten, L. J., Ortiz, F., Fairbanks, L., Bartzokis, G., Lu, P., Klein, E., … Ringman, J. (2014). Younger age of dementia diagnosis in a Hispanic population in southern California. International Journal of Geriatric Psychiatry, 29(6), 586–593. https://doi.org/10.1002/gps.4040
Folstein, M., Folstein, S., & McHugh, P. (1975). Mini-mental state: A practical method for grading the state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.
Garcia, M. A., Reyes, A. M., Downer, B., Saenz, J. L., Samper-Ternent, R. A., & Raji, M. (2018). Age of migration and the incidence of cognitive impairment: A cohort study of elder Mexican-Americans. Innovation in Aging, 1(3), igx037. https://doi.org/10.1093/geroni/igx037
Garfield, R., Musumeci, M., Reaves, E. L., & Damico, A. (2015). Medicaid’s role for people with dementia. Retrieved on 8/18/2019 from https://www.kff.org/medicaid/issue-brief/medicaids-role-for-people-with-dementia/
Gaugler, J. E. (2014). The process of adult day service use. Geriatric Nursing (New York, N.Y.), 35(1), 47–54. https://doi.org/10.1016/j.gerinurse.2013.10.009
Gaugler, J. E., Edwards, A. B., Femia, E. E., Zarit, S. H., Stephens, M. A., Townsend, A., & Greene, R. (2000). Predictors of institutionalization of cognitively impaired elders: Family help and the timing of placement. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55(4), P247–255.
Gilster, S. D., Boltz, M., & Dalessandro, J. L. (2018). Long-term care workforce issues: Practice principles for quality dementia care. The Gerontologist, 58(suppl 1), S103–S113. https://doi.org/10.1093/geront/gnx174
González, H. M., Tarraf, W., Schneiderman, N., Fornage, M., Vásquez, P. M., Zeng, D., … DeCarli, C. (2019). Prevalence and correlates of mild cognitive impairment among diverse Hispanics/Latinos: Study of Latinos-investigation of neurocognitive aging results. Alzheimer’s & Dementia, 15(12), 1507–1515. https://doi.org/10.1016/j.jalz.2019.08.202
Haan, M. N., Mungas, D. M., Gonzalez, H. M., Ortiz, T. O., & Jagust, W. J. (2003). Prevalence of dementia in older Mexican Americans: Influence of stroke, diabetes, and genetic factors. Journal of the American Geriatric Society, 51(2), 169–177.
Herrera, A., Benson, R., Angel, J. L., Markides, K., & Torres-Gil, F. (2013). Effectiveness and reach of caregiver services funded by the older Americans Act to Vulnerable Older Hispanics and African Americans. Home Health Care Services Quarterly, 32(1), 35–56.
Jayson, S. (2018). All in together: Creating places where young and old thrive: A report from generations united and the Eisner Foundation. Retrieved on 7/26/2020 from https://www.gu.org/app/uploads/2018/06/SignatureReport-Eisner-All-In-Together.pdf
Jones, K. R., Tullai-McGuinness, S., Dolansky, M., Farag, A., Krivanek, M. J., & Matthews, L. (2011). Expanded adult day program as a transition option from hospital to home. Policy, Politics & Nursing Practice, 12(1), 18–26. https://doi.org/10.1177/1527154411409052
Kane, R. A., Kane, R. L., & Ladd, R. C. (1998). The heart of long-term care. New York, NY: Oxford University Press.
Keller, M. J. (2017). Older adults: Exploring their changing demographics and health outlook. Retrieved on 3/8/2020 from https://www.nrpa.org/parks-recreation-magazine/2017/january/older-adults-exploring-their-changing-demographics-and-health-outlook/
Langa, K. M., Larson, E. B., Crimmins, E. M., Faul, J. D., Levine, D. A., Kabeto, M. U., & Weir, D. R. (2017). A comparison of the prevalence of dementia in the United States in 2000 and 2012. JAMA Internal Medicine, 177(1), 51–58. https://doi.org/10.1001/jamainternmed.2016.6807
Lawton, M. P., & Brody, E. P. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.
Lee, K., Jarrott, S. E., & Juckett, L. A. (2020). Documented outcomes for older adults in intergenerational programming: A scoping review. Journal of Intergenerational Relationships, 18(2), 113–138. https://doi.org/10.1080/15350770.2019.1673276
Matthews, K. A., Xu, W., Gaglioti, A. H., Holt, J. B., Croft, J. B., Mack, D., & McGuire, L. C. (2019). Racial and ethnic estimates of Alzheimer’s disease and related dementias in the United States (2015-2060) in adults aged ≥65 years. Alzheimer’s & Dementia, 15(1), 17–24. https://doi.org/10.1016/j.jalz.2018.06.3063
Mehta, K. M., & Yeo, G. W. (2017). Systematic review of dementia prevalence and incidence in United States race/ethnic populations. Alzheimer’s & Dementia, 13(1), 72–83. https://doi.org/10.1016/j.jalz.2016.06.2360
Metlife Mature Market Institute. (2011). The 2011 MetLife market survey of nursing home, assisted living, adult day Services, and home care costs. Retrieved on 12/13/19 from https://www.aarp.org/content/dam/aarp/livable-communities/old-learn/health/the-metlife-market-survey-of-nursing-home-assisted-living-adult-day-services-and-home-care-costs-2011-aarp.pdf
Miner, S., Logan, J. R., & Spitze, G. (1993). Predicting the frequency of senior center attendance. The Gerontologist, 33(5), 650–657. https://doi.org/10.1093/geront/33.5.650
National Adult Day Service Association (NADSA). (2017a). About adult day services. Retrieved on 7/29/2017 from https://www.nadsa.org/learn-more/about-adult-day-services/
National Adult Day Service Association (NADSA). (2017b). Adult day services, the most cost-effective option in long-term care today. Retrieved on 3/1/2020 from https://www.nadsa.org/wp-content/uploads/2017/05/Updated-NADSA-Public-Policy-Day-2017-Documents.pdf
National Caregivers Library. (2019). What is adult day care? Retrieved from http://www.caregiverslibrary.org/caregivers-resources/grp-caring-for-yourself/hsgrp-support-systems/what-is-adult-day-care-article.aspx
National Instiute on Aging. (2017). What is long-term care? Retrieved on 3/15/2020 from https://www.nia.nih.gov/health/what-long-term-care
O’Keeffe, J., O'Keeffe, C., & Shrestha, M. (2014). Regulatory review of adult day services: Final report, 2014 edition – executive summary. Retrieved on 3/1/2020 from https://aspe.hhs.gov/execsum/regulatory-review-adult-day-services-final-report-2014-edition-executive-summary
Office of the Assistant Secretary for Planning and Evaluation. (2010). Understanding Medicaid home and community services: A primer, 2010 edition. Mandatory state plan services: Home health. Retrieved on 7/20/2020 from https://aspe.hhs.gov/report/understanding-medicaid-home-and-community-services-primer-2010-edition/mandatory-state-plan-services-home-health
Paying for Senior Care. (2019). Texas community care for aged/disabled: Non-Medicaid services for the elderly. Retrieved on 7/26/2020 from https://www.payingforseniorcare.com/texas/ccad. In The Gerontologist
Paying for Senior Care. (2020). Texas’ STAR+PLUS Medicaid Waiver. Retrieved on 7/26/20 from https://www.google.com/search?client=firefox-b-1-d&q=STAR%2BPLUS+income+eligiblity+Texas+Medicaid+is+%242%2C313.+
Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30(5), 583–594. https://doi.org/10.1093/geront/30.5.583
Rote, S., Angel, J., & Hinton, L. (2019). Characteristics and consequences of family support in Latino dementia care. Journal of Cross-Cultural Gerontology, 34(4), 337–354. https://doi.org/10.1007/s10823-019-09378-4
Texas Department of Health and Human Services. (2018). 0–2100 Program of All-Inclusive Care for the Elderly (PACE). Retrieved on 7/24/2020 from https://hhs.texas.gov/laws-regulations/handbooks/mepd/chapter-o-waiver-programs-demonstration-projects-all-inclusive-care/o-2000-all-inclusive-care. In The Gerontologist.
Texas Department of State Health Services. (2019). Map of DSHS Border Area. Retrieved on 3/15/2020 from https://www.dshs.texas.gov/borderhealth/border_health_map.shtm
Texas Health and Human Services. (2020). Day Activity and Health Services (DAHS). Retrieved on 3/15/2020 from https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/day-activity-health-services-dahs
Texas Health and Human Services. (2020a). STAR+PLUS. Retrieved on 7/26/2020 from https://hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus
Texas Health and Human Services. (2020b). Where are STAR+PLUS services offered? Retrieved on 7/26/2020 from https://hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus
LBJ School of Public Affairs. (2019). Building an intergenerational metropolis in the city of Austin: Report and recommendations, Austin City Council Resolution Number 20181018-041. Retrieved on 7/26/2020 from https://repositories.lib.utexas.edu/bitstream/handle/2152/65188/MMAC%20Resolution%2020181018-041%20Austin%20Public%20Health.pdf?sequence=9&isAllowed=y
Texas Office of the Secretary of State. (2019). Texas Administrative Code, TITLE 40. Social Services and Assistance, Chapter 98, Day Activity and Health Services Requirements. Retrieved on 3/8/2020 from https://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=4&ti=40&pt=1&ch=98
Tombaugh, T. N., & McIntyre, N. J. (1992). The mini-mental state examination: A comprehensive review. Journal of the American Geriatrics Society, 40(9), 922–935. https://doi.org/10.1111/j.1532-5415.1992.tb01992.x
U.S. Census Bureau. (2013). American Community Survey 5-Year Estimates, 2009-2013.
U.S. Census Bureau. (2017). Percent of people 65 years and over below poverty level in the past 12 months in Texas, 2016 American community survey 1-year estimates. Retrieved on 5/28/2018 from https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_16_1YR_GCT1703.ST10&prodType=table
U.S. Health and Human Services, Office of Global Affairs. (2017). The U.S.-Mexico Border Region. Retrieved on 3/15/2020 from https://www.hhs.gov/about/agencies/oga/about-oga/what-we-do/international-relations-division/americas/border-health-commission/us-mexico-border-region/index.html
United States-Mexico Border Health Commission. (2010). Border lives health status in the United States-Mexico Border Region. Retrieved on 3/15/2020 from https://www.ruralhealthinfo.org/assets/940-3105/health-status-in-the-united-states-mexico-border-region.pdf
Wallace, S. P., & Villa, V. M. (2003). Equitable health systems: Cultural and structural issues for Latino elders. American Journal of Law & Medicine, 29(2–3), 247–267.
Zarit, S. H., Kim, K., Femia, E. E., Almeida, D. M., & Klein, L. C. (2014). The effects of adult day services on family caregivers’ daily stress, affect, and health: Outcomes from the Daily Stress and Health (DaSH) study. Gerontologist, 54(4), 570–579. https://doi.org/10.1093/geront/gnt045
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Angel, J.L., Rote, S.M. (2021). Dementia Support Among Older Mexican Americans: Is Adult Day Care a Viable Alternative?. In: Angel, J.L., López Ortega, M., Gutierrez Robledo, L.M. (eds) Understanding the Context of Cognitive Aging. Springer, Cham. https://doi.org/10.1007/978-3-030-70119-2_12
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