Dual Trajectories of Dementia and Social Support in the Mexican-Origin Population

Author:

Rote Sunshine M1,Angel Jacqueline L2,Kim Jiwon3,Markides Kyriakos S4

Affiliation:

1. Kent School of Social Work, University of Louisville, Kentucky

2. LBJ School of Public Affairs and Department of Sociology, The University of Texas at Austin

3. Department of Educational Psychology—Quantitative Methods, The University of Texas at Austin

4. Department of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston

Abstract

Abstract Background and Objectives In the next few decades, the number of Mexican American older adults with Alzheimer’s disease and related disorders will increase dramatically. Given that this population underutilizes formal care services, the degree of care responsibilities in Mexican American families is likely to increase at the same time. However, little is known about the changing need for assistance with instrumental day-to-day activities and emotional support by long-term patterns of cognitive impairment. Research Design and Methods We use 7 waves of the Hispanic Established Populations for the Epidemiologic Studies of the Elderly (1992/1993–2010/2011) and trajectory modeling to describe long-term patterns of perceived emotional and instrumental support, and dementia. Results Results revealed 2 latent classes of both emotional and instrumental support trajectories: low and high support. Specifically, those living alone were more likely to belong to the group with low support than to that with high support. Three latent classes for likely dementia were also revealed: likely dementia, increasing impairment, and no impairment. Those living alone were more likely to belong to the increasing impairment and likely dementia groups. The dual trajectory of emotional and instrumental support with likely dementia revealed that the probability of belonging to the low-support group was highest for those with increasing impairment. Discussion and Implications These findings highlight the risk and vulnerability of those who live alone concerning perceived social support and dementia. Implications of the findings for the potential dependency burden on Latino caregivers are discussed.

Funder

National Institute on Aging

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Gerontology,General Medicine

Reference51 articles.

1. Racial and ethnic inequalities in health;Angel,2016

2. Nativity status and sources of care assistance among elderly Mexican-origin adults;Angel;Journal of Cross-Cultural Gerontology,2014

3. Hispanic Families at Risk

4. United States life tables, 2007;Arias;National Vital Statistics Reports,2011

5. Development and validation of a brief dementia screening indicator for primary care;Barnes;Alzheimer’s & Dementia,2014

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