NEWS Mental Health News Study Finds Significant Differences in Dementia Based on Race and Ethnicity By Krystal Jagoo Krystal Jagoo Krystal Kavita Jagoo is a social worker, committed to anti-oppressive practice, who has worked for three academic institutions across Canada. Her essay, “Inclusive Reproductive Justice,” was in the Reproductive Justice Briefing Book. Learn about our editorial process Updated on May 25, 2022 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Karen Cilli Fact checked by Karen Cilli Karen Cilli is a fact-checker for Verywell Mind. She has an extensive background in research, with 33 years of experience as a reference librarian and educator. Learn about our editorial process Share Tweet Email Print Dean Mitchell / Getty Images Key Takeaways According to a recent study, there was greater incidence of dementia among seniors from underrepresented racial and ethnic minority groups.While there was some variation by geographical region, rates of dementia were highest for Black and Hispanic participants.Dementia risk represents a public health challenge that deserves greater attention. Dementia and its associated diseases impact millions of older adults and their communities across the United States, but it's unclear why some people are more impacted than others. A new study found that Black and Hispanic seniors may be at greater risk of dementia than older individuals of American Indian or Alaska Native, Asian, or white backgrounds. This research was based on information analysis from a national cohort of older veterans who received care at the Veterans Health Administration (VHA) and included 5 racial and ethnic groups in the country. These findings highlight the importance of addressing health disparities among equity-seeking groups since most adults are expected to grow old, and may be at risk of dementia in the future. Looking to Prevent Dementia? Find Something You Love Understanding the Research This study was based on a retrospective analysis of information from 1,869,090 participants, of which, 0.4% were American Indian/Alaska Native, 0.5% were Asian, 9.5% were Black, 1% were Hispanic, and 88.6% were white, from which, 13% received a diagnosis of dementia. The incidence of dementia, when compared with white veterans, was at a ratio of 1.05 for American Indian/Alaska Native participants, 1.20 for Asian veterans, 1.54 for Black participants, and 1.92 for Hispanic veterans. A limitation of this study is the small sample size in terms of inclusion of women, especially as they have a higher rate of dementia than men. Lesbian, Gay, and Bisexual People May Face Higher Dementia Risk Later in Life Early Screening for Dementia is Crucial Behavioral health medical director at Community Health of South Florida Inc., psychiatrist Howard Pratt, DO, says, “The study is thorough in that it sampled nearly two million people over a two-year span only to reveal the importance of access to healthcare and of healthcare literacy." Dr. Pratt explains, “Regardless of your race and cultural background, you need to be aware that all groups are at risk for dementia. One’s own quality of life as well as the quality of life for one’s family and close ones will be improved with early diagnosis.” Howard Pratt, DO The study is thorough in that it sampled nearly two million people over a two-year span only to reveal the importance of access to healthcare and of healthcare literacy. — Howard Pratt, DO Since dementia limits the ability to create and retain new memories, Dr. Pratt notes that symptoms are usually noticed by others before the person suffering from this memory loss accepts it as fact. "People with dementia will typically retreat to old memories to fill in the blanks and these symptoms may wax and wane with time,” he says. Dr. Pratt highlights, “It’s also very important to understand the risk factors for dementia, including hypertension, diabetes, obesity, stroke, transient ischemic attack, post-traumatic stress disorder, traumatic brain injury and alcohol use disorders. Neglecting the treatment of these conditions puts you at significantly higher risk for dementia." This research confirms what is already known, as Dr. Pratt notes that racial and ethnic minorities have higher rates of dementia and poorer outcomes, as they do for most health conditions. "However, that is largely due to lack of early access to healthcare and healthcare literacy,” he says. Dr. Pratt explains, “Dementia calls into question our sharpest tool, which is our brain. For most adults, it is difficult to accept that the organ they rely on for just about anything is not what it used to be." When memory loss is first pointed out, Dr. Pratt highlights that it may be met with denial, but if memory loss is noticed, it is important to get tested, as screening for dementia is simple. "It’s just about asking a few questions and there are no tricks to the test,” he says. There are some conditions that may look like dementia, as Dr. Pratt notes pseudodementia, delirium, infections, sleep apnea, and secondary effects of medications. "When there are any symptoms of memory loss, it’s important that one is evaluated to determine the cause,” he says. In his practice, Dr. Pratt has had the pleasure of treating several people who have dementia, but went on to improve their quality of life after being diagnosed. "With the acceptance of their diagnosis, fears of vulnerability faded, and quality of life improved,” he says. New Research Finds Possible Link Between ADHD and Dementia Trauma Increases Risk of Dementia Social worker with Mindpath Health, Kiana Shelton, LCSW, says, "This publication fits within a greater body of research regarding not only access to medical care, but the nature of that medical care, especially for individuals from the BIPOC community." Shelton highlights that it would be interesting to know if the earlier duties of the veterans who were diagnosed with dementia included combat training. "I wish the public would better understand the link between education and cognitive testing," she says. Kiana Shelton, LCSW This publication fits within a greater body of research regarding not only access to medical care, but the nature of that medical care, especially for individuals from the BIPOC community. — Kiana Shelton, LCSW Having worked with veterans and those within the geriatric community, Shelton notes the impact of trauma and its correlation with dementia or dementia-like symptoms. "For those working with individuals of BIPOC communities, it means being mindful of the bias within testing," she says. Researchers Confirm Link Between Alzheimer’s and Gut Microbiota Dementia Requires Greater Public Attention Neuropsychologist and director of neuropsychology for the Pacific Neuroscience Institute at Providence Saint John’s Health Center, Stella Panos, PhD, says, "The authors of this study discussed several factors that may influence these findings, including socioeconomic and other structural factors, health effects of racism, other social determinants of health, and decreased cognitive reserve because of unequal access to educational opportunities or quality." Panos highlights, "Awareness that these differences are present is crucial, as is more support (e.g., research) to better address these differences. This adds to a growing body of health disparities research in dementia." In terms of context, Panos notes that some have begun referring to "a dementia crisis” as the number of cases of dementia is predicted to more than triple by 2050, which will have significant implications for society, especially among individuals from ethnic and racial minority groups. Individuals from ethnic and racial minority groups are often under-represented in clinical trials, which can threaten generalizability of findings, according to Panos. "This is an important area of work that needs more attention and support," she says. Panos highlights, "While there is no cure for neurodegenerative illnesses such as Alzheimer’s disease, we know that there are many benefits to early assessment, diagnosis, and treatment." What This Means For You As this research study demonstrates, racial and ethnic minority groups may be at greater risk for dementia. If any memory loss is noticed, early screening for dementia is recommended. How Robotic Pets Are Helping Older Adults Facing Dementia and Isolation 1 Source Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Kornblith E, Bahorik A, Boscardin WJ, Xia F, Barnes DE, Yaffe K. Association of race and ethnicity with incidence of dementia among older adults. JAMA. 2022;327(15):1488. doi:10.1001/jama.2022.3550 By Krystal Jagoo Krystal Kavita Jagoo is a social worker, committed to anti-oppressive practice. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.