Hospital Disparities between Native Hawaiian and Other Pacific Islanders and Non-Hispanic Whites with Alzheimer’s Disease and Related Dementias

Andrea H. Hermosura, Carolyn J. Noonan, Amber L. Fyfe-Johnson, Todd B. Seto, Joseph K. Kaholokula, Richard F. MacLehose

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Objective: To compare important indicators of quality of care between Native Hawaiians and other Pacific Islanders (NHOPIs) and non-Hispanic Whites (NHWs) with Alzheimer’s disease and related dementias (ADRD). Methods: We used the Health Care Cost and Utilization Project, Hawaii State Inpatient Databases, 2010–2014. They included 10,645 inpatient encounters from 7,145 NHOPI or NHW patients age ≥ 50 years, residing in Hawaii, and with at least one ADRD diagnosis in the discharge record. Outcome variables were inpatient mortality, length of hospital stay, and hospital readmission. Results: NHOPIs with ADRD had, on average, a hospital stay of.94 days less than NHWs with ADRD but were 1.16 times more likely than NHWs to be readmitted. Discussion: These patterns have important clinical care implications for NHOPIs and NHWs with ADRD as they are important indicators of quality of care. Future studies should consider specific contributors to these differences in order to develop appropriate interventions.

Original languageEnglish (US)
Pages (from-to)1579-1590
Number of pages12
JournalJournal of aging and health
Volume32
Issue number10
DOIs
StatePublished - Aug 8 2020

Bibliographical note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Funding for this research was also provided by the National Institute of Health National Institute on Aging (Grant # P30AG059295).

Publisher Copyright:
© The Author(s) 2020.

Keywords

  • Alzheimer’s disease and related dementia
  • Native Hawaiian
  • Pacific Islander
  • disparities
  • hospitalization

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