Home › Research › Risk factors
P4‐444: EMERGENCY PREPAREDNESS PLANNING FOR PEOPLE LIVING WITH DEMENTIA: A COMPARISON OF COUNTY LEVEL DEMOGRAPHIC CHARACTERISTICS WITH RECENT DEMENTIA PREVALENCE ESTIMATES IN CALIFORNIA COUNTIES
Walter D Dawson, Kirsten Bobrow, Emi Kiyota. Alzheimer s & Dementia, 2019-07-01
Topic: Risk, prevention and care in population studies
Plain-language summary
The Healthy Brain Initiative: The Public Health Road Map for State and National Partnerships was recently updated for years 2018-2022, which includes recommendations for implementing emergency preparedness (EP) measures at the state and local levels with attention to the unique needs of people living with Alzheimer's disease and other related dementias (ADRD). The potential catastrophic impact of a natural disaster on this population is high. Yet, implementing effective strategies may be complicated by the needs of individuals at different stages of the disease. We utilized published data from 2015 on demographic characteristics of adults over 65 years of age in California from the American Community Survey (ACS). The ACS is a national survey that uses continuous measurement methods to produce annually updated estimates. We used 2015 ADRD prevalence data from estimated county level prevalence rates reported in the 2017 Alzheimer's Association's California Facts and Figures County Data Report. We compared ADRD prevalence rates with county demographic characteristics, age, ethnicity, income, and living status. We mapped California county level ADRD prevalence estimates to county level demographic characteristics for California counties from the ACS. We found both the three counties with the highest level of ADRD prevalence and population of adults aged 65 years and older were Los Angeles, Orange, and San Diego – also the three most populous California counties overall. However, the three counties with the highest levels of non-institutionalized adults aged 65 years and older were Imperial, Merced, and Lake. County poverty level rates for adults aged 65 years and older ranged from a high of 17.7% in Imperial to 4.2% in Calaveras. We found variation in the prevalence of dementia by county and in several measures of potential vulnerability. The frequency of natural disasters and the increasing prevalence of individuals living with dementia suggest a need to better prepare for the needs of this population. More research is needed on how local public health departments are implementing the EP recommendations from the Public Health Road Map across various localities as well as how to appropriately address the varying needs of individuals at different stages of the disease process.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Dawson, W. D., Bobrow, K., & Kiyota, E. (2019). P4‐444: EMERGENCY PREPAREDNESS PLANNING FOR PEOPLE LIVING WITH DEMENTIA: A COMPARISON OF COUNTY LEVEL DEMOGRAPHIC CHARACTERISTICS WITH RECENT DEMENTIA PREVALENCE ESTIMATES IN CALIFORNIA COUNTIES. Alzheimer s & Dementia. https://doi.org/10.1016/j.jalz.2019.06.4116
Vancouver
Dawson WD, Bobrow K, Kiyota E. P4‐444: EMERGENCY PREPAREDNESS PLANNING FOR PEOPLE LIVING WITH DEMENTIA: A COMPARISON OF COUNTY LEVEL DEMOGRAPHIC CHARACTERISTICS WITH RECENT DEMENTIA PREVALENCE ESTIMATES IN CALIFORNIA COUNTIES. Alzheimer s & Dementia. 2019. doi:10.1016/j.jalz.2019.06.4116.
BibTeX
@article{dawson2019-0e9484ac,
author = {Dawson, Walter D and Bobrow, Kirsten and Kiyota, Emi},
title = {{P4‐444: EMERGENCY PREPAREDNESS PLANNING FOR PEOPLE LIVING WITH DEMENTIA: A COMPARISON OF COUNTY LEVEL DEMOGRAPHIC CHARACTERISTICS WITH RECENT DEMENTIA PREVALENCE ESTIMATES IN CALIFORNIA COUNTIES}},
journal = {Alzheimer s \& Dementia},
year = {2019},
doi = {10.1016/j.jalz.2019.06.4116},
url = {https://doi.org/10.1016/j.jalz.2019.06.4116}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- We found both the three counties with the highest level of ADRD prevalence and population of adults aged 65 years and older were Los Angeles, Orange, and San Diego – also the three most populous California counties overall.
- We found variation in the prevalence of dementia by county and in several measures of potential vulnerability.
Why it matters
This study mapped county-level dementia prevalence in California and found it varied by county along with measures of potential vulnerability. It did not test any treatment, cure, or prevention approach.
New to this subject? Start with our plain-English guide: Risk factors, ranked →
Study details
- Effect size17.7%; 4.2%
- Evidence strengthLow
How this study scored 30/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia) |
| Journal's citation record | 2 / 4 | Alzheimer s & Dementia: journal h-index 228 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2019 — within 10 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.1 citations a year over 9 year(s) since 2019 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 0 / 4 | Last-listed author Emi Kiyota: h-index 4 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California, San Francisco: institution h-index 1,915 (OpenAlex) |
| Multicenter collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Total | 30 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Related
Studies in the library that share something with this one. The line above each title says what.
Related studies in Risk factors from nearby years
Also tagged “prevalence”
1,223 studies in the library carry the topic tag “prevalence”; these are this study's neighbours in a fixed, alphabetical-by-hash tour of them, not the closest in content. All 1,223 tagged studies.