+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Ten-Year Prevalence of Cognitive Impairment Diagnoses and Associated Medical and Psychiatric Conditions in a National Cohort of Older Female Veterans

Ten-Year Prevalence of Cognitive Impairment Diagnoses and Associated Medical and Psychiatric Conditions in a National Cohort of Older Female Veterans

American Journal of Geriatric Psychiatry 2019

Veterans are at risk for dementia because of elevated general risk factors and exposure to military risk factors; however, few studies have focused on female veterans despite their growing numbers. We sought to characterize the 10-year prevalence of cognitive impairment (i.e., mild cognitive impairment and dementia) and associated conditions in older female veterans. Data were extracted from Veterans Health Administration medical records of 168,111 female veterans aged 65 and older. Cognitive impairment (CI) diagnoses were defined using International Classification of Diseases, Ninth Revision (ICD-9) codes or dementia medication prescriptions. Medical comorbidities and psychiatric conditions were determined using ICD-9 codes occurring within 2 years of CI diagnosis or the last recorded medical encounter for veterans without CI. Ten-year prevalence was 1.8% (3,075) for mild cognitive impairment (MCI) diagnoses and 8.1% (13,653) for dementia diagnoses. Prevalence increased with age (MCI age 65: 1.4%; age 85+: 2.7%; dementia age 65: 2.5%; age 85+: 17.7%); 37.3% had dementia subtype diagnoses, with Alzheimer's disease being the most prevalent (72.7%). 47.7% of veterans with CI had at least one medical comorbidity, whereas 22.5% had at least one psychiatric condition. Few studies have characterized the prevalence of cognitive impairment in female veterans despite the expected increases in CI and impending demographic shifts in the military. The high prevalence of medical and psychiatric conditions in female veterans with CI highlights their healthcare burden and emphasizes the need for further investigations into the prevention, treatment, and care of cognitive impairment in this understudied population.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 066446898

Download citation: RISBibTeXText

PMID: 30704839

DOI: 10.1016/j.jagp.2018.12.015

Related references

Psychiatric symptom burden in older people living with HIV with and without cognitive impairment: the UCSF HIV over 60 cohort study. Aids Care 29(9): 1178-1185, 2017

Do race, ethnicity, and psychiatric diagnoses matter in the prevalence of multiple chronic medical conditions?. Medical Care 51(6): 540-547, 2013

Psychosocial impairment is significant in young referred children with and without psychiatric diagnoses and cognitive delays--applicability and reliability of diagnoses in face of co-morbidity. European Child and Adolescent Psychiatry 12(5): 239-248, 2003

Prevalence of psychiatric disorders in community-dwelling older men and women with cognitive impairment no dementia: results from the ESA study. Aging and Mental Health 16(2): 218-227, 2012

Gender Differences in the Prevalence of Fibromyalgia and in Concomitant Medical and Psychiatric Disorders: A National Veterans Health Administration Study. Journal of Women's Health 27(8): 1035-1044, 2018

A 3-year follow-up study of social, lifestyle and health predictors of cognitive impairment in a Chinese older cohort. International Journal of Epidemiology 30(6): 1389-1396, 2002

Prevalence of depression and cognitive impairment in older adult emergency medical services patients. Prehospital Emergency Care 15(1): 4-11, 2011

Relationship between mild cognitive impairment and falls in older people with and without Parkinson's disease: 1-Year Prospective Cohort Study. Gait and Posture 32(1): 87-91, 2010

Gender-Specific Incidence and Predictors of Cognitive Impairment among Older Koreans: Findings from a 6-Year Prospective Cohort Study. Psychiatry Investigation 13(5): 473-479, 2016

Prevalence of childhood physical and sexual abuse in veterans with psychiatric diagnoses. Journal of Nervous and Mental Disease 201(4): 348-352, 2013

Stability of Diagnoses of Cognitive Impairment, Not Dementia in a Veterans Affairs Primary Care Population. Journal of the American Geriatrics Society 63(6): 1105-1111, 2015

Increased risk among older veterans of prescribing psychotropic medication in the absence of psychiatric diagnoses. American Journal of Geriatric Psychiatry 22(6): 531-539, 2015

Undiagnosed long-term cognitive impairment in acutely hospitalised older medical patients with delirium: a prospective cohort study. Age and Ageing 45(4): 493-499, 2017

Social selection in cohort studies and later representation of childhood psychiatric diagnoses: The Danish National Birth Cohort. Scandinavian Journal of Public Health 2017: 1403494817726619, 2017

Exploring Rural Disparities in Medical Diagnoses Among Veterans With Transgender-related Diagnoses Utilizing Veterans Health Administration Care. Medical Care 55 Suppl 9 Suppl 2: S97-S103, 2017