Health
Alzheimer’s and other dementia diagnoses can vary by zip code, new study finds
Your home address could determine the likelihood of getting a dementia diagnosis, a new study suggests.
Researchers from University of Michigan Medical School analyzed Medicare claims for nearly five million older adults in regional health care markets across the country — focusing on the areas that had higher rates of diagnoses of Alzheimer’s disease and other dementias.
They found that in areas with a higher rate of diagnosis — known as “diagnosis intensity” — residents were twice as likely to find out they had the condition, especially among those ages 66 to 74, along with Black and Hispanic subgroups.
DEMENTIA WARNING: DON’T EVER SAY THESE 16 THINGS TO LOVED ONES WITH THE DISEASE, EXPERTS ADVISE
“The number of people who obtain a formal diagnosis is different across regions,” lead study author Dr. Julie Bynum, a researcher and professor in the Department of Internal Medicine at University of Michigan Medical School, told Fox News Digital.
“Those differences are related to how many people actually have dementia, which is driven by risk factors like age, race and cardiovascular risks — but we cannot explain all the differences in the percentage of people who get diagnosed on these population characteristics.”
Certain health system factors may come into play, Bynum said – such as the accessibility of health care and the availability of clinicians who have experience in diagnosing and caring for people with dementia.
Some of the health care markets with the highest dementia diagnosis rates include Texas (McAllen, Wichita Falls, Harlingen); Miami, Florida; Lake Charles, Louisiana; Alabama (Tuscaloosa and Montgomery); Michigan (Detroit, Dearborn, Royal Oak); Oxford, Mississippi; and New York (Bronx, Manhattan).
DEMENTIA HAS 2 SHOCKING NEW RISK FACTORS, STUDY FINDS, WITH TOTAL OF 14 NOW ON LIST
Bynum wasn’t entirely surprised by the findings, she said.
She expected to find differences in the rate of formal diagnosis, she said, based on how practices and individual doctors typically respond to patients with cognitive concerns.
“What was less expected is that the location of high and low diagnosis intensity areas does not follow a pattern of where there is a higher burden of disease in the population,” she said.
“I had expected that in places where dementia was a bigger problem, we might see a greater effort to get those people into care.”
HIGH BLOOD PRESSURE AND ALZHEIMER’S DISEASE COULD GO HAND IN HAND, STUDY FINDS
Lycia Neumann, PhD, senior director of health services research at the Alzheimer’s Association, was not involved in the study but commented on how it highlights regional disparities in the diagnosis of Alzheimer’s and other dementias.
“This suggests that unless there is intentional effort from health systems, payers and governments to promote equitable access to diagnosis, these disparity gaps will continue growing,” she told Fox News Digital.
Overcoming barriers to diagnosis
Based on the findings, people who are concerned about cognitive decline among their family members may need to “put in some extra effort” in communicating their concerns with their primary doctors, Bynum said.
“One of the problems is that the concern can get lost among all the other things older adults and their doctors address, and sorting out cognitive complaints is challenging for doctors,” she told Fox News Digital.
“In addition, we should all be encouraging our local health systems to develop the capacity to address the needs of this burgeoning population through clinical and supportive programming.”
Neumann said younger individuals and those from “historically underrepresented ethnic and racialized groups” have a greater risk of being underdiagnosed.
“We know that barriers to an early and precise dementia diagnosis exist at all levels,” she said.
ALZHEIMER’S AND PARKINSON’S RISK IS HIGHER FOR PEOPLE WITH BODY FAT IN TWO SPECIFIC AREAS
“They go from stigma and lack of awareness of signs and symptoms to barriers to health care access related to health insurance coverage, distance to clinical settings, and lack of transportation and companionship.”
It is Neumann’s hope, she said, that studies like this one spark efforts to raise awareness of early warning signs and encourage individuals to discuss any concerns with their health care providers.
“Barriers to an early and precise dementia diagnosis exist at all levels.”
Educational programs and interventions can also facilitate access to timely dementia diagnoses, she added.
“After all, an accurate diagnosis is the first step to appropriate treatment and care.”
Potential limitations
One of the study’s limitations is that the researchers were not able to determine whether the rate of diagnosis is “too high or too low” based only on their data, Bynum noted.
“We can only say that it is higher or lower than the national average rate,” she said.
“We would need to know the actual number of people living with dementia in each community, which would be incredibly costly to measure.”
This approach, however, can help researchers understand whether getting a formal diagnosis is more or less difficult across geographical areas, according to Bynum.
“There are always limitations regarding studies based on claims data,” Neumann noted.
“Claims data are only about individuals who received care, in this case a diagnosis — so it excludes people who might be living with the disease but haven’t been able to access the health care system or haven’t received an accurate diagnosis.”
CLICK HERE TO SIGN UP FOR OUR HEALTH NEWSLETTER
Additionally, the information collected in medical claims is for payment and reimbursement purposes, not for research — so it doesn’t allow for the understanding of the factors that might be driving the disparities, she added.
For more Health articles, visit www.foxnews.com/health
The study population is also only composed of older adults enrolled in Medicare fee-for-service, or traditional Medicare, Neumann noted.
Health
Vegan-ish Grandma Loses 100 Lbs From Just Eating Less Meat: ‘Being Overweight Wasn’t My Destiny After All!’
Sign Up
Create a free account to access exclusive content, play games, solve puzzles, test your pop-culture knowledge and receive special offers.
Already have an account? Login
Forgot your password?
Get back to the Sign In
Use left and right arrow keys to navigate between menu items.
Use escape to exit the menu.
Health
Celebrities like Bieber, Bialik are using hyperbaric oxygen therapy: Here’s why it’s trending
Celebrities including performing artist Justin Bieber and former “Jeopardy!” game-show host, actress and author Mayim Bialik have helped bring the practice of hyperbaric oxygen therapy into mainstream awareness as they tout the therapy’s potential health benefits.
Bieber turned to the therapy to assist in treating anxiety and stress, he announced in “Justin Bieber: Seasons” on YouTube, while Bialik has said publicly she’s trying the therapy in hopes of alleviating her inflammation and autoimmune issues.
Olympic athletes such as Michael Phelps and Lindsey Vonn have also used the therapy to “seek a competitive edge,” according to the Hyperbaric Oxygen Institute based in Irvine, California.
AS OZZY OSBOURNE ANNOUNCES STEM CELL THERAPY, EXPERTS URGE CAUTION, HIGHLIGHTS RISKS
Is hyperbaric oxygen therapy a game-changer for the public beyond medical use?
Here’s what you should know.
What is hyperbaric oxygen therapy?
Hyperbaric oxygen therapy is not new to medical professionals.
It’s a well-established treatment for decompression sickness, which is a potential risk of scuba diving, according to the Mayo Clinic.
TO STOP THE HICCUPS, REACH FOR THESE COMMON FRUITS, ONE DOCTOR SUGGESTS ON TIKTOK
Other conditions treated with hyperbaric oxygen therapy include serious infections, bubbles of air in blood vessels and non-healing wounds caused by diabetes, the same source noted.
Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized environment.
In a hyperbaric oxygen therapy chamber, the air pressure is increased to two to three times higher than normal air pressure, the Mayo Clinic said.
Under these conditions, a person’s lungs can gather much more oxygen than would be possible if breathing pure oxygen at normal air pressure, the same source cited.
UNIQUE THERAPY HELPS SOME YOUNG PEOPLE WITH AUTISM INTERACT BETTER WITH OTHERS
“Hyperbaric oxygen therapy is used for a variety of conditions and ailments,” said Alexa Mieses Malchuk, M.D., MPH, a family physician with One Medical in Cary, North Carolina.
“It works by providing oxygen at high pressure, thus increasing the concentration of oxygen delivered to the body.”
She also noted the treatment can be used in heightened medical situations.
“The most evidence exists for treatment for significant carbon monoxide poisoning or hydrogen peroxide exposure, air embolism and decompression sickness — life-threatening complications of scuba diving,” Malchuk said.
How can oxygen heal?
A hyperbaric oxygen chamber “is a pressurized tube that looks like a larger version of one of the cylinders you’d use at the drive-thru of your bank,” The University of Kansas Health System says on its website.
COLD THERAPY TECHNIQUES COME UNDER HOT SCRUTINY BY RESEARCHERS: ‘OVERALL BENEFITS REMAIN UNCERTAIN’
Inside the chamber, a person breathes nearly 100% oxygen while experiencing pressure greater than sea level, the same source said.
“When under pressure, oxygen behaves like a drug with specific indications and side effects,” said Steven M. Orr, M.D., director of wound care and hyperbaric medicine services at The University of Kansas Health System on the organization’s website.
The doctor also said that hyperbaric oxygen “heals wounds that require a higher oxygen level than patients are able to generate themselves.”
Why is the treatment catching celebrity eyes?
Obsessions with finding the “holy grail” of good health are spurring an interest in all types of treatments. The interest is coming from celebrities as well as curious Americans who are health savvy.
“In this day and age, humans have become obsessed with biohacking and wellness,” said Malchuk with One Medical in North Carolina. “People are investigating things outside the realm of conventional medicine to not only stay healthy but to stay ahead.”
Regarding hyperbaric therapy specifically, Malchuk told Fox News Digital that “some folks also use it with the intention of speeding up healing or enhancing athletic performance.”
Yet as the hype spreads regarding hyperbaric oxygen, she said that expectations need to be kept in check.
For more Lifestyle articles, visit www.foxnews.com/lifestyle
“Hyperbaric therapy is a treatment option with strong evidence behind it for certain conditions — but mixed or no evidence behind it for other conditions,” reported Malchuk.
“That’s why it’s so important to talk with your family medicine physician who knows your specific medical and personal history and can give you the best advice about whether this treatment is right for you.”
Is hyperbaric oxygen safe?
Hyperbaric oxygen therapy is relatively safe, said Malchuk, but it does come with some rare but serious risks.
These may include pressure trauma to the sinuses, middle ear and lung; oxygen toxicity; reversible vision changes; seizures; and decompression sickness.
Always consult first with a medical professional
The most common complication after the therapy is trauma to the middle ear, noted Johns Hopkins Medicine in Baltimore.
Other possible complications can include eye damage, lung collapse, low blood sugar and sinus problems.
In severe and rare circumstances, a person can get oxygen poisoning, the same source said.
Before jumping into a hyperbaric oxygen treatment chamber, weigh the possible risks and benefits.
“Anyone considering hyperbaric oxygen treatment should absolutely consult with their family physician first,” Malchuk emphasized.
“This is especially true for folks with any sort of medical condition, but especially patients who have lung issues, claustrophobia or sinus or ear issues,” she added.
Health
Is mpox the next COVID? Infectious disease experts address pandemic potential
As mpox (formerly monkeypox) has been declared a global public health emergency, some are wondering whether the virus poses the risk of a COVID-like pandemic.
The World Health Organization (WHO) officially declared the mpox outbreak a “public health emergency of international concern” on Aug. 14, based on a surge of cases in the Democratic Republic of the Congo (DRC) and multiple African countries.
As of Aug. 17, there were 545 reports of mpox cases since the outbreak was declared, 474 of which were confirmed, according to data from WHO.
WITH MPOX A PUBLIC HEALTH EMERGENCY IN AFRICA, WHAT YOU MUST KNOW ABOUT INCREASED VIRUS RISK
Symptoms include a sometimes painful rash on various parts of the body, fever, chills, exhaustion, muscle aches, headache, swollen lymph nodes and respiratory symptoms, according to the U.S. Centers for Disease Control and Prevention (CDC).
There are two types of mpox: Clade 1 and Clade 2.
Clade 2 was the strain that caused the 2022 global outbreak, the CDC noted. Survival rates for this type are more than 99.9%.
Clade 1, which is responsible for the current outbreak in the DRC and Africa, causes more severe illness and deaths.
MONKEYPOX: WHAT YOU MUST KNOW ABOUT THE VIRUS – AND HOW TO PROTECT YOURSELF
“Some outbreaks have killed up to 10% of the people who get sick, although more recent outbreaks have had lower death rates,” the CDC noted.
“The emergence of a new clade of mpox, its rapid spread in eastern DRC, and the reporting of cases in several neighboring countries are very worrying,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus when announcing the public health emergency.
“People are not going to catch mpox by being on the same bus or running into someone at the grocery store.”
“On top of outbreaks of other mpox clades in DRC and other countries in Africa, it’s clear that a coordinated international response is needed to stop these outbreaks and save lives.”
Is mpox the next COVID?
While health officials have expressed concern about the spread of a new strain of the potentially deadly virus, the consensus is that mpox is not likely to become a pandemic like COVID — primarily because it doesn’t spread in the same way.
“Certainly not,” said Dr. Daniel Kuritzkes, chief of infectious diseases at Brigham and Women’s Hospital in Boston, during a conversation with Fox News Digital.
ANTHONY FAUCI’S WEST NILE VIRUS DIAGNOSIS: WHAT TO KNOW ABOUT THE MOSQUITO-BORNE DISEASE
“What made COVID so contagious is that it is a respiratory virus spread by aerosols, so that even casual contact — being in the same room with someone for a reasonable period of time — meant you could catch [the virus]” from that person.
Another difference is that COVID is contagious starting from a day or so before someone develops symptoms, Kuritzkes pointed out.
“By contrast, mpox requires close contact (skin-to-skin) for transmission in the vast majority of cases,” he said.
“Rarely, heavily contaminated material such as bedding can be infectious, but people are not going to catch mpox by being on the same bus or running into someone at the grocery store.”
NORTHEASTERN TOWNS ISSUE VOLUNTARY LOCKDOWN TO PREVENT SPREAD OF MOSQUITO-BORNE DISEASE
While mpox is far less contagious than COVID, it could potentially cause a “widely distributed epidemic” through sexual contact, according to Kuritzkes.
“HIV is now pandemic (found in all countries across the globe), but as high as the numbers are, it is not transmitted by casual contact,” he said. “The same is true of mpox.”
Dr. Marc Siegel, senior medical analyst for Fox News and clinical professor of medicine at NYU Langone Medical Center, echoed that mpox is “not the new COVID.”
“It spreads via direct contact or sex, and kissing, and very close respiratory droplets, but not over longer distances by respiratory spread,” he told Fox News Digital.
‘ZIKA-LIKE’ MOSQUITO-BORNE VIRUS HAS SPREAD INTO EUROPE, HEALTH OFFICIALS WARN
“Clade 1 is currently in DRC and neighboring African countries,” Siegel said.
“The U.S. has increased surveillance, including wastewater analysis, but there have been no cases [of Clade 1] found here yet.”
Dr. Brad Perkins, chief medical officer at Karius, a California life sciences company focused on saving lives from infectious diseases, reiterated that mpox is “considerably less infectious” for person-to-person spread than COVID-19.
“Mpox is primarily spread from person-to-person, usually through direct contact, including intimate contact — but on average, there are fewer people who become infected as a result of contact with a mpox case compared to COVID-19,” he told Fox News Digital.
Who is most at risk?
“While mpox can affect anyone, data has shown that men who have sex with men are disproportionately impacted, with a notable disease burden among Black and Hispanic men,” Perkins noted.
“This highlights the importance of early recognition and diagnosis, in addition to awareness and targeted vaccination of those who are at highest risk.”
“While mpox can affect anyone, data has shown that men who have sex with men are disproportionately impacted.”
As with other viral infections, those who are immunocompromised or very young are at the greatest risk of severe infection, according to Kuritzkes.
“For mpox, the main concern is for people with HIV who are not currently receiving effective antiretroviral therapy,” he added.
Even after the infection has cleared, survivors can face long-term effects and complications, Perkins warned.
“Conditions like vision impairment, encephalitis and scarring have been reported,” he told Fox News Digital.
“We need deeper research into characterizing and addressing these long-term sequelae.”
To prevent transmission of mpox, the U.S. Centers for Disease Control and Prevention (CDC) recommends vaccination for men who are gay, bisexual or have sex with men, are age 18 or older, and have other specific risks.
CLICK HERE TO SIGN UP FOR OUR HEALTH NEWSLETTER
Those risks include new diagnoses of sexually transmitted diseases and a recent history of multiple sex partners, among others.
“Second, and most obviously, would be to avoid close contact with people who have mpox lesions,” said Kuritzkes.
“The big issue is getting the vaccine to the people who need it in Central and West Africa to end the current outbreak.”
The United States Agency for International Development (USAID) has sent 50,000 doses of the JYNNEOS mpox vaccine to DRC, Siegel noted — “but there is still a worldwide shortage of this vaccine, which will prove crucial to stop the spread, especially if the outbreak widens.”
For more Health articles, visit www.foxnews.com/health
In addition to the current vaccines and antiviral treatments that are available, Perkins stressed the need for new innovations in mpox diagnostics, therapeutics and preventive measures.
-
Minnesota1 week ago
Readers and writers: Plenty of thrills and danger in these Minnesota author’s mysteries
-
Technology5 days ago
Breakthrough robo-glove gives you superhuman grip
-
News7 days ago
Video: Biden Delivers Keynote on First Night of D.N.C.
-
Politics1 week ago
Florida GOP lawmaker wants to ban smoking on streets, but supports legalizing marijuana
-
World1 week ago
Nigeria police working to secure release of 20 kidnapped medical students
-
News1 week ago
Cross-Tabs: August 2024 Times/Siena Poll of the Likely Electorate in North Carolina
-
Politics1 week ago
As DNC approaches, party remains at impasse with with anti-Israel 'uncommitted' movement
-
Politics1 week ago
Dem strategists say Harris needs to ensure she's 'striking the right balance' at DNC, seize on 'momentum'