BACKGROUND

• Alzheimer’s Disease and Related Dementias (ADRD) were the sixth leading cause of death among people aged 65+ in 2022 and are currently the leading cause of disability and morbidity in older adults.

• In an effort to reduce the burden of ADRD, states have adopted specific strategic plans.

  OBJECTIVE

  We describe
  1) the trends in the adoption of

  ADRD policies that were implemented in the U.S. from 2008-2020, and

  2) the trends in ADRD mortality during 1999-2022.

  METHODS

• Wepresentedmortalitydata for the age-adjusted rate of ADRD mortality per 100,000 people in 1999-2022 from CDC Wide-ranging ONline Data for Epidemiologic Research (WONDER) Data

• Wealsocollectedpolicy data(2008-2020) from state websites

  RESULTS

  • Policies were implemented for all 50 states, starting in 2008 and ending in 2020.

  • ADRD mortality steadily rose during 1999-2022.

  • The first states to implement ADRD in 2008 were Iowa and Kentucky.

  • The largest number of states added policies in 2013. South Dakota, Wyoming, Ohio, and Kansas were the last states to implement policies.

    CONCLUSION

  • We also observed that ADRD mortality steadily rose during between 1999 and 2022.

  • This rise may reflect increased reporting of ADRD as a cause of death from upcoding and diagnostic ambiguity, or policies needing more time to meet national reduction goals.

  • Future studies should assess strategies to reduce ADRD using policies that focus on high impact modifiable risk factors, especially environmental factors such as state-health policy .