TY - JOUR T1 - Difficulty and help with activities of daily living among older adults living alone with cognitive impairment JF - Alzheimer's & DementiaAlzheimer's & DementiaAlzheimer's Dement. Y1 - 2020 A1 - Ryan D. Edwards A1 - Willa D Brenowitz A1 - Portacolone, Elena A1 - Kenneth E Covinsky A1 - Bindman, Andrew A1 - M. Maria Glymour A1 - Jacqueline M Torres KW - Activities of Daily Living KW - Aging in place KW - CIND KW - Dementia KW - Disability KW - limitations KW - Living arrangement KW - population-based study KW - service gaps AB - Abstract Introduction There is limited research on difficulties with activities of daily living (I/ADLs) among older adults living alone with cognitive impairment, including differences by race/ethnicity. Methods For U.S. Health and Retirement Study (2000?2014) participants aged 55+ living alone with cognitive impairment (4,666 individuals; 9,091 observations), we evaluated I/ADL difficulty and help. Results Among 4.3 million adults aged 55+ living alone with cognitive impairment, an estimated 46% reported an I/ADL difficulty; 72% reported not receiving help with an I/ADL. Women reported more difficulty than men. Compared to white women, black women were 22% more likely to report a difficulty without help, and Latina women were 36% more likely to report a difficulty with help. Among men, racial/ethnic differences in outcomes were not significant. Patterns of difficulty without help by race/ethnicity were similar among Medicaid beneficiaries. Discussion Findings call for targeted efforts to support older adults living alone with cognitive impairment. SN - 1552-5260 ER -