1. Alzheimer’s Disease in New Mexico
Michael Landen, MD, MPH
State Epidemiologist
New Mexico Department of Health

2. Objectives
Present existing population based data for Alzheimer’s disease in New Mexico
Discuss possible improvements to population based data for Alzheimer’s disease in New Mexico

3. New Mexico Health Regions
Northeast
Northwest
Metro
Southeast
Southwest

4. NM Urban-Rural County Classification
Metropolitan Counties
Small Metro Counties
Mixed Urban/Rural Counties
Rural Counties

5. Top 8 Leading Causes of Death, New Mexico, 2017 and U.S., 2016
Source, New Mexico: Vital Records and Health Statistics
United States: National Center for Health Statistics (NCHS)

6. Alzheimer’s Disease Death Rates New Mexico, 1999-2017 and U. S
Rates have been age-adjusted to the standard U.S population
Source: NM Vital Records and Health Statistics; CDC WONDER

7. Alzheimer’s Disease Death Rates Ages 65+ New Mexico, 1999-2017 and U.S., 1999-2017
Source: NM Vital Records and Health Statistics; CDC WONDER

8. Alzheimer’s Disease Death Rates Ages 65+ by Sex New Mexico, 2015-2017
Source: NM Vital Records and Health Statistics

9. Alzheimer’s Disease Death Rates Ages 65+ by Race/Ethnicity New Mexico, 2015-2017
Source: NM Vital Records and Health Statistics

10. Alzheimer’s Disease Death Rates Ages 65+ by Health Region New Mexico, 2015-2017
Source: NM Vital Records and Health Statistics

11. Alzheimer’s Disease Death Rates Ages 65+ by Urban and Rural Counties New Mexico, 2015-2017
Source: NM Vital Records and Health Statistics

12. Alzheimer’s Disease Among New Mexico Adults Age 65+, 2015-2017
Education Level was associated with Tobacco Use. Reports of tobacco use declined with increased education.
SOURCE: Hospital Inpatient and Discharge Data, ICD (2015); ICD-10 G30 (2016 and 2017)

13. Alzheimer’s Disease Among New Mexico Adults Age 65+, 2015-2017
Education Level was associated with Tobacco Use. Reports of tobacco use declined with increased education.
SOURCE: Hospital Inpatient and Discharge Data, ICD (2015); ICD-10 G30 (2016 and 2017)

14. Alzheimer’s Disease Among New Mexico Adults Age 65+, by Race/Ethnicity, 2017
Education Level was associated with Tobacco Use. Reports of tobacco use declined with increased education.
SOURCE: Hospital Inpatient and Discharge Data, ICD (2015); ICD-10 G30 (2016 and 2017)

15. Alzheimer’s Disease Among New Mexico Adults Age 65+, by Health Region, 2017
Education Level was associated with Tobacco Use. Reports of tobacco use declined with increased education.
SOURCE: Hospital Inpatient and Discharge Data, ICD (2015); ICD-10 G30 (2016 and 2017)

16. Medical Conditions Related to Alzheimer’s Disease Among New Mexico Adults Age 65+, Hospitalization, 2017
TOP 8 Medical Conditions
Count of Alzheimer’s disease
Top 8 subcategories of MDC
Infectious and Parasitic Diseases
228
Septicemia
215
Diseases of the Nervous System and Sense Organs
219
Fractures, All Sites
143
Diseases of the Circulatory System
203
Heart Disease
117
Injury and Poisoning
199
Psychoses 80
Diseases of the Respiratory System
167
Pneumonia 66
Diseases of the Genitourinary System
123
Cerebrovascular Disease 63
Mental Disorders 83
Urinary Tract Infection 58
Diseases of the Digestive System 77
Certain Complications of Surgical and Medical Care 24

17. Alzheimer’s Disease Among New Mexico Adults Age 65+, 2015-2017
Education Level was associated with Tobacco Use. Reports of tobacco use declined with increased education.
SOURCE: Emergency Department Data, ICD (2015); ICD-10 G30 (2016 and 2017)

18. SOURCE: Emergency Department Data, ICD-9 331
SOURCE: Emergency Department Data, ICD (2015); ICD-10 G30 (2016 and 2017)

19. SOURCE: Emergency Department Data, ICD-9 331
SOURCE: Emergency Department Data, ICD (2015); ICD-10 G30 (2016 and 2017)

20. SOURCE: Emergency Department Data, ICD-9 331
SOURCE: Emergency Department Data, ICD (2015); ICD-10 G30 (2016 and 2017)

21. Alzheimer’s Disease and Related Dementias (ADRD) Early Onset (<65 Years), 2017
Vital Records*
20 individuals died from an underlying cause of ADRD who were younger than 65 years (1.4% of ADRD deaths).
Mean Age: 57.3 years
Range: years (55% White and 35% Hispanic)
ED Admissions
~ 837 ED admissions for ADRD in patients younger than 65 years
(~8% of all ADRD ED admissions)
Mean Age: ~ 54 years
Range: 10 – 64 years (~43% White and ~43% Hispanic)
Hospitalizations
~ 1017 Hospitalizations for ADRD patients younger than 65 years (10.7% of all ADRD Hospitalizations).
Mean Age: 52.4 years
Range: 0-64 years (~39% White, ~ 38% Hispanic and ~11% AIAN)
*Source: NM Vital Records and Health Statistics, ICD-10 codes: G30, G31, F01, F03

22. Cognitive Decline in New Mexico, 2016
12.5% of adults over 45 years of age experienced confusion or memory loss that is happening more often or getting worse in the past twelve months
Source: NM Behavioral Risk Factor Surveillance System

23. Subjective Cognitive Decline* by Health Region New Mexico, 2016
*NM Adults over 45 years of age who in the past 12 months experienced confusion or memory loss that is happening more often or is getting worse
Source: NM Behavioral Risk Factor Surveillance System

24. Cognitive Decline* by Urban and Rural Counties New Mexico, 2016
*NM Adults over 45 years of age who in the past 12 months experienced confusion or memory loss that is happening more often or is getting worse
Source: NM Behavioral Risk Factor Surveillance System

25. Cognitive Decline*, by Age Group New Mexico, 2016
*NM Adults over 45 years of age who in the past 12 months experienced confusion or memory loss that is happening more often or is getting worse
Source: NM Behavioral Risk Factor Surveillance System

26. Cognitive Decline* by Household Income New Mexico, 2016
*NM Adults over 45 years of age who in the past 12 months experienced confusion or memory loss that is happening more often or is getting worse
Source: NM Behavioral Risk Factor Surveillance System

27. Cognitive Decline* by Race/Ethnicity New Mexico, 2016
*NM Adults over 45 years of age who in the past 12 months experienced confusion or memory loss that is happening more often or is getting worse
** Suppressed due to a denominator <50
Source: NM Behavioral Risk Factor Surveillance System

28. Subjective Cognitive Decline
Subjective Cognitive Decline* by Educational Attainment New Mexico, 2016
*NM Adults over 45 years of age who in the past 12 months experienced confusion or memory loss that is happening more often or is getting worse
Source: NM Behavioral Risk Factor Surveillance System

29. Subjective Cognitive Decline* New Mexico vs. US, 2015-2016
*Adults over 45 years of age who in the past 12 months experienced confusion or memory loss that is happening more often or is getting worse
Source: NM Behavioral Risk Factor Surveillance System

30. Caregiving in New Mexico and U.S. 2016-2017
*Adults who provide regular care or assistance to a Friend or Family member with a health problem or disability
Source: NM Behavioral Risk Factor Surveillance System

31. Discussion
What additional analyses of existing population based data are needed for NM?
What additional population based data is needed on Alzheimer’s disease for NM?