OBJECTIVES: To identify variables associated with diagnosing @entity303 in poor older adults by comparing older @entity1 with @entity303 who were diagnosed by their primary care physicians (PCPs) with those not diagnosed by their @entity7678 . DESIGN: Observational study. SETTING: Community-based, in-home cognitive assessment program. @entity1 : Four hundred eleven adults aged 55 and older with @entity73 . MEASUREMENTS: Instrumental activities of daily living (IADLs), activities of daily living (ADLs), Mini-Mental State Examination, Short Blessed Memory Orientation and Concentration Test, and Clinical @entity303 Rating. RESULTS: @entity195 was the most common diagnosis in this group of primarily African-American (73%) older @entity1 . Of the 411 @entity1 , 232 (56%) were not diagnosed by their @entity7678 . @entity1 without a previous diagnosis were older (mean age 81.7 vs 78.7, P=.01), more independent in IADLs (P<.001), and more likely to live alone (P=.001) than @entity1 diagnosed by their @entity7678 . Of the 201 who lived alone, 66% were not diagnosed with @entity303 by their @entity7678 . Variables associated with @entity7678 diagnosis were more severe @entity73 (P<.001), spouse caregiver (P=.009), younger age (P=.02) and care from a university-based @entity7678 (P=.04). CONCLUSION: @entity1 with @entity303 who were older and lived alone were less likely to be diagnosed by their @entity7678 . Although @entity1 not diagnosed by their @entity7678 had less @entity73 , they had substantial impairment in activities, including handling finances, cooking, and managing medications.

XXXX undiagnosed in poor older adults with functional impairment.

@entity1 :: ('9606', 'Species') :: ['participants', 'Persons', 'Participants', 'PARTICIPANTS', 'people', 'persons'] @entity303 :: ('MESH:D003704', 'Disease') :: ['Dementia', 'dementia'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive impairment'] @entity195 :: ('MESH:D000544', 'Disease') :: ["Alzheimer's disease"] @entity7678 :: ('MESH:D010623', 'Disease') :: ['PCP']
@entity303 :: (MESH:D003704,Disease) :: ['Dementia']
