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Genetic Risk for Alzheimer's Disease and Related Dementias: Cognition, Economic Behavior, and Clinically Actionable Information / Yeongmi Jeong, Nicholas W. Papageorge, Meghan Skira, Kevin Thom.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Jeong, Yeongmi.
Contributor:
National Bureau of Economic Research.
Papageorge, Nicholas W.
Skira, Meghan.
Thom, Kevin.
Series:
Working Paper Series (National Bureau of Economic Research) no. w32181.
NBER working paper series no. w32181
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2024.
Summary:
Genetic factors play a major role in the development of Alzheimer's disease and related dementias (ADRD). Observable genetic factors could impact household planning and medical care if they contain actionable information, meaning that they i) are associated with significant harms, ii) reflect risks for which individuals are not already prepared, and iii) are informative above and beyond current knowledge or expectations. We examine these properties for existing genetic measures related to ADRD in the Health and Retirement Study (HRS). We replicate existing relationships between genetic factors and cognitive health. We also show that higher genetic risk is associated with worse economic outcomes on several dimensions including work, income, and wealth. Surprisingly, individuals at higher risk are less likely to engage in planning activities that could mitigate the consequences of cognitive decline (e.g. assigning durable power of attorney). In predictive exercises, existing genetic indices provide clinically valuable and policy-relevant information on the development of severe adverse cognitive outcomes in the future.
Notes:
Print version record
March 2024.

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