The Office for the Study of Aging (OSA) at the Arnold School of Public Health of the University of South Carolina (USC), in cooperation with the South Carolina (SC) Department of Health and Human Services, the SC Department of Mental Health, the USC School of Medicine, and the SC Office of Budget and Control, maintains a statewide Registry of SC residents diagnosed with Alzheimer's disease or related disorders.
This report uses the abbreviation ADRD to indicate “Alzheimer's disease or related disorder.” The “related disorders” refer to dementias associated with vascular disease, mixed dementia and with other medical conditions such as Parkinson’s disease. Where we refer specifically to “Alzheimer’s disease” (AD), we limit the analysis to individuals with AD only.
Since January 1, 1988, the Registry has identified 165,597 cases of ADRD. During calendar year 2008, the Registry maintained information on 69,404 individuals alive on January 1, 2008.
Maintain the most comprehensive and accurate state registry of ADRD in the nation
Provide disease prevalence estimates to enable better planning for social and medical services
Identify differences in disease prevalence among demographic groups
Help those who care for individuals with ADRD
Foster research into risk factors for ADRD
Of South Carolinians with diagnosed ADRD:
63% have Alzheimer's disease
15% have a dementia due to stroke
22% have a dementia related to other chronic conditions
33% live in an institution
65% are women
31% are African American
41% of those with AD are 85 years or older
Population Prevalence of ADRD, South Carolina, 2008:
Based on the Registry and population estimates from the United States Census,
9.8% of South Carolinians age 65 or over have ADRD
32.7% of South Carolinians age 85 or over have ADRD
Alzheimer’s disease prevalence rates vary notably among SC counties.
African Americans are at notably higher risk of an Alzheimer’s disease diagnosis than are non-Hispanic whites. At ages 65 and older, for example, African American South Carolinians are 1.81 times more likely to have ADRD as are non-Hispanic whites.
Trends of new registry cases:
The number of new cases added to the registry has increased from 2004-2008 at an average of 2.9% per year. The greatest average yearly increase of 10.5% occurred in the age group of 50-64. These results suggest that, over the 5 year time period, the number of individuals diagnosed with ADRD has been the highest in what is considered a “younger” age group in the ADRD spectrum. This has important implications since the Baby Boomers will not have arrived at the age of 65 until 2011 and this report is based on data through 2008. For more details on these trends and others, see the report featured on page 7.
Other Activities of the OSA:
In addition to maintaining the Registry and conducting research using this valuable state resource, the OSA works to provide South Carolina’s older persons and their families with access to quality, reliable health and long term care service delivery systems. Specifically, OSA’s focus includes the following:
Provide education on ADRD management
Develop training on long term care issues
Contribute technical assistance for programs for older South Carolinians
Develop programs including the SC Vulnerable Adult Guardian ad litem
Help to evaluate programs for older South Carolinians
Conduct research on aging issues