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Findings emphasize the importance of examining both the distributions of organochlorines and cognition by ethnicity and sex and their interactions to understand how each may contribute to cognitive health disparities in older adults.

While cost of hearing aids has been a predominant explanation of low hearing aid use in Black Americans, false positive perceptions of hearing abilities may also play a significant role as a psychosocial mechanism. Future studies examining racial/ethnic differences in possible psychosocial mechanisms for discrepancies between objective and subjective hearing could guide the development and evaluation of culturally appropriate educational interventions.

Chinese American patients with refractory CRS are less likely to opt for ESS compared to non-Chinese American patients. Surgical treatment is effective in improving quality of life, as measured by the SNOT-22, among Chinese American CRS patients. Further investigations are warranted to identify factors contributing to surgical hesitancy.

The findings of this study suggest that African American and Latino older adults with ADRD and their families are likely to face disproportionately high burdens, primarily associated with unpaid caregiving. Understanding ADRD prevalence, comorbidity, inadequate care, and support policies may attenuate economic burdens for all US residents.

Current annual replacement cost of unpaid family care is between $96 and $182 billion, 44 percent of which is accounted for by dementia caregiving. By 2060, it will increase to $277-571 billion, and 53 percent will be for dementia caregiving. The opportunity costs of forgone earnings and productivity loss, however, will grow faster, increasing from current levels of $107 billion and $26 billion to $380 billion and $102 billion, respectively, in 2060. Projections show that opportunity costs of family caregiving will be increasingly borne by caregivers of older adults with dementia and racial/ethnic minoritized caregivers.

Caregivers reported positive appraisals of the program’s acceptability. Time constraints and a desire for more peer interaction were prominent. Key themes included programmatic features, cultural and gender considerations, program and research participation, and suggestions for improvement.