Older adults in Minnesota and across the nation are navigating various challenges that affect their quality of life. An annual report shows progress, but concerning trends continue to persist.

United Health Foundation has released its America's Health Rankings 2024 Senior Report.

Nationally, high-speed internet access rose to nearly 85%. However, an additional half million older adults fell into poverty.

Minnesota ranks 5th for overall well-being metrics for those 65 and older.

In Duluth, Arrowhead Area Agency on Aging Director Kristi Kane said more people are training to become geriatricians - but the regional healthcare workforce that serves seniors is still on shaky ground.

"We're also seeing," said Kane, "a lot of our quality medical staff leaving due to retirement. "

She said lack of affordable housing options also is being felt by this population, especially those trying to remain in smaller communities with limited resources.

On a brighter note, she said the region has built up a strong network of meal-delivery programs to help address food insecurity among older adults.

Dr. Rhonda Randall is a geriatrician, and an executive vice president and chief medical officer at UnitedHealthcare Employer and Individual.

She said the annual findings are trying to add more nuance and data than previous reports.

"This report now looks at things like disability status, sexual orientation and veteran status," said Randall. "So, it really gives state policymakers and public health officials an ability to understand where the disparities exist."

For example, in Minnesota, drug deaths were nearly nine times higher among older Black adults than their white counterparts.

Nationally, overall drug deaths for this population have increased by more than 50% when compared with pre-pandemic reports.

Washington has received designations highlighting the state's efforts to become more age and dementia-friendly.

Washington is the 12th state to join the AARP Network of Age-Friendly States and Communities.

Susan Engels, Unit on Aging office chief for the Washington State Department of Social and Health Services, said the designation builds on work the state is already doing to support people of all ages.

"Age-friendly communities consider goals that promote high quality of life for each person regardless of their age, allowing older people the opportunity to remain active in their community," Engels pointed out. "The designation begins a book of work that we're very excited to do."

Some cities in the state have already joined the AARP network, such as Puyallup, Renton, Seattle, Tacoma and White Salmon. Some of the goals for age-friendly communities include ensuring people can age in place and building walkable communities to ensure people can maintain both their independence and connection with others.

Washington is also joining U.S. Aging's Dementia-Friendly America network. Engels noted the state is already supporting people with dementia.

"Developing more community opportunities for families living with dementia," Engels explained. "Things like zoo walks and cafes where people can come and not worry about being judged if their loved one behaves differently."

Family caregiving is another important area as the population ages. According to AARP's statistics, the ratio of family caregivers per adult over 80 available in Washington will decline from about 4.5 to 1 in 2030 to less than 3 to 1 in 2050.

Engels added the state has support in caregiving as well, such as through respite and counseling to help people maintain the sometimes difficult roles.

"We have innovative programs, both state funded and federally funded, where we are able to support family caregivers regardless of income levels," Engels stressed. "With services that help those family caregivers be able to maintain their role."

More people over the age of 64 are being targeted by scams through social media and are more likely to lose money.

According to AARP, around half of American adults report having been a victim or a target of financial fraud.

Judy Dollison, president of the Better Business Bureau of Central Ohio, said the most common and dangerous scams for seniors involve investments, romance, and home improvement.

"Scammers oftentimes go door to door, looking for victims," Dollison pointed out. "Sometimes we see this after a big storm or, you know, hail or tornado comes through the neighborhood, and they tell them that, oh, you know, we got up on your roof, and there's hail damage."

People who suspected they have been scammed or their personal information has been compromised should contact their local police department and their financial institution to get help stopping the payment or disputing the charge. Report scams at BBB.org/ScamTracker or call 614-486-6336.

Dollison explained warning signs include asking for payment immediately and unusual payment types such as debit cards, Zelle, and Venmo, along with claims of a free or unrealistic low-cost product or service.

"Some of the big red flags are, you know, a pressure to act," Dollison emphasized. "So often we see scammers try to really convince you to do something urgently, because they don't want you to ask your friend or family. They don't want to you to research."

A decline in cognitive functioning, such as Alzheimer's disease and dementia, social isolation, and a lack of financial literacy tend to make older adults more susceptible to scams and fraud. Dollison stressed it is important to remind loved ones and neighbors scammers are out there.

"We always encourage just vigilance," Dollison added. "Empower the seniors to be suspicious of things, to question, to pause and seek guidance. Discuss telemarketing and email fraud. Just really highlight how much is out there."

Elder financial abuse costs older Americans at least $36.5 billion each year and more older adults are becoming victims of financial scams, according to the Department of Justice.


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Researchers in Iowa say changes in an Alzheimer's patients' brain can occur at least 20 years before they are diagnosed with the disease and they are calling for more education about early warning signs of dementia during Alzheimer's and Brain Awareness Month.

There are at least 7 million people age 65 and older in the U.S. living with Alzheimer's and 62,000 of them are in Iowa.

Abby Miesner, development manager for the Alzheimer's Association of Iowa, said despite time and money being spent on research, the risk is going up at a younger age and the numbers are discouraging.

"The lifetime risk for Alzheimer's at age 45 is one in five for women, and one in 10 for men," Miesner pointed out.

Miesner noted the numbers hold true across the board for Blacks and Latinos as well. She adds as doctors have learned signs and symptoms could start to occur at an earlier age, they are paying attention to signs sooner.

Miesner explained occasionally misplacing your keys or forgetting why you went into a room are not always cause for concern but repeatedly forgetting things as part of your everyday life could be.

Meisner added earlier detection gives doctors a chance to intervene sooner in a patient's life.

"As many as 40% of dementia cases may be attributed to modifiable risk factors," Meisner emphasized. "Things like having too high of blood pressure or not enough physical activity, lack of exercise. Things like that, getting good sleep. All of those things are so important."

All can be controlled by developing healthy habits. A 2022 report from the Alzheimer's Association showed 60% of people will put off seeing a doctor if they develop symptoms early on, waiting until the symptoms worsen, or family and friends encourage them to seek treatment.

The Association is holding educational events statewide all month.