Special Report

States Where Alzheimer's Is Expected to Increase Significantly

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34. Pennsylvania (tied)
> Projected increase in adults 65+ with Alzheimer’s disease, 2020-2025: 14.3% (from 280,000 to 320,000)
> Pct. of population 65+: 17.8% — 7th highest (total: 2,281,720)
> Pct. of 65+ pop. with Alzheimer’s disease: 12.3% — 14th highest
> Avg. retirement income: $23,681 — 12th lowest

In Pennsylvania, 17.8% of residents are 65 and older, and 7.9% are 75 and older — the seventh and fourth highest percentages among states, respectively. The Alzheimer’s Association projects just a 14.3% increase in the number of adults 65 and older with the disease from 2020 to 2025, well below the projected national increase of around 18.5%.

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34. Nebraska (tied)
> Projected increase in adults 65+ with Alzheimer’s disease, 2020-2025: 14.3% (from 35,000 to 40,000)
> Pct. of population 65+: 15.4% — 15th lowest (total: 294,069)
> Pct. of 65+ pop. with Alzheimer’s disease: 11.9% — 20th highest
> Avg. retirement income: $23,704 — 13th lowest

The total number of those in Nebraska aged 65 and older with Alzheimer’s disease is projected to increase from 35,000 in 2020 to 40,000 in 2025, an increase of 14.3%. The Alzheimer’s Association’s projections are based on projected population growth of residents who are 65 or older. Some 15.4% of Nebraska residents are 65 or older, compared with 15.6% of Americans overall.

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33. Alabama
> Projected increase in adults 65+ with Alzheimer’s disease, 2020-2025: 14.6% (from 96,000 to 110,000)
> Pct. of population 65+: 16.5% — 20th highest (total: 804,881)
> Pct. of 65+ pop. with Alzheimer’s disease: 11.9% — 18th highest
> Avg. retirement income: $24,816 — 22nd lowest

The number of Alzheimer’s disease cases within the older population in Alabama is projected to increase by 14.6% from 2020 to 2025, from 96,000 to 110,000. Alabama reported more Alzheimer’s deaths per capita than all but two other states in 2019. The state reported 54 Alzheimer’s-related deaths per 100,000 residents, compared with 37 deaths per 100,000 Americans.

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32. Kentucky
> Projected increase in adults 65+ with Alzheimer’s disease, 2020-2025: 14.7% (from 75,000 to 86,000)
> Pct. of population 65+: 16.0% — 24th lowest (total: 710,138)
> Pct. of 65+ pop. with Alzheimer’s disease: 10.6% — 6th lowest
> Avg. retirement income: $24,087 — 16th lowest

A relatively low percentage of Kentucky residents 65 and older have Alzheimer’s disease at 10.6% — a lower share than in all but five other states. The total number of Kentuckians 65 and over living with Alzheimer’s is projected to grow from 75,000 to 86,000 from 2020 to 2025, a 14.7% increase. For context, the number of older Americans with Alzheimer’s is projected to grow by 18.5% during that time.

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31. Massachusetts
> Projected increase in adults 65+ with Alzheimer’s disease, 2020-2025: 15.4% (from 130,000 to 150,000)
> Pct. of population 65+: 16.2% — 24th highest (total: 1,107,089)
> Pct. of 65+ pop. with Alzheimer’s disease: 11.7% — 23rd highest
> Avg. retirement income: $30,791 — 9th highest

Massachusetts is projected to have a 15.4% increase in the number of residents 65 and older with Alzheimer’s disease from 2020 to 2025, growing from 130,000 people to 150,000. The U.S. overall is projected to have an 18.5% increase. Massachusetts reported 24 Alzheimer’s-related deaths per 100,000 residents in 2019, the fifth lowest Alzheimer’s mortality rate among all states. Nationwide, the Alzheimer’s mortality rate was 37 per 100,000.