Brian Downer, PhD Associate Professor, Division of Rehabilitation Sciences

Email: | Research Expert Profile
Research Areas: Quality and outcomes of post-acute care; Epidemiology of dementia and cognitive decline in diverse populations; Hispanic health and aging


  • BS 2010 Aquinas College, Grand Rapids, Michigan, Psychology
  • PhD 2014 University of Kentucky, Lexington, Kentucky, Gerontology

Current Funding

Improvement in Patients’ Cognition and Relationship with SNF Quality Measures
National Institute on Aging, NIH
Grant # K01 AG058789
Role: Principal Investigator
2018 – 2023

The Influence of Social and Cultural Context on Life Course Pathways for Alzheimer’s Disease, Related Dementias, and Care Resources for Older Mexican Adults
National Institute on Aging, NIH
Grant # RF1AG068988
Role: Principal Investigator
2021 – 2024

UTMB Claude Pepper Older Americans Independence Center (OAIC)
National Institute on Aging, NIH
Role: Core leader in training (PI: Volpi)
2020 – 2025

Long-term Health Outcomes in Mexican American Older Adults
National Institute on Minority Health and Health Disparities, NIH
Grant# R01 MD010355
Role: Co-investigator (PI: Al Snih)
2016 – 2021

Longitudinal Study of Mexican American Elderly Health, NIH
Grant # R01 AG010939
Role: Co-investigator (PI: Markides)
2019 – 2023

Aging in Puerto Rico: Longitudinal Follow-Up of the PREHCO Study, NIH
Grant # R01 AG065769
Role: Co-investigator (PI: Crowe)
2019 – 2024

Select Publications

  1. Downer B, Pritchard K, Thomas KS, Ottenbacher K. Improvement in Activities of Daily Living during a Nursing Home Stay and One-Year Mortality among Older Adults with Sepsis. J Am Geriatr Soc. 2021 Apr;69(4):938-945. doi: 10.1111/jgs.16915. 
  2. Downer B, Reistetter TA, Kuo YF, Li S, Karmarkar A, Hong I, Goodwin JS, Ottenbacher KJ. Relationship between Nursing Home Compare Improvement in Function Quality Measure and Physical Recovery after Hip Replacement. Arch Phys Med Rehabil. 2021 Apr 1;. doi: 10.1016/j.apmr.2021.03.012. [Epub ahead of print]
  3. Downer B, Al Snih S, Chou LN, Kuo YF, Raji M, Markides KS, Ottenbacher KJ. Changes in Health Care Use by Mexican American Medicare Beneficiaries Before and After a Diagnosis of Dementia. J Gerontol A Biol Sci Med Sci. 2021 Feb 25;76(3):534-542. doi: 10.1093/gerona/glaa236. 
  4. Downer B, Al Snih S, Raji M, Chou LN, et al. Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer's disease and related dementias. PLoS One. 2020;15:e0227681.
  5. Downer B, Garcia MA, Raji M, Markides KS. Cohort Differences in Cognitive Impairment and Cognitive Decline Among Mexican-Americans Aged 75 Years or Older. Am J Epidemiol. 2019;188:119-129.PMC6321807