Brian Downer, PhD Assistant 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

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: Ottenbacher) 

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

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

Select Publications

  1. Knox S, Downer B, Haas A, Middleton A, et al. Dementia Severity Associated With Increased Risk of Potentially Preventable Readmissions During Home Health Care. J Am Med Dir Assoc. 2020;21:519-524 e513.PMC7127929
  2. Downer B, Milani S, Wong R. The Sequence of Physical and Cognitive Impairment and the Association with Mortality Among Unimpaired Older Mexican Adults. J Gerontol A Biol Sci Med Sci. 2020;75:1386-1392.PMC7302177
  3. 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.PMC6961888
  4. Nguyen C, Downer B, Chou LN, Kuo YF, et al. End-of-Life Healthcare Utilization of Older Mexican Americans With and Without a Diagnosis of Alzheimer's Disease and Related Dementias. J Gerontol A Biol Sci Med Sci. 2020;75:326-332.PMC7176060
  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
  6. Downer B, Al Snih S, Chou LN, Kuo YF, et al. Differences in hospitalizations, emergency room admissions, and outpatient visits among Mexican-American Medicare beneficiaries. BMC Geriatr. 2019;19:136.PMC6528336
  7. Loomer L, Downer B, Thomas KS. Relationship between Functional Improvement and Cognition in Short-Stay Nursing Home Residents. J Am Geriatr Soc. 2019;67:553-557.PMC6402985