Alzheimer's and Dementia: Translational Research and Clinical Interventions
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Introduction: Subjective cognitive decline (SCD) represents self-reported problems with memory, a possible early sign of dementia. Little is known about SCD among sexual and gender minority (SGM) adults who identify as lesbian, gay, bisexual, and/or transgender or gender non-binary. Methods: Data were weighted to represent population estimates from 25 states’ 2015–2018 Behavioral Risk Factor Surveillance System to describe SCD in adults ≥ 45 years by SGM status. Logistic regression tested associations between demographic and health conditions. Results: SCD prevalence was higher in SGM (15.7%; 95% confidence interval [CI]:13.1–18.2) than in non-SGM adults (10.5%; 95% CI:10.1–10.9; P < .0001). SGM adults with SCD were also more likely to report functional limitations due to SCD than non-SGM adults with SCD, 60.8% versus 47.8%, P =.0048. Differences in SCD by SGM status were attenuated after accounting for depression. Discussion: Higher prevalence of SCD in SGM adults highlights the importance of ensuring inclusive screenings, interventions, care services, and resources for SGM adults.
Population-based sample; Preclinical alzheimer’s disease; Screening; Sexual and gender minorities; Subjective cognitive decline
Gender and Sexuality | Gender, Race, Sexuality, and Ethnicity in Communication
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Flatt, J. D.,
Cicero, E. C.,
Lambrou, N. H.,
Anderson, J. G.,
Bouldin, E. D.,
McGuire, L. C.,
Taylor, C. A.
Subjective Cognitive Decline Higher Among Sexual and Gender Minorities in the United States, 2015–2018.
Alzheimer's and Dementia: Translational Research and Clinical Interventions, 7(1),
Available at: http://dx.doi.org/10.1002/trc2.12197