Socioeconomic and medical determinants of state-level subjective cognitive decline in the United States.

ABSTRACT:

Introduction

It is important to understand the socioeconomic and medical determinants of subjective cognitive decline (SCD) at a population level in the United States.

Methods

The primary outcomes are state-level rates of SCD and SCD-related functional impairment in adults aged ≥ 45, both measured in the Behavioral Risk Factor Surveillance System from 2016 to 2022. The exposures are state-level rates of poverty, unemployment, homelessness, college education, racial and ethnic minorities, uninsurance, smoking, hypertension, diabetes, and obesity as well as household income and physician density.

Results

The strongest state-level associations with rates of SCD were the prevalence of diabetes (rho = 0.64), hypertension (rho = 0.59), and poverty (rho = 0.58; all p < 0.001

SUBMITTER: de Havenon A 

PROVIDER: S-EPMC11567845 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature