Neurology
Associations between a summary Measure of Social Determinants of Health/Health Equity and Subjective Cognitive Decline Status among Mississippi Adults Vincent.L.Mendy* Vincent L. Mendy Mendy Mendy Mendy Department of Epidemiology and Biostatistics, College of Health Sciences, Jackson State University, Jackson, Mississippi
Background
Subjective cognitive decline (SCD) is associated with mild cognitive impairment, Alzheimer disease and all-cause dementia. The prevalence of Alzheimer’s disease and related dementias among Mississippi Medicare beneficiaries aged 65 years or older is 12.9%, which exceeds the national average. Mississippi adults experiencing multiple social determinants of health/health equity risk factors may have increased odds of SCD compared to those experiencing no social determinants of health/health equity risk factors. We examined the association between a summary measure of SDOH/HE and SCD among Mississippi adults.
Methods
Using the SDOH and Health Equity (SDOH/HE) Module data from 2395 respondents who self-identified as non-Hispanic Blacks or Whites and 45 years or older in the 2023 Mississippi Behavioral Risk Factor Surveillance System survey, we conducted multivariable logistic regression models to examine the association between a SDOH/HE summary measure and SCD.
Results
Mississippi adults 45 years or older experiencing SCD is 19.3%. Mississippians 45 years or older experiencing 1 (adjusted odds ratio [AOR], 3.63), 2 (AOR, 6.29), 3 (AOR, 7.07) and 4 or more (AOR, 16.35) of SDOH/HE risk factors had higher odds of SCD compared to those experiencing no SDOH/HE risk factors respectively.
Conclusions
Mississippi adults with multiple SDOH/HE risk factors had significantly higher odds of SCD than those with no SDOH/HE risk factors. These findings highlight the importance of addressing multiple SDOH/HE factors of cognitive decline outcomes and the need for targeted interventions among Mississippi adults experiencing multiple SDOH/HE risk factors.