Correlates of Subjective Cognitive Decline in Lesbian, Gay, Bisexual, and Transgender Older Adults
Open accessAbstract
Background: Little is known about subjective cognitive decline (SCD) in lesbian, gay, bisexual, and transgender (LGBT) older adults. Objectives: To examine SCD and its association with dementia risk factors, other physical and psychosocial health factors in LGBT older adults. Methods: A cross-sectional study of SCD was conducted with LGBT older adults, aged 50 and older ( n = 210). SCD was categorized based on endorsement of memory problems and one other cognitive domain. Hierarchical logistic regression examined the associations between demographic factors, dementia risk factors, other health and psychosocial factors, and SCD. Results: Nearly 25% of LGBT older adults were classified as having SCD. LGBT older adults who were people of color (OR = 2.5; 95% CI = 1.1– 7.8), depressed (OR = 2.9; 95% CI = 1.3– 6.9), or reported having functional impairment (OR = 2.6; 95% CI = 1.1– 6.5) were significantly more likely to be classified as having SCD (Nagelkerke pseudo R 2 = 0.27). Conclusion: Depression and functional impairment should be considered when screening LGBT older adults for cognitive impairment and dementia. Future research on the cognitive impairment and dementia risk in LGBT older adults is needed.
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One study showed that SGM older adults who were experiencing depression were more likely to have dementia than their non-SGM peers.
“One study showed that SGM older adults who were experiencing depression were more likely to have dementia than their non-SGM peers.”
From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [330]
The Results report that LGBT older adults with greater depressive symptoms had higher odds of subjective cognitive decline. The Discussion says further research is needed on dementia risk in this population; the study does not show that depressed SGM older adults were more likely to have dementia than non-SGM peers. (LLM, conf=0.88)
Experimental — accuracy not yet measuredSGM older adults who were experiencing depression were more likely to report subjective cognitive decline than SGM older adults without depression.
“One study showed that SGM older adults who were experiencing depression were more likely to report subjective cognitive decline than SGM older adults without depression.”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [358]
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References 88 · Cited by 83
Research works printed but not linked: 1
- [35]Medicine Io (2011) National Academies Press, Washington, DC.
- Authors
- Flatt, J. D., Johnson, J. K., Karpiak, S. E., Seidel, L., Larson, B., & Brennan-Ing, M.
- Affiliations
- University of California, San Francisco (US)
- Gay Men's Health Crisis (US)
- Center on Halsted, Chicago, IL, USA
- New York University College of Nursing, New York, NY, USA
- Corresponding author
- Flatt, Jason D.
- Venue
- Journal of Alzheimer’s Disease
- Publisher
- SAGE Publications
- Published
- 2018-05-31
- Volume
- 64
- Issue
- 1
- Pages
- 91-102
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- PMC
- PMC8041362
- OpenAlex
- W2806823959
- Cited by
- 83
- References
- 88
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 12 · 2023: 15 · 2022: 10 · 2021: 14 · 2020: 7 · 2019: 7
- FWCI
- 5.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health (KL2TR001870)
- University of California, San Francisco (P30 AG044281)
- National Institute on Aging (K01AG056669, P30AG015272, P30AG044281)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- subjective cognitive decline, LGBT older adults
- MeSH terms
- Aged, Aged, 80 and over, Aging, Bisexuality, Cognition Disorders, Cross-Sectional Studies, Female, Homosexuality, Humans, Male, Middle Aged, Neuropsychological Tests, Risk Factors, Logistic Models, Transgender Persons
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