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Education as a Moderator of Help Seeking Behavior in Subjective Cognitive Decline
Journal article   Open access

Education as a Moderator of Help Seeking Behavior in Subjective Cognitive Decline

Martina Azar, Silvia Chapman, Jillian Joyce, Maria Schultheis, Zoe Zhang, Leah Waltrip, Shaina Shagalow, Peter Zeiger, Preeti Sunderaraman and Stephanie Cosentino
Alzheimer disease and associated disorders
31 Jul 2023
PMID: 37561937
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10530107View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Objective: Disparities in Alzheimer disease (AD) and differences in help seeking (HS) across sociodemographic groups warrant public health concern. Research addressing such disparities must shift toward the earliest clinical manifestations of AD to optimize diagnosis, intervention and care planning. Subjective cognitive decline (SCD), a risk state for AD, provides an important context in which to examine sociodemographic-related disparities in HS. Participants and Methods: One hundred sixty-seven cognitively healthy older adults (M age =73, M education =16) (26.4% Black, Asian, or “Other”) completed SCD questionnaire, HS questions, and mood measures (depression and anxiety). Binary logistic adjusted regressions examined: (a) the association between SCD and HS; and (b) the extent to which education moderated the relationship between SCD and HS. SCD [b = 0.06, SE=0.13, P <0.001, odds ratio=1.06, 95% CI (1.03, 1.08)] and education [b=0.32, SE=0.09, P <0.001, odds ratio=1.37, 95% CI (1.15, 1.64)] were independently associated with HS, with significant interaction between education and SCD on HS [b=0.2, SE=0.01, P =0.01, odds ratio=1.02, 95% CI (1.00, 1.03)]. Conclusions: Findings elucidate the importance of tailoring SCD-related psychoeducational resources depending on educational background as a preliminary stepping-stone in encouraging HS among older adults who may be at particular risk for developing dementia.

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5 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Pathology
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