More than
11% of adults aged 45 years and older experience subjective cognitive
decline (SCD), one of the initial indicators of mild cognitive impairment
(MCI). Studies reveal health disparities between sexual and gender
minority (SGM) adults and non-SGMs adults—disparities that are potential
risk factors for cognitive decline and the future progression of
Alzheimer’s disease and related dementia (ADRD). SGM adults face higher
rates of chronic health diseases (cardiovascular disease, hypertension,
diabetes) and depression than non-SGM adults. Some studies also found
higher or similar prevalence of SCD, cognitive impairment, and ADRD among
SMG adults compared to non-SGM adults. This study described the prevalence of SCD
among SGM middle-aged and older adults, compared rates by SGM status, and
determined if differences in prevalence rates were linked to differences
in demographics, chronic health conditions, functional limitations,
physical unhealthy days, and depression.
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