Details:

Alternative Title:
Int Psychogeriatr
Publisher's site:
http://dx.doi.org/10.1017/S1041610220001635
Personal Author:
Bouldin, Erin D. ; Taylor, Christopher A. ; Knapp, Kenneth A. ; Miyawaki, Christina E. ; Mercado, Nicholas R. ; ... More +
Bouldin, Erin D. ; Taylor, Christopher A. ; Knapp, Kenneth A. ; Miyawaki, Christina E. ; Mercado, Nicholas R. ; Wooten, Karen G. ; McGuire, Lisa C. Less -
Description:
Objectives

To estimate the prevalence of unmet needs for assistance among middle-aged and older adults with subjective cognitive decline (SCD) in the US and to evaluate whether unmet needs were associated with health-related quality of life (HRQOL).

Design

Cross-sectional study

Setting

United States – 50 states, District of Columbia, and Puerto Rico

Participants

Community-dwelling adults aged 45 years and older who completed the Cognitive Decline module on the 2015–2018 Behavioral Risk Factor Surveillance System, reported experiencing SCD, and always, usually, or sometimes needed assistance with day-to-day activities because of SCD.

Measurements

We defined SCD as confusion or memory loss that was happening more often or getting worse over the past 12 months. Respondents with SCD were considered to have an unmet need for assistance if they sometimes, rarely, or never got the help they needed with day-to-day activities. We measured three domains of HRQOL: (1) mental (frequent mental distress, ≥14 days of poor mental health in the past 30 days), (2) physical (frequent physical distress, ≥14 days of poor physical health in the past 30 days), and (3) social (SCD always, usually, or sometimes interfered with the ability to work, volunteer, or engage in social activities outside the home). We used log-binomial regression models to estimate prevalence ratios (PR). All estimates were weighted.

Results

40.4% of people who needed SCD-related assistance reported an unmet need. Among respondents without depression, an unmet need was associated with a higher prevalence of frequent mental distress (PR=1.60, 95%CI:1.15–2.23, p=0.005). Frequent physical distress and social limitations did not differ between people with met and unmet needs.

Conclusions

Middle-aged and older adults with SCD-related needs for assistance frequently did not have those needs met, which could negatively impact their mental health. Interventions to identify and meet the unmet needs among people with SCD may improve HRQOL.


Subject:
[+]
Aged
Cognitive Aging
Cognitive Dysfunction
Cross-Sectional Studies
Female
Health Services Needs And Demand
Humans
Independent Living
Male
Middle Aged
Prevalence
Quality Of Life
United States

Source:
Int Psychogeriatr. 33(7):689-702
Pubmed ID:
32883384
Pubmed Central ID:
PMC8630807
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Place as Subject:
Puerto Rico ; United States
Puerto Rico ; United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:620ff3f97d16e747847f2ef16e75dfb50db0e1044bbafe6511de2ae64fb321ca
File Type:

Supporting Files

• 	nihms-1758912-f0001.gif	gif
  	nihms-1758912-f0001.jpg	jpeg
  	nihms-1758912.nxml	xml
  	NIHMS1758912-supplement-1.pdf	pdf

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