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Cognitive Screening Beliefs and Behaviors Among Older US Adults: Results from the National Poll on Healthy Aging
Chelsea G. Cox, Geoffrey J. Hoffman, Jeffrey Todd Kullgren, Dianne Singer, Erica S. Solway, Matthias Kirch, Preeti Malani, Jeffrey Scott Roberts. Alzheimer s & Dementia, 2023-12-01
Topic: Risk, prevention and care in population studies
Our primary outcome was self‐reported history of cognitive screening (never versus ever had screening). Result Of 1,242 respondents, 42% reported having ever undergone cognitive screening (21% within the past year). In adjusted analyses, sociodemographic factors (i.e., older age, higher level of education), insurance status (Medicare Advantage vs. traditional Medicare) and poorer physical health were associated with greater likelihood of cognitive screening (all p<0.05). Respondents with positive versus negative beliefs about cognitive screening were 45% more likely to report screening (adjusted risk ratio: 1.45, p<0.001). The probability of cognitive screening did not vary overall by provider status; however, among respondents with negative beliefs about screening, having a provider was associated with greater probability of having undergone screening (35% versus 11%, p<0.05). Conclusion We identified a range of factors associated with older adults’ self‐report of cognitive screening including age, health, and beliefs about the pros and cons of screening.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Cox, C. G., Hoffman, G. J., Kullgren, J. T., Singer, D., Solway, E. S., Kirch, M., et al. (2023). Cognitive Screening Beliefs and Behaviors Among Older US Adults: Results from the National Poll on Healthy Aging. Alzheimer s & Dementia. https://doi.org/10.1002/alz.083048
Vancouver
Cox CG, Hoffman GJ, Kullgren JT, Singer D, Solway ES, Kirch M, et al. Cognitive Screening Beliefs and Behaviors Among Older US Adults: Results from the National Poll on Healthy Aging. Alzheimer s & Dementia. 2023. doi:10.1002/alz.083048.
BibTeX
@article{cox2023-c8c28f58,
author = {Cox, Chelsea G. and Hoffman, Geoffrey J. and Kullgren, Jeffrey Todd and Singer, Dianne and Solway, Erica S. and Kirch, Matthias and Malani, Preeti and Roberts, Jeffrey Scott},
title = {{Cognitive Screening Beliefs and Behaviors Among Older US Adults: Results from the National Poll on Healthy Aging}},
journal = {Alzheimer s \& Dementia},
year = {2023},
doi = {10.1002/alz.083048},
url = {https://doi.org/10.1002/alz.083048}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 8 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- Our primary outcome was self‐reported history of cognitive screening (never versus ever had screening).
- Result Of 1,242 respondents, 42% reported having ever undergone cognitive screening (21% within the past year).
- In adjusted analyses, sociodemographic factors (i.e., older age, higher level of education), insurance status (Medicare Advantage vs. traditional Medicare) and poorer physical health were associated with greater likelihood of cognitive screening (all p<0.05).
- Respondents with positive versus negative beliefs about cognitive screening were 45% more likely to report screening (adjusted risk ratio: 1.45, p<0.001).
- The probability of cognitive screening did not vary overall by provider status; however, among respondents with negative beliefs about screening, having a provider was associated with greater probability of having undergone screening (35% versus 11%, p<0.05).
Why it matters
This national poll found that 42% of older adults reported ever having cognitive screening, and that positive beliefs about screening were linked to greater likelihood of being screened. It does not address treating, curing, or preventing Alzheimer's disease.
Study details
- Evidence strengthLow
How this study scored 31/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia) |
| Journal's citation record | 2 / 4 | Alzheimer s & Dementia: journal h-index 228 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 3 / 5 | 2023 — within 6 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 5 year(s) since 2023 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Jeffrey Scott Roberts: h-index 48 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of Michigan: institution h-index 2,240 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Total | 31 / 100 | — |
What each of these 20 components measures, and what this score is not →
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