{"doi":"10.1002/alz.14220","title":"Socioeconomic and medical determinants of state‐level subjective cognitive decline in the United States","abstract":"INTRODUCTION: It is important to understand the socioeconomic and medical determinants of subjective cognitive decline (SCD) at a population level in the United States. METHODS: The primary outcomes are state-level rates of SCD and SCD-related functional impairment in adults aged ≥ 45, both measured in the Behavioral Risk Factor Surveillance System from 2016 to 2022. The exposures are state-level rates of poverty, unemployment, homelessness, college education, racial and ethnic minorities, uninsurance, smoking, hypertension, diabetes, and obesity as well as household income and physician density. RESULTS: The strongest state-level associations with rates of SCD were the prevalence of diabetes (rho = 0.64), hypertension (rho = 0.59), and poverty (rho = 0.58; all p < 0.001), and with SCD-related functional impairment were prevalence of poverty (rho = 0.71), diabetes (rho = 0.68), and hypertension (rho = 0.53; all p < 0.001). DISCUSSION: This study highlights critical links between SCD and socioeconomic and medical determinants in adults aged ≥ 45 in the United States, including the prevalence of poverty, diabetes, and hypertension. HIGHLIGHTS: State-level analysis reveals socioeconomic and medical risk factors for subjective cognitive decline (SCD) at a population level. The prevalence of poverty is a critical contributor to the state-level prevalence of SCD. The prevalence of diabetes and hypertension are also strong state-level determinants of SCD. Addressing the burden of cognitive decline at the population level necessitates targeting socioeconomic and medical factors.","journal":"Alzheimer s & Dementia","year":2024,"id":427934,"datarank":0.5440068469545053,"base_score":2.70805020110221,"endowment":2.70805020110221,"self_citation_contribution":0.40620753016533157,"citation_network_contribution":0.13779931678917373,"self_endowment_contribution":0.40620753016533157,"citer_contribution":0.13779931678917373,"corpus_percentile":64.22217065057632,"corpus_rank":4626,"citation_count":14,"citer_count":14,"citers_with_citation_signal":6,"citers_with_endowment":6,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.6315,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":662896,"name":"Eric Stulberg","orcid":"0000-0002-3075-4597","position":1,"is_corresponding":false},{"id":1228652,"name":"Lauren Littig","orcid":"0009-0005-7389-0328","position":2,"is_corresponding":false},{"id":670679,"name":"Ka‐Ho Wong","orcid":"0000-0001-9597-8105","position":3,"is_corresponding":false},{"id":535399,"name":"Daniel F. Sarpong","orcid":"0000-0003-2094-3041","position":4,"is_corresponding":false},{"id":1228653,"name":"Vivian Wing‐yi Li","orcid":"0009-0004-3606-8426","position":5,"is_corresponding":false},{"id":467224,"name":"Richa Sharma","orcid":"0000-0003-0798-2353","position":6,"is_corresponding":false},{"id":256546,"name":"Guido J. Falcone","orcid":"0000-0002-6407-0302","position":7,"is_corresponding":false},{"id":295973,"name":"Jeff D. Williamson","orcid":"0000-0002-0185-5823","position":8,"is_corresponding":false},{"id":295974,"name":"Nicholas M. Pajewski","orcid":"0000-0002-4447-6196","position":9,"is_corresponding":false},{"id":328345,"name":"Rebecca F. Gottesman","orcid":"0000-0002-9504-1256","position":10,"is_corresponding":false},{"id":270469,"name":"Adam M. Brickman","orcid":"0000-0002-5125-8226","position":11,"is_corresponding":false},{"id":256547,"name":"Kevin N. Sheth","orcid":"0000-0003-2003-5473","position":12,"is_corresponding":false},{"id":421725,"name":"Adam de Havenon","orcid":"0000-0001-8178-8597","position":0,"is_corresponding":true}],"reference_count":58,"raw_metadata":null,"created_at":"2026-07-19T01:58:52.576447Z","pmid":"39351858","pmcid":"PMC11567845","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}