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Published on: October 23, 2020
Predictors of Subjective Cognitive Decline Among People With Diabetes: Data From the Behavioral Risk Factor
Ya-Ching Huang1, Heather E Cuevas2, Julie A Zuñiga2
1St. David's School of Nursing, Texas State University, Round Rock, Texas.
Purpose:
The purpose of this study was to examine the prevalence of subjective cognitive decline (SCD) and SCD-related functional limitations among people with diabetes and to identify socioeconomic and comorbidity risk factors associated with SCD.
Methods:
This study analyzed data from the 2017 Behavioral Risk Factor Surveillance System (BRFSS) with background variables (race, gender, education, and age), health-related factors (self-rated health, BMI, insurance, and comorbid conditions), and health behaviors (smoking, exercise, alcohol consumption) entered simultaneously to estimate logistic regression models of SCD.
Results:
Within the sample (n = 5263 adults with diabetes), 48% were age ≥65 years; 50% were male; 55% were non-Hispanic White; and of the 15% who reported having SCD, 57% had functional limitations. Increased odds of reporting SCD were observed among individuals who were Hispanic (odds ratio [OR] = 2.21, P < .001), male (OR = 1.47, P < .01), depressed (OR = 3.85, P < .001), or had arthritis (OR = 1.43, P < .03). Participants with better self-rated health had a reduced likelihood of SCD (OR = 0.51, P < .001).
Conclusions:
Health care providers should assess high-risk patients for self-rated cognitive dysfunction and offer early interventions.
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