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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Public Health.

Zhigang Xie1

  • 1University of North Florida, Jacksonville, FL, USA.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 23, 2025
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Summary
This summary is machine-generated.

State policies impact LGBTQ+ health. Restrictive policies correlate with higher rates of subjective cognitive decline (SCD) in sexual minority adults. Protective policies improve access to cognitive care.

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Area of Science:

  • Public Health
  • Health Policy
  • Gerontology

Background:

  • A record 510 anti-LGBTQ+ bills were introduced in 2023, potentially increasing chronic stress and impacting health.
  • Subjective cognitive decline (SCD) is a growing concern, particularly among vulnerable populations.

Purpose of the Study:

  • To examine the association between state LGBTQ+ policy environments and SCD among sexual minority adults.
  • To investigate the impact of policy on cognitive health care access for this demographic.

Main Methods:

  • Utilized data from the 2019-2022 Behavioral Risk Factor Surveillance System (BRFSS).
  • Combined BRFSS data with 2017-2021 policy tallies for multivariable logistic regression analyses.
  • Focused on sexual minority adults aged 45 years and older.

Main Results:

  • Among 10,487 sexual minority adults, 9.9% reported SCD.
  • Participants in states with protective LGBTQ+ policies had lower odds of reporting SCD (AOR=0.63).
  • Those with SCD in protective states were more likely to discuss cognitive issues with providers (AOR=1.68) and receive needed help (AOR=1.55).

Conclusions:

  • Sexual minority adults experiencing SCD are more prevalent in states with restrictive LGBTQ+ policies.
  • Protective state policies are associated with increased access to cognitive care and support for sexual minority adults with SCD.