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Frequent Plastic Usage Behavior and Lack of Microplastic Awareness Correlates with Cognitive Decline: A
Pukovisa Prawiroharjo1,2,3, Anyelir Nielya Mutiara Putri4, Noryanto Ikhromi4
1Department of Neurology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Central Hospital, Jakarta 10430, Indonesia.
Introduction:
Microplastics (MPs) are widespread environmental pollutants with possible neurotoxic effects. Exploring links between plastic use, MP awareness, and cognition is key for assessing public health risks.
Objective:
To examine correlations between plastic consumption, MP awareness and attitudes, and neurocognitive function among Greater Jakarta residents.
Methods:
A cross-sectional survey of 562 adults used a validated e-questionnaire covering plastic usage, MP knowledge, attitudes, risk perception, and cognition via the Ascertain Dementia 8 (AD-8). Analyses included chi-square, t-tests, and logistic regression.
Results:
Suspected cognitive impairment (AD-8 ≥ 2) was observed in 44.5% of respondents. High single-use plastic consumption correlated with worse cognition (p = 0.032), while reusable plastic use showed no association (p = 0.605). Awareness of MPs was relatively low, with 19.4% of respondents having never heard of them. Awareness and knowledge also varied significantly by age (p = 0.007), gender (p = 0.004), and education level (p = 0.027). Positive attitudes and higher risk perception aligned with greater awareness (p < 0.001) but not cognitive scores. Risk perception influenced bottled water use (p = 0.009), with low-risk groups consuming more.
Conclusions:
Frequent single-use plastic consumption is linked to poorer cognition, while MP awareness and risk perception do not directly affect cognitive outcomes. Educational strategies may enhance awareness and reduce exposure.
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