Intention to Screen for Alzheimer’s Disease by Residential Locale

Lilah M. Besser, Willa D. Brenowitz, Juyoung Park, Magdalena I. Tolea and James E. Galvin
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Lilah M. Besser: School of Urban and Regional Planning, Institute for Human Health and Disease Intervention, Florida Atlantic University, Boca Raton, FL 33431, USA
Willa D. Brenowitz: Department of Psychiatry, School of Medicine, University of California San Francisco, San Francisco, CA 94158, USA
Juyoung Park: Phyllis and Harvey Sandler School of Social Work, Florida Atlantic University, Boca Raton, FL 33431, USA
Magdalena I. Tolea: Comprehensive Center for Brain Health, Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL 33136, USA
James E. Galvin: Comprehensive Center for Brain Health, Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL 33136, USA

IJERPH, 2020, vol. 17, issue 7, 1-11

Abstract: A random digit dialing sample from Missouri (USA) was used to compare associations between psychosocial factors and Alzheimer’s disease (AD) screening intention based on residential locale. Linear regression associations between demographics and five psychosocial constructs (dementia knowledge, perceived screening benefits, preventive health behaviors, perceived susceptibility, and self-efficacy) and screening intention were compared by residential locale. Participants ( n = 932) had a mean age of 62 years (urban: n = 375; suburban: n = 319, rural: n = 238). African Americans more often lived in urban than suburban/rural neighborhoods, and more urban than suburban/rural residents reported insufficient income. Preventative health behaviors (e.g., dentist visits) were higher in urban and suburban versus rural participants. AD screening intention did not differ by residential locale. Among urban participants, self-efficacy to get screened was associated with screening intention. Among rural participants, dementia knowledge was associated with screening intention. Perceived screening benefits and perceived susceptibility to AD were associated with screening intention regardless of locale. Unlike urban participants, rural participants demonstrated greater screening intention with greater dementia knowledge. Our findings suggest that psychosocial factors associated with AD screening intention differ depending on residential locale. Strategies to increase dementia screening may need to account for regional variations to be maximally effective.

Keywords: Alzheimer’s disease; dementia; screening; intention; neighborhood; urban; rural; suburban (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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