Evidence map›Paper›PMID 36688593›Full record

ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2023

Transgender Adults From Minoritized Ethnoracial Groups in the U.S. Report Greater Subjective Cognitive Decline.

Ethan C Cicero, Elle Lett, Jason D Flatt, G Perusi Benson, Fayron Epps

Open access · bronzeAbstract read
In one paragraph

Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Alzheimer's disease and related dementias among transfeminine adults: A cohort study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Article
  4. Adverse Childhood Experiences and Subjective Cognitive Decline Among Transgender Adults.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  9. Article
  10. Article
  11. Review
  12. Intersectionality in nursing research: A scoping review.International journal of nursing studies advances · 2023
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Ethan C CiceroNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
Elle LettPerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jason D FlattSchool of Public Health, Department of Social and Behavioral Health Program, University of Nevada, Las Vegas, Nevada, USA.ORCID 0000-0003-1244-738X
G Perusi BensonDepartment of Psychology, North Carolina State University, Raleigh, North Carolina, USA.
Fayron EppsNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-4332-4078
Emory University · USNorth Carolina State University · USUniversity of Nevada, Las Vegas · USUniversity of Pennsylvania · US

Funding

Building Community and Research Engagement among Sexual and Gender Minority Older Adults at Risk for Alzheimer’s Disease and Related DementiasR24AG066599 · NIA · EMORY UNIVERSITY · PI ANDERSON, JOEL G., FLATT, JASON DANE · 2021 to 2023
$2.3M
The Epidemiology of Alzheimer's Disease and Related Dementias in Sexual and Gender Minority Older Adults: Identifying Risk and Protective FactorsK01AG056669 · NIA · UNIVERSITY OF NEVADA LAS VEGAS · PI FLATT, JASON DANE · 2018 to 2022
$666k
Creating a Faith-Based Toolbox for African Americans Living with Moderate and Severe DementiaK23AG065452 · NIA · EMORY UNIVERSITY · PI EPPS, FAYRON RECHA · 2020 to 2022
$574k
NIA NIH HHS K01 AG056669NIA NIH HHS K23 AG065452NIA NIH HHS R24 AG066599
6 · The paper itself

Abstract

objectivesInvestigate subjective cognitive decline (SCD) among 4 study groups consisting of cisgender and transgender adults who are from minoritized ethnoracial groups (i.e., minoritized ethnoracial transgender, minoritized ethnoracial cisgender) and White cisgender and transgender adults aged 45+ (i.e., White transgender, White cisgender) to determine the odds of SCD by group and to test for group differences.

methodsData from the 2015-2020 Behavioral Risk Factor Surveillance System were used in a modified case-control approach to perform an intercategorical intersectional study. Each transgender participant was matched to 2 cisgender men and 2 cisgender women, on state, ethnoracial identity, and age. Multivariable logistic regressions modeled SCD odds by group and post hoc contrasts estimated pairwise odds ratios comparing the SCD odds for each combination of groups.

resultsSCD prevalence was highest among minoritized ethnoracial transgender (21.6%), followed by White transgender (15.0%), minoritized ethnoracial cisgender (12.0%), and White cisgender (9.0%). After accounting for age, education, and survey year, the odds of SCD were higher in minoritized ethnoracial transgender when compared to White cisgender (adjusted odds ratio [aOR] = 2.51, 95% confidence interval [CI]: 1.59-3.96) and minoritized ethnoracial cisgender (aOR = 1.89, 95% CI: 1.16-3.09). The odds of SCD were higher in White transgender compared to White cisgender (aOR = 1.66, 95% CI: 1.20-2.30). DISCUSSION: When considering the intersection of transgender and ethnoracial identities, we found that transgender adults from minoritized ethnoracial groups reported higher odds of SCD when compared to cisgender adults from minoritized ethnoracial groups. Additional studies are needed to understand the relationship between racialized and gendered inequities in cognitive impairment and how specific mechanisms of systemic transphobia and racism may contribute to this inequity.

Indexed as

Cognitive DysfunctionTransgender PersonsEducational StatusFemaleGender IdentityHumansMaleOdds RatioSurveys and QuestionnairesCultural factorsGenderMinority aging (Race/ethnicity)Transgender

Identifiers

PMID36688593
PMCPMC10214655
OpenAlexW4317779165

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.