Attitudes and Perceptions Regarding Aging and Dementia in South Asians in Greater Atlanta: Findings from an Online Convenience Sample Survey.

Over 5 million South Asians (SAs) live in the United States, and it is one of the fastest-growing populations. SAs, have high rates of cardiovascular risk factors, and are likely to experience unique challenges as they age. The South Asian Healthy Aging Research project assesses attitudes toward aging and dementia in the SA community. A cross-sectional online survey was conducted in 2022-24 with participants ≥ 18 years old who self-identified as South Asians. Participants were recruited through community outreach efforts in Greater Atlanta to assess their perception of aging and dementia, stress, discrimination, and health literacy. 191 participants completed the surveys, with an average age of 43.9 (SD: 13.1) years and 50.5% were female. Approximately 80% were first-generation immigrants, and 97% had high school or above level education. Despite high education levels, language barriers were a concern, with 24% feeling misunderstood due to their language and 42.9% preferring healthcare materials in their native language. High levels of stress were reported with 25% experiencing workplace discrimination. More than 64% were aware of someone living with dementia but had misconceptions regarding the condition, with 66% believing memory loss is inevitable with age and 30.2% having stigma associated with dementia. Findings demonstrate a lack of awareness of risk factors of dementia and high levels of chronic stress within this SA cohort. The findings highlight the necessity for culturally tailored outreach and educational programs to improve awareness of healthy aging and brain health in this high-risk population.