ArticleAlzheimer's & dementia (New York, N. Y.)
Perception of dementia risk among Black adults: an ecological analysis of causal loop diagrams with a structural and social determinant of health composite index.
Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Perception of dementia risk among Black adults: an ecological analysis of causal loop diagrams with a structural and social determinant of health composite index.Alzheimer's & dementia (New York, N. Y.)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
introductionTo investigate drivers of dementia risk disparities among older Black Americans using a community-based system dynamics (CBSD) approach.
methodsOver 18 months, 234 participants created 36 causal loop diagrams (CLDs) on dementia risk. An ecological analysis compared structural differences across groups based on scores on a structural and social determinants of health composite index (S/SDOH-CI).
resultsGroups in the highest SDOH-CI quantile were more likely to identify key protective pathways linking mental health, substance use, exercise, medication, and community support to reduce dementia risk. In contrast, fewer than 25% of low-SDOH-CI groups identified these connections, and under 15% recognized the mental health benefits of community support or the educational and emotional advantages of higher income. However, low-SDOH-CI groups more often linked income to health insurance and family ties to health literacy and stress reduction. DISCUSSION: Participants' perceptions of dementia risk reflect their lived experiences, with distinct system substructures emphasized across SDOH-CI strata. Understanding how causal beliefs vary by socioeconomic context is essential for developing effective, equity-focused dementia prevention strategies for Black Americans. These findings highlight the need to tailor public health interventions to target the most socioeconomically disadvantaged groups. Highlights: Workshop discussions revealed that dementia risk among Black adults is closely linked to S/SDOH, with perceived causal pathways varying according to the degree of S/SDOH deprivation.Groups experiencing higher S/SDOH deprivation, as measured by a composite index of 37 indicators based on the NIA HDRF, more frequently emphasized the role of higher income and better health insurance, as well as the protective effects of strong family relationships in enhancing health literacy, reducing stress, and lowering dementia risk.Recognizing the socioeconomic drivers of dementia and addressing inequities in S/SDOH through sustained public health interventions may be critical to improving long-term health outcomes and reducing dementia risk.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.