Predictors of Subjective Cognitive Decline Among People With Diabetes: Data From the Behavioral Risk Factor Surveillance System.
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PURPOSE: The purpose of this study was to examine the prevalence of subjective cognitive decline (SCD) and SCD-related functional limitations among people with diabetes and to identify socioeconomic and comorbidity risk factors associated with SCD. METHODS: This study analyzed data from the 2017 Behavioral Risk Factor Surveillance System (BRFSS) with background variables (race, gender, education, and age), health-related factors (self-rated health, BMI, insurance, and comorbid conditions), and health behaviors (smoking, exercise, alcohol consumption) entered simultaneously to estimate logistic regression models of SCD. RESULTS: Within the sample (n=5263 adults with diabetes), 48% were age 65years; 50% were male; 55% were non-Hispanic White; and of the 15% who reported having SCD, 57% had functional limitations. Increased odds of reporting SCD were observed among individuals who were Hispanic (odds ratio [OR]=2.21, P<.001), male (OR=1.47, P<.01), depressed (OR=3.85, P<.001), or had arthritis (OR=1.43, P<.03). Participants with better self-rated health had a reduced likelihood of SCD (OR=0.51, P<.001). CONCLUSIONS: Health care providers should assess high-risk patients for self-rated cognitive dysfunction and offer early interventions.