Korean J Health Promot.  2021 Dec;21(4):158-166. 10.15384/kjhp.2021.21.4.158.

Factors Influencing Dementia-Screening Behaviors of Community-Dwelling Adults Using the Korean Community Health Survey in 2018

• Kim SH
• Lee H
• Son YJ
• Kim DY

• KMID: 2524727
• DOI: http://doi.org/10.15384/kjhp.2021.21.4.158

Abstract

Background
This study aimed to identify factors influencing dementia-screening behaviors among community-dwelling middle-aged and older adults using the Korean Community Health Survey data in 2018.
Methods
This cross-sectional study included community-dwelling adults aged ≥50 years. We used data related to socio-demographic and health-related factors and subjective cognitive function. We conducted a chi-squared test and multiple logistic regression analysis with weighted analysis.
Results
Of 108,050 participants (men, 46.6%; ≥65 years old, 41.5%), only 13.4% (20,404 participants) performed dementia-screening. Using multiple logistic regression, we found that advanced age, female, and unemployed, having a low level of education, low monthly family income, and rural residence, no alcohol intake, no-smoking, hypertension, cognitive dysfunction, and awareness of the dementia helpline service center were positively associated with dementia-screening behaviors.
Conclusions
This study suggests the application of holistic approaches to improve dementia-screening behaviors among middle-aged and older adults considering their socioeconomic and health related conditions. Our findings highlight that government health programs should consider socio-economic status and awareness of dementia helpline services in designing dementia prevention programs.

Keyword

Dementia; Adult; Preventive health services; Screening; Community Health Survey

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