{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:47:42Z","timestamp":1790250462817,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T00:00:00Z","timestamp":1736985600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30 AG072931"],"award-info":[{"award-number":["P30 AG072931"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["T32 AG027708 (CGC)"],"award-info":[{"award-number":["T32 AG027708 (CGC)"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alz &amp; Dem Diag Ass &amp; Dis Mo"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p>Dementia is underdiagnosed in the United States. Understanding of older adults\u2019 experiences with screening is needed to optimize diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>US adults ages 65 to 80 (<jats:italic>N<\/jats:italic>\u00a0=\u00a01298) were surveyed on experiences with cognitive screening and blood biomarker (BBM) testing. Regression models estimated associations between characteristics and screening use.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Most older adults were aware of screening (71%); 41% reported ever being screened. Older age, higher education, retirement, poorer health, and family history of dementia were associated with higher odds of screening; Hispanic and non\u2010Hispanic Asian race\/ethnicity were associated with lower odds (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05). Most older adults were unaware of BBM (81%); few wanted testing immediately (9%). Although older adults held positive views about screening and BBM, half reported concerns about distress or stigma if tests indicated risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>DISCUSSION<\/jats:title><jats:p>Cognitive screening rates remain low. Older adults view screening and BBM as useful to inform health decisions but have concerns about potential harms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Highlights<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Only one in five older US adults report having cognitive screening in the past year.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Sociodemographic and health factors may influence whether older adults receive cognitive screening.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Most older adults have positive views about cognitive screening and BBM testing.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Many older adults would be concerned about distress or stigma if test result indicated dementia risk.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/dad2.70067","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T07:43:10Z","timestamp":1737013390000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Older US adults\u2019 experiences with and views about cognitive screening and blood biomarker testing for Alzheimer's disease"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5247-9119","authenticated-orcid":false,"given":"Chelsea G.","family":"Cox","sequence":"first","affiliation":[{"name":"Department of Health Behavior and Health Equity University of Michigan School of Public Health  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Kirch","sequence":"additional","affiliation":[{"name":"University of Michigan Institute for Healthcare Policy and Innovation  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianne","family":"Singer","sequence":"additional","affiliation":[{"name":"University of Michigan Institute for Healthcare Policy and Innovation  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Solway","sequence":"additional","affiliation":[{"name":"University of Michigan Institute for Healthcare Policy and Innovation  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preeti N.","family":"Malani","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey T.","family":"Kullgren","sequence":"additional","affiliation":[{"name":"University of Michigan Institute for Healthcare Policy and Innovation  Ann Arbor Michigan USA"},{"name":"Department of Internal Medicine University of Michigan Medical School  Ann Arbor Michigan USA"},{"name":"Veterans Affairs Center for Clinical Management Research Veterans Affairs Ann Arbor Healthcare System  Ann Arbor Michigan USA"},{"name":"Department of Health Management and Policy University of Michigan School of Public Health  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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