{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:25:56Z","timestamp":1777397156882,"version":"3.51.4"},"reference-count":65,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["101017405"],"award-info":[{"award-number":["101017405"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Region Stockholm"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A healthy lifestyle supports cognitive aging while reducing dementia risk. Multidomain interventions promote healthy behavior, but are often unsuccessful in reaching those with a low socio-economic position (SEP), who face additional challenges with changing behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This cross-sectional study explores differences between SEP-groups in dementia risk, lifestyle, and the socio-cognitive determinants of behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>3,341 Dutch adults (aged 40\u201379) were divided into low, medium, or high SEP groups. Using Chi-squared tests and ANOVA, SEP-related differences were explored for dementia risk, lifestyle behaviors, and health conditions. SEP-related differences in socio-cognitive determinants were examined using a modified version of Confidence Interval-Based Estimation of Relevance (CIBER).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants in the low SEP group had a significantly higher prevalence of all health conditions and engaged in more unhealthy behaviors, translating into a significantly higher dementia risk score. Many had misperceptions about the room for lifestyle improvement, but those in the low SEP group were slightly more aware of not adhering to lifestyle recommendations. Additionally, they perceived less self-confidence towards engaging in sports, considered healthy food as more expensive, perceived alcohol less pleasurable, experienced habits as less influential on alcohol intake, and had less confidence in their ability to quit smoking while pleasure and habits were strongly associated with smoking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adults with a low SEP are at higher risk for dementia and have more potential for lifestyle-based risk reduction. Tailored, co-designed interventions that also consider the broader environment are needed to enhance perceived behavioral control, support behavior change, and reduce inequalities in dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877251414376","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T12:15:35Z","timestamp":1770639335000},"page":"157-170","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Socioeconomic differences in dementia risk, lifestyle, and relevant determinants of behavior"],"prefix":"10.1177","volume":"110","author":[{"given":"Angelica","family":"D\u2019Sa","sequence":"first","affiliation":[{"name":"Department of Health Promotion of the Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands"},{"name":"SHE Research Centre, Department of Sport and Health Sciences, Technological University of the Shannon, Dublin Road, Athlone, Co. Westmeath, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rik","family":"Crutzen","sequence":"additional","affiliation":[{"name":"Department of Health Promotion of the Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"B\u00f6denler","sequence":"additional","affiliation":[{"name":"Institute of eHealth, University of Applied Science at FH Joanneum, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Diaz","sequence":"additional","affiliation":[{"name":"Alzheimer Europe, Senningerberg, Luxembourg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sten","family":"Hanke","sequence":"additional","affiliation":[{"name":"Institute of eHealth, University of Applied Science at FH Joanneum, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannes","family":"Hilberger","sequence":"additional","affiliation":[{"name":"Institute of eHealth, University of Applied Science at FH Joanneum, Graz, Austria"},{"name":"GSRC, Division of Medical Physics and Biophysics, Medical University of Graz, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotta","family":"Thunborg","sequence":"additional","affiliation":[{"name":"Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"},{"name":"Theme Inflammation and Aging, Medical Unit Aging, Karolinska University Hospital, Stockholm, Sweden"},{"name":"Department of Caring Sciences, Faculty of Health and Occupational Studies, University of G\u00e4vle, G\u00e4vle, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Mangialasche","sequence":"additional","affiliation":[{"name":"Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden"},{"name":"Theme Inflammation and Aging, Medical Unit Aging, Karolinska University Hospital, Stockholm, Sweden"},{"name":"FINGERS Brain Health Institute, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeroen","family":"Bruinsma","sequence":"additional","affiliation":[{"name":"Department of Health Promotion of the Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(21)00249-8"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)01296-0"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/alz.12901"},{"key":"e_1_3_3_5_2","article-title":"The latest advances in the diagnosis and treatment of dementia","volume":"15","author":"Hafiz R","year":"2023","unstructured":"Hafiz R, Alajlani L, Ali A, et al. 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