{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T08:57:15Z","timestamp":1791881835508,"version":"4.3.4"},"reference-count":62,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Experiencing subjective cognitive concerns (SCC) marks a potential risk stage for Alzheimer's disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined sex and racial\/ethnic patterns in the prevalence of functional difficulties among U.S. adults with SCC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data for 32,105 adults aged \u226545 years who experienced SCC in the past year were sourced from the Behavioral Risk Factor Surveillance System in 2015\u20132022. Individuals reporting SCC-related functional difficulties in daily or social life activities always\/usually\/sometimes (versus rarely\/never) in the past year were considered having each of the functional difficulties. Weighted binomial logistic regression analyses were conducted to examine the association of sex (male or female) and race\/ethnicity (non-Hispanic White [NHW], non-Hispanic Black [NHB], Hispanic, or non-Hispanic Other [NHO]) with SCC-related daily and social life difficulties, adjusting for all covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, a decreasing trend in SCC-related functional difficulties was observed in both sexes, while female adults had higher prevalence. Trends in these functional difficulties varied by race\/ethnicity, with NHW adults exhibiting the most stable and lowest prevalence. Female adults had significantly higher odds of experiencing SCC-related daily life (adjusted odds ratio [AOR]\u2009=\u20091.28, 95% confidence interval [CI]\u2009=\u20091.15, 1.41) and social life difficulties (AOR\u2009=\u20091.12, 95% CI\u2009=\u20091.01, 1.24) than male adults. NHB, Hispanic, and NHO groups had higher odds of experiencing SCC-related daily and social life difficulties compared to NHW participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Female and racial\/ethnic minority individuals experienced higher levels of SCC-related functional difficulties. Public health interventions are warranted to alleviate such challenges for vulnerable populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261472887","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:44:43Z","timestamp":1785422683000},"page":"1905-1916","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sex and racial\/ethnic patterns in subjective cognitive concerns-related functional difficulties among middle-aged and older adults: A multi-year cross-sectional analysis of a population-based U.S. adult sample in 2015\u20132022"],"prefix":"10.1177","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6977-3348","authenticated-orcid":false,"given":"Yining","family":"Pan","sequence":"first","affiliation":[{"name":"University of North Florida"},{"name":"The Walter and Eliza Hall Institute of Medical Research"},{"name":"Department of Medical Biology, Faculty of Medicine Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1991-1440","authenticated-orcid":false,"given":"Beomyoung","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Education, Health, and Human Sciences, University of Tennessee, Knoxville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4876-9965","authenticated-orcid":false,"given":"Sericea","family":"Stallings-Smith","sequence":"additional","affiliation":[{"name":"University of North Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2014.01.001"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2022.888174"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000005863"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1590\/1980-57642020dn14-030007"},{"key":"e_1_3_3_6_2","article-title":"Population measures of subjective cognitive decline: a means of advancing public health policy to address cognitive health","volume":"7","author":"Olivari BS","year":"2021","unstructured":"Olivari BS, Baumgart M, Taylor CA, et al. 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