{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:40:26Z","timestamp":1792788026077,"version":"4.5.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":83,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"the Jiangmen City Medical and Health Science and Technology Plan Project","award":["2024YL05002"],"award-info":[{"award-number":["2024YL05002"]}]},{"name":"the National Natural Science Foundation of China","award":["72274078"],"award-info":[{"award-number":["72274078"]}],"id":[{"id":"https:\/\/ror.org\/01h0zpd94","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"DOI":"10.1186\/s12889-026-28397-8","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T06:12:01Z","timestamp":1783059121000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers to the behavioral conversion of dementia screening intentions among high-risk individuals: a qualitative study in an urban Chinese setting"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7426-246X","authenticated-orcid":false,"given":"Yating","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3077-3980","authenticated-orcid":false,"given":"Nanxi","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0799-7217","authenticated-orcid":false,"given":"Qian","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8108-6090","authenticated-orcid":false,"given":"Qiyuan","family":"Lyu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"28397_CR1","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1016\/S0140-6736(24)01296-0","volume":"404","author":"G Livingston","year":"2024","unstructured":"Livingston G, Huntley J, Liu KY, Costafreda SG, Selb\u00e6k G, Alladi S, et al. Dementia prevention, intervention, and care: 2024 report of the Lancet Standing Commission. Lancet. 2024;404:572\u2013628. https:\/\/doi.org\/10.1016\/S0140-6736(24)01296-0.","journal-title":"Lancet"},{"key":"28397_CR2","doi-asserted-by":"publisher","first-page":"e661","DOI":"10.1016\/S2468-2667(20)30185-7","volume":"5","author":"L Jia","year":"2020","unstructured":"Jia L, Du Y, Chu L, Zhang Z, Li F, Lyu D, et al. Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study. Lancet Public Health. 2020;5:e661\u201371. https:\/\/doi.org\/10.1016\/S2468-2667(20)30185-7.","journal-title":"Lancet Public Health"},{"key":"28397_CR3","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/S1474-4422(19)30290-X","volume":"19","author":"L Jia","year":"2020","unstructured":"Jia L, Quan M, Fu Y, Zhao T, Li Y, Wei C, et al. Dementia in China: epidemiology, clinical management, and research advances. Lancet Neurol. 2020;19:81\u201392. https:\/\/doi.org\/10.1016\/S1474-4422(19)30290-X.","journal-title":"Lancet Neurol"},{"key":"28397_CR4","doi-asserted-by":"publisher","first-page":"7871","DOI":"10.1002\/alz.14254","volume":"20","author":"K Yang","year":"2024","unstructured":"Yang K, Yang X, Yin P, Zhou M, Tang Y. Temporal trend and attributable risk factors of Alzheimer\u2019s disease and other dementias burden in China: findings from the Global Burden of Disease Study 2021. Alzheimer\u2019s Dement. 2024;20:7871\u201384. https:\/\/doi.org\/10.1002\/alz.14254.","journal-title":"Alzheimer\u2019s Dement"},{"key":"28397_CR5","volume-title":"World Alzheimer Report 2023: reducing dementia risk: never too early, never too late","author":"Alzheimer\u2019s Disease International","year":"2023","unstructured":"Alzheimer\u2019s Disease International. World Alzheimer Report 2023: reducing dementia risk: never too early, never too late. London: Alzheimer\u2019s Disease International; 2023."},{"key":"28397_CR6","doi-asserted-by":"publisher","first-page":"656","DOI":"10.1016\/j.jalz.2013.11.006","volume":"10","author":"DE Barnes","year":"2014","unstructured":"Barnes DE, Beiser AS, Lee A, Langa KM, Koyama A, Preis SR, et al. Development and validation of a brief dementia screening indicator for primary care. Alzheimer\u2019s Dement. 2014;10:656\u2013e6651. https:\/\/doi.org\/10.1016\/j.jalz.2013.11.006.","journal-title":"Alzheimer\u2019s Dement"},{"key":"28397_CR7","unstructured":"General Office of the National Health Commission of the People\u2019s Republic of China. Notice on exploring the development of characteristic services for the prevention and treatment of depression and dementia. 2020. https:\/\/www.gov.cn\/zhengce\/zhengceku\/2020-09\/11\/content_5542555.htm. Accessed 27 May 2026. In Chinese."},{"key":"28397_CR8","unstructured":"General Office of the National Health Commission of the People\u2019s Republic of China. Notice on launching the Dementia Prevention and Treatment Promotion Action for Older Adults (2023\u20132025). 2023. https:\/\/www.nhc.gov.cn\/lljks\/c100158\/202306\/6a4c7f7a6f0c47cbb609a07e7f78582d.shtml. Accessed 27 May 2026. In Chinese."},{"key":"28397_CR9","doi-asserted-by":"publisher","first-page":"5","DOI":"10.21037\/jphe-2026-1-0005","volume":"10","author":"X Jiang","year":"2026","unstructured":"Jiang X, Liu H, Lu J, Zhong BL. Uptake of dementia screening and associated factors among urban, community-dwelling older adults in Wuhan, China: a cross-sectional survey following the rollout of China\u2019s National Action Plan to Address Dementia in the Elderly (2024\u20132030). J Public Health Emerg. 2026;10:5. https:\/\/doi.org\/10.21037\/jphe-2026-1-0005.","journal-title":"J Public Health Emerg"},{"key":"28397_CR10","doi-asserted-by":"publisher","first-page":"108215","DOI":"10.1016\/j.ypmed.2024.108215","volume":"191","author":"L Tang","year":"2025","unstructured":"Tang L, Zhuang Z, Luo M, Cai Y, Lyu Q. Exploring the determinants to accept dementia screening among patients at high risk of dementia based on the theory of planned behavior: a cross-sectional study. Prev Med. 2025;191:108215. https:\/\/doi.org\/10.1016\/j.ypmed.2024.108215.","journal-title":"Prev Med"},{"key":"28397_CR11","doi-asserted-by":"publisher","first-page":"906","DOI":"10.3390\/medicina58070906","volume":"58","author":"D de Levante Raphael","year":"2022","unstructured":"de Levante Raphael D. The knowledge and attitudes of primary care and the barriers to early detection and diagnosis of Alzheimer\u2019s disease. Med (Kaunas). 2022;58:906. https:\/\/doi.org\/10.3390\/medicina58070906.","journal-title":"Med (Kaunas)"},{"key":"28397_CR12","doi-asserted-by":"publisher","first-page":"e70057","DOI":"10.1002\/gps.70057","volume":"40","author":"R Mc Ardle","year":"2025","unstructured":"Mc Ardle R, Dsouza A, Hagan A, Al-Oraibi A, Hanjari M, Stephan BCM, et al. Attitudes and preferences towards screening for dementia from the perspectives of healthcare professionals: an updated systematic review. Int J Geriatr Psychiatry. 2025;40:e70057. https:\/\/doi.org\/10.1002\/gps.70057.","journal-title":"Int J Geriatr Psychiatry"},{"key":"28397_CR13","doi-asserted-by":"publisher","first-page":"723","DOI":"10.3233\/ADR-230145","volume":"8","author":"M Makri","year":"2024","unstructured":"Makri M, Despoti A, Teichmann B, Gkioka M, Moraitou D, Fidani L, et al. Attitudes of family members and caregivers regarding Alzheimer\u2019s disease pre-symptomatic screening. J Alzheimer\u2019s Dis Rep. 2024;8:723\u201335. https:\/\/doi.org\/10.3233\/ADR-230145.","journal-title":"J Alzheimer\u2019s Dis Rep"},{"key":"28397_CR14","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1080\/10911359.2020.1752349","volume":"30","author":"J Park","year":"2020","unstructured":"Park J, Tolea M, Besser L, Galvin J. Intention to be screened for Alzheimer\u2019s disease in nondemented older adults: integrated behavioral model and self-efficacy as mediation effect. J Hum Behav Soc Environ. 2020;30:778\u201396. https:\/\/doi.org\/10.1080\/10911359.2020.1752349.","journal-title":"J Hum Behav Soc Environ"},{"key":"28397_CR15","doi-asserted-by":"publisher","first-page":"2261","DOI":"10.3390\/ijerph17072261","volume":"17","author":"LM Besser","year":"2020","unstructured":"Besser LM, Brenowitz WD, Park J, Tolea MI, Galvin JE. Intention to screen for Alzheimer\u2019s disease by residential locale. Int J Environ Res Public Health. 2020;17:2261. https:\/\/doi.org\/10.3390\/ijerph17072261.","journal-title":"Int J Environ Res Public Health"},{"key":"28397_CR16","doi-asserted-by":"publisher","first-page":"118360","DOI":"10.1016\/j.socscimed.2025.118360","volume":"382","author":"J Jin","year":"2025","unstructured":"Jin J, Li BJ, Theng YL. Why people hesitate about dementia screening: a systematic review and meta-analysis. Soc Sci Med. 2025;382:118360. https:\/\/doi.org\/10.1016\/j.socscimed.2025.118360.","journal-title":"Soc Sci Med"},{"key":"28397_CR17","unstructured":"Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, editors. Existential-phenomenological alternatives for psychology. New York: Oxford University Press; 1978. pp. 48\u201371."},{"key":"28397_CR18","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","volume":"19","author":"A Tong","year":"2007","unstructured":"Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349\u201357. https:\/\/doi.org\/10.1093\/intqhc\/mzm042.","journal-title":"Int J Qual Health Care"},{"key":"28397_CR19","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1177\/1471301218800122","volume":"19","author":"T Nguyen","year":"2020","unstructured":"Nguyen T, Li X. Understanding public stigma and self-stigma in the context of dementia: a systematic review of the global literature. Dement (London). 2020;19:148\u201381. https:\/\/doi.org\/10.1177\/1471301218800122.","journal-title":"Dement (London)"},{"key":"28397_CR20","doi-asserted-by":"publisher","first-page":"1339","DOI":"10.3233\/JAD-201004","volume":"78","author":"M Rewerska-Ju\u015bko","year":"2020","unstructured":"Rewerska-Ju\u015bko M, Rejdak K. Social stigma of people with dementia. J Alzheimers Dis. 2020;78:1339\u201343. https:\/\/doi.org\/10.3233\/JAD-201004.","journal-title":"J Alzheimers Dis"},{"key":"28397_CR21","doi-asserted-by":"publisher","first-page":"e70067","DOI":"10.1002\/dad2.70067","volume":"17","author":"CG Cox","year":"2025","unstructured":"Cox CG, Kirch M, Singer D, Solway E, Malani PN, Kullgren JT, et al. Older US adults\u2019 experiences with and views about cognitive screening and blood biomarker testing for Alzheimer\u2019s disease. Alzheimer\u2019s Dement. 2025;17:e70067. https:\/\/doi.org\/10.1002\/dad2.70067.","journal-title":"Alzheimer\u2019s Dement"},{"key":"28397_CR22","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1186\/s12877-023-03756-x","volume":"23","author":"N Gong","year":"2023","unstructured":"Gong N, Yang D, Zou J, He Q, Hu L, Chen W, et al. Exploring barriers to dementia screening and management services by general practitioners in China: a qualitative study using the COM-B model. BMC Geriatr. 2023;23:55. https:\/\/doi.org\/10.1186\/s12877-023-03756-x.","journal-title":"BMC Geriatr"},{"key":"28397_CR23","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1186\/s12877-022-03407-7","volume":"22","author":"Y-H Chao","year":"2022","unstructured":"Chao Y-H, Huang W-Y, Tang C-H, Pan Y-A, Chiou J-Y, Ku L-JE, et al. Effects of continuity of care on hospitalizations and healthcare costs in older adults with dementia. BMC Geriatr. 2022;22:724. https:\/\/doi.org\/10.1186\/s12877-022-03407-7.","journal-title":"BMC Geriatr"}],"container-title":["BMC Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12889-026-28397-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-026-28397-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-026-28397-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:47:49Z","timestamp":1790203669000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12889-026-28397-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,3]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["28397"],"URL":"https:\/\/doi.org\/10.1186\/s12889-026-28397-8","relation":{},"ISSN":["1471-2458"],"issn-type":[{"value":"1471-2458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,3]]},"assertion":[{"value":"3 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was approved by the Ethics Committee of the First Affiliated Hospital of Jinan University (Approval No.: KY-2022-083). The study was conducted in accordance with the Declaration of Helsinki and relevant ethical guidelines. All participants provided written informed consent before participation. All data were anonymized using participant codes and stored securely to protect confidentiality.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"2659"}}