{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:24:33Z","timestamp":1787163873246,"version":"build-2736575974"},"reference-count":43,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive impairment in older adults represents a critical global public health challenge. This study aimed to describe the prevalence of cognitive impairment and the clinical characteristics of Palestinian older adults living in nursing homes and in the community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted from May to October 2024 among 441 Palestinians aged 55 years and older, recruited from 10 charitable nursing homes and primary healthcare centers across the West Bank. Cognitive function was evaluated using the validated Arabic version of the Mini-Mental State Examination A-MMSE (GTD-USJ). Comprehensive sociodemographic, clinical, and lifestyle information was collected to describe the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 441 participants, 305 were recruited from primary healthcare centers and 136 from nursing homes. The median age of residents in nursing homes was 73.0 years. The population had a high prevalence of illiteracy (41.9%) and was predominantly female (66.9%). Clinically, 58% were obese or overweight. The most common illnesses were hypertension (47.8%) and diabetes (30.9%). On the other hand, the median age of primary health care attendees was 65.0 years. The population was 45.2% male, 27.9% smokers, 16.1% illiterate, and 27.5% had completed university. The most common conditions were dyslipidemia (59%), diabetes (50.2%), and hypertension (67.9%). In the nursing home cohort, significant associations with cognitive impairment were identified for gender (p\u2009=\u20090.030), smoking status (p\u2009&lt;\u20090.001), educational attainment (p\u2009&lt;\u20090.001), and monolingualism (p\u2009&lt;\u20090.001). Among primary healthcare attendees, cognitive impairment was significantly correlated with gender (p\u2009&lt;\u20090.001), smoking status (p\u2009&lt;\u20090.001), educational attainment (p\u2009&lt;\u20090.001), and monolingualism (p\u2009=\u20090.003).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This descriptive study documents the first baseline prevalence data for both care settings and nursing home residents in Palestine and underscores the need for geriatric care standards tailored to the local population. The data support investment in longitudinal cohort research to characterize the natural history of cognitive decline in this population, as well as enhanced management of modifiable risk factors and evidence-based cognitive stimulation programs within nursing facilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0356393","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:29:44Z","timestamp":1787160584000},"page":"e0356393","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of cognitive impairment among older adult Palestinians in community and nursing home 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the Risk of Cognitive Decline and Dementia: WHO Recommendations","volume":"12","author":"N Chowdhary","year":"2022","journal-title":"Front Neurol"},{"issue":"10","key":"pone.0356393.ref002","doi-asserted-by":"crossref","first-page":"2308","DOI":"10.1017\/S0144686X18000491","article-title":"Cognitive enhancement for the ageing world: opportunities and challenges","volume":"39","author":"M Ienca","year":"2018","journal-title":"Ageing and Society"},{"issue":"1","key":"pone.0356393.ref003","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1017\/S1092852918001347","article-title":"State of the science on mild cognitive impairment (MCI)","volume":"24","author":"ND Anderson","year":"2019","journal-title":"CNS Spectr"},{"issue":"11","key":"pone.0356393.ref004","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1038\/mp.2011.147","article-title":"The neuropathological profile of mild cognitive impairment (MCI): a systematic review","volume":"17","author":"BCM Stephan","year":"2012","journal-title":"Mol Psychiatry"},{"issue":"11","key":"pone.0356393.ref005","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1007\/s10654-019-00554-x","article-title":"Two-decade change in prevalence of cognitive impairment in the UK","volume":"34","author":"C Richardson","year":"2019","journal-title":"Eur J Epidemiol"},{"issue":"11","key":"pone.0356393.ref006","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1007\/s10654-019-00554-x","article-title":"Two-decade change in prevalence of cognitive impairment in the UK","volume":"34","author":"C Richardson","year":"2019","journal-title":"Eur J Epidemiol"},{"key":"pone.0356393.ref007","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1212\/CON.0000000000000313","article-title":"Mild Cognitive Impairment","volume":"22","author":"RC Petersen","year":"2016","journal-title":"Continuum (Minneap Minn)"},{"issue":"1","key":"pone.0356393.ref008","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1177\/15500594211042708","article-title":"Mild Cognitive Impairment: Diagnosis and Subtypes","volume":"54","author":"NI Bradfield","year":"2023","journal-title":"Clin EEG Neurosci"},{"key":"pone.0356393.ref009","author":"J DeRight","year":"2022","journal-title":"Essential neuropsychology: A concise handbook for adult practitioners"},{"issue":"1","key":"pone.0356393.ref010","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jalz.2011.01.002","article-title":"Mild cognitive impairment: disparity of incidence and prevalence estimates","volume":"8","author":"A Ward","year":"2012","journal-title":"Alzheimers Dement"},{"issue":"4","key":"pone.0356393.ref011","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.jalz.2007.07.013","article-title":"Mild cognitive impairment and cognitive impairment, no dementia: Part A, concept and diagnosis","volume":"3","author":"H Chertkow","year":"2007","journal-title":"Alzheimers Dement"},{"issue":"2","key":"pone.0356393.ref012","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1177\/2396987318825484","article-title":"Systematic review and meta-analysis of the prevalence of cognitive impairment no dementia in the first year post-stroke","volume":"4","author":"E Sexton","year":"2019","journal-title":"Eur Stroke J"},{"issue":"1","key":"pone.0356393.ref013","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/alzrt4","article-title":"Beyond mild cognitive impairment: vascular cognitive impairment, no dementia (VCIND)","volume":"1","author":"BC Stephan","year":"2009","journal-title":"Alzheimers Res Ther"},{"key":"pone.0356393.ref014","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1017\/S104161020200813X","article-title":"Cognitive impairment, no dementia: concepts and issues","author":"HA Tuokko","year":"2001","journal-title":"Int Psychogeriatr"},{"issue":"3","key":"pone.0356393.ref015","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/j.jalz.2011.03.008","article-title":"The diagnosis of mild cognitive impairment due to Alzheimer\u2019s disease: recommendations from the National Institute on Aging-Alzheimer\u2019s Association workgroups on diagnostic guidelines for Alzheimer\u2019s disease","volume":"7","author":"MS Albert","year":"2011","journal-title":"Alzheimers Dement"},{"key":"pone.0356393.ref016","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.jad.2024.03.072","article-title":"Prevalence of cognitive impairment and associated factors in older people","volume":"355","author":"ACBF Campos","year":"2024","journal-title":"J Affect Disord"},{"key":"pone.0356393.ref017","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1186\/s12877-015-0169-y","article-title":"The relationships between body composition characteristics and cognitive functioning in a population-based sample of older British men","volume":"15","author":"E Papachristou","year":"2015","journal-title":"BMC Geriatr"},{"issue":"6","key":"pone.0356393.ref018","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1093\/ageing\/afv137","article-title":"Community environment, cognitive impairment and dementia in later life: results from the Cognitive Function and Ageing Study","volume":"44","author":"Y-T Wu","year":"2015","journal-title":"Age Ageing"},{"issue":"4","key":"pone.0356393.ref019","doi-asserted-by":"crossref","first-page":"84","DOI":"10.3390\/geriatrics5040084","article-title":"Global Cognitive Impairment Prevalence and Incidence in Community Dwelling Older Adults\u2014A Systematic Review","volume":"5","author":"R Pais","year":"2020","journal-title":"Geriatrics"},{"issue":"1","key":"pone.0356393.ref020","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1038\/s41398-023-02361-1","article-title":"Global prevalence of mild cognitive impairment among older adults living in nursing homes: a meta-analysis and systematic review of epidemiological surveys","volume":"13","author":"P Chen","year":"2023","journal-title":"Transl Psychiatry"},{"key":"pone.0356393.ref021","doi-asserted-by":"crossref","first-page":"1032666","DOI":"10.3389\/fpubh.2022.1032666","article-title":"Prevalence and associated factors of cognitive impairment among the elderly population: A nationwide cross-sectional study in China","volume":"10","author":"F Qin","year":"2022","journal-title":"Front Public Health"},{"issue":"49","key":"pone.0356393.ref022","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000018248","article-title":"Comparison of prevalence and associated risk factors of cognitive function status among elderly between nursing homes and common communities of China: A STROBE-compliant observational study","volume":"98","author":"L Yang","year":"2019","journal-title":"Medicine (Baltimore)"},{"issue":"1","key":"pone.0356393.ref023","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1159\/000508626","article-title":"Depression and Cognitive Impairment in Institutionalized Older Adults","volume":"49","author":"JA Camacho-Conde","year":"2020","journal-title":"Dement Geriatr Cogn Disord"},{"issue":"1","key":"pone.0356393.ref024","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s12877-020-1424-4","article-title":"Association of cognitive impairment and elderly mortality: differences between two cohorts ascertained 6-years apart in China","volume":"20","author":"J Duan","year":"2020","journal-title":"BMC Geriatr"},{"issue":"1","key":"pone.0356393.ref025","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1186\/s12877-021-02641-9","article-title":"Fall prevention in community-dwelling adults with mild to moderate cognitive impairment: a systematic review and meta-analysis","volume":"21","author":"M Racey","year":"2021","journal-title":"BMC Geriatr"},{"key":"pone.0356393.ref026","unstructured":"Older persons. https:\/\/emergency.unhcr.org\/protection\/persons-risk\/older-persons 2026 May 9."},{"key":"pone.0356393.ref027","unstructured":"PCBS | Indicators. Child Statistics Series. https:\/\/www.pcbs.gov.ps\/Indicators. 2021."},{"issue":"3","key":"pone.0356393.ref028","article-title":"Mini-Mental State Examination (MMSE) for the detection of Alzheimer\u2019s disease and other dementias in people with mild cognitive impairment (MCI)","volume":"2015","author":"I Arevalo-Rodriguez","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"pone.0356393.ref029","doi-asserted-by":"crossref","first-page":"525","DOI":"10.3233\/JAD-181232","article-title":"An Arabic Version of the Mini-Mental State Examination for the Lebanese Population: Reliability, Validity, and Normative Data","volume":"71","author":"R El-Hayeck","year":"2019","journal-title":"J Alzheimers Dis"},{"issue":"6","key":"pone.0356393.ref030","doi-asserted-by":"crossref","first-page":"896","DOI":"10.21859\/sums-2306896","article-title":"The Prevalence of Cognitive Impairment in Elderly Nursing Home Residents","volume":"23","author":"M Mirzaei","year":"2017","journal-title":"sums"},{"key":"pone.0356393.ref031","article-title":"Des r\u00e9sidents de plus en plus \u00e2g\u00e9s et d\u00e9pendants dans les \u00e9tablissements pour personnes \u00e2g\u00e9es","author":"A Balavoine","year":"2022","journal-title":"\u00c9tudes et r\u00e9sultats"},{"key":"pone.0356393.ref032","doi-asserted-by":"crossref","first-page":"1428443","DOI":"10.3389\/fmed.2024.1428443","article-title":"Clinical profiles of older adults in French Caribbean nursing homes: a descriptive cross-sectional study","volume":"11","author":"D Boucaud-Maitre","year":"2024","journal-title":"Front Med (Lausanne)"},{"key":"pone.0356393.ref033","unstructured":"Arafa MA. What\u2019s New in the Residential Care of the Elderly in the Arab and Islamic World? The Case of Egypt. In: SSRN Scholarly Paper, 2015. https:\/\/papers.ssrn.com\/abstract=2710357"},{"issue":"1","key":"pone.0356393.ref034","doi-asserted-by":"crossref","first-page":"7513","DOI":"10.1038\/s41598-023-34648-0","article-title":"Associations of healthy lifestyle and socioeconomic status with cognitive function in U.S. older adults","volume":"13","author":"X Wang","year":"2023","journal-title":"Sci Rep"},{"key":"pone.0356393.ref035","article-title":"A role of socioeconomic status in cognitive impairment among older adults in Macau: A decomposition approach","volume":"14","author":"Z Zhang","year":"2022","journal-title":"Front Aging Neurosci"},{"issue":"1","key":"pone.0356393.ref036","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1159\/000487231","article-title":"Prevalence of Mild Cognitive Impairment and Dementia in Saudi Arabia: A Community-Based Study","volume":"8","author":"M Alkhunizan","year":"2018","journal-title":"Dement Geriatr Cogn Dis Extra"},{"issue":"1","key":"pone.0356393.ref037","doi-asserted-by":"crossref","first-page":"117","DOI":"10.3233\/JAD-142655","article-title":"Prevalence of mild cognitive impairment and dementia among the elderly population of Qena Governorate, Upper Egypt: a community-based study","volume":"45","author":"E Khedr","year":"2015","journal-title":"J Alzheimers Dis"},{"issue":"2","key":"pone.0356393.ref038","doi-asserted-by":"crossref","first-page":"377","DOI":"10.3233\/JAD-190397","article-title":"Bilingualism and Dementia: Cognitive Reserve to Linguistic Competency","volume":"71","author":"MF Mendez","year":"2019","journal-title":"J Alzheimers Dis"},{"key":"pone.0356393.ref039","unstructured":"Palestinian Ministry of Health. https:\/\/site.moh.ps\/index\/ArticleView\/ArticleId\/6126 2022. 2026 May 9."},{"issue":"2","key":"pone.0356393.ref040","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1159\/000536643","article-title":"Potentially Modifiable Risk Factors for Dementia and Mild Cognitive Impairment: An Umbrella Review and Meta-Analysis","volume":"53","author":"A Jones","year":"2024","journal-title":"Dement Geriatr Cogn Disord"},{"issue":"6","key":"pone.0356393.ref041","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1093\/eurjpc\/zwae153","article-title":"Diabetes and coronary artery disease as risk factors for dementia","volume":"32","author":"KKW Olesen","year":"2025","journal-title":"Eur J Prev Cardiol"},{"key":"pone.0356393.ref042","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/1471-2318-8-36","article-title":"Smoking, dementia and cognitive decline in the elderly, a systematic review","volume":"8","author":"R Peters","year":"2008","journal-title":"BMC Geriatr"},{"key":"pone.0356393.ref043","doi-asserted-by":"crossref","first-page":"104807","DOI":"10.1016\/j.archger.2022.104807","article-title":"Cognitive stimulation and cognitive results in older adults: A systematic review and meta-analysis","volume":"104","author":"I G\u00f3mez-Soria","year":"2023","journal-title":"Arch Gerontol Geriatr"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0356393","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:29:50Z","timestamp":1787160590000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0356393"}},"subtitle":[],"editor":[{"given":"Aurel","family":"Popa-Wagner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,8,19]]},"references-count":43,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8,19]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0356393","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,19]]}}}