{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:04:59Z","timestamp":1789621499446,"version":"build-2803163510"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Dement."],"abstract":"<jats:p>Dementia prevention requires policies that address upstream, modifiable risk factors\u2014particularly loneliness, depressed mood, and low social participation\u2014which disproportionately affect linguistically diverse and historically marginalized communities. This Perspective argues that linguistic inclusion, cultural responsiveness, and trust-building practices should be treated as core quality domains in dementia prevention policy and delivery. We describe the Multimodal Intergenerational Social Contact Intervention (MISCI), a community-embedded program designed to reduce loneliness and depressed mood\u2014established risk factors for dementia\u2014through culturally meaningful intergenerational engagement. While MISCI outcomes are limited to feasibility, acceptability, and descriptive trends, we integrate these findings with existing literature to derive policy and systems recommendations. These include reimbursement pathways for social connection interventions, strengthened language access standards, equity-stratified reporting, and cross-sector partnerships. Aligning policy mechanisms with community-embedded programs may support scalable, culturally responsive approaches to reducing dementia risk while advancing health equity.<\/jats:p>","DOI":"10.3389\/frdem.2026.1823303","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T04:48:20Z","timestamp":1789620500000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Equity-centered dementia prevention: lessons from a community-embedded intergenerational model"],"prefix":"10.3389","volume":"5","author":[{"given":"Phaedra","family":"Bell","sequence":"first","affiliation":[{"name":"Department of Neurology, University of California, San Francisco","place":["San Francisco, CA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Miller","sequence":"additional","affiliation":[{"name":"Edward and Pearl Fein Memory and Aging Center Founding Director, Global Brain Health Institute, UCSF, San Francisco","place":["San Francisco, CA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Lawlor","sequence":"additional","affiliation":[{"name":"Global Brain Health Institute, Trinity College Dublin","place":["Dublin, Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"ref1","volume-title":"Potential Effects of Public Charge Changes on Health Coverage for Citizen Children","author":"Artiga","year":"2019"},{"key":"ref2","volume-title":"Immigrant Families Continued Avoiding Public Programs in 2020 despite Facing Hardships","author":"Bernstein","year":"2021"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.2105\/AJPH.2019.305123","article-title":"Interventions to reduce ageism: systematic review and meta-analysis","volume":"109","author":"Burnes","year":"2019","journal-title":"Am. 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