Rising Cognitive Disability as a Public Health Concern Among US Adults

作者：Ka‐Ho Wong, Christopher D. Anderson, Cecilia Peterson, Erin D. Bouldin, Lauren Littig, Neeharika Krothapalli, Trieste Francis, Yvonne Kim, Giselle Cucufate, Jonathan Rosand, Kevin N. Sheth, Adam de Havenon · 发表于：Neurology · 年份：2025 · DOI：10.1212/wnl.0000000000214226 · 被引用次数：6 · 研究领域：Dementia and Cognitive Impairment Research、Traumatic Brain Injury Research、Cognitive Functions and Memory

BACKGROUND AND OBJECTIVES: Cognitive disability-defined by the Behavioral Risk Factor Surveillance System (BRFSS) as serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition-has become the most commonly reported disability among US adults. This broad definition reflects a heterogeneous range of underlying causes and highlights the growing public health significance of cognitive disability in the population. Previous studies have identified disparities by race, age, and socioeconomic status, but few have examined how these patterns have evolved over the past decade. This study analyzes national trends in self-reported cognitive disability from 2013 to 2023 using BRFSS data, with a focus on differences across age groups, racial and ethnic populations, and key social determinants of health. METHODS: We conducted a retrospective analysis using data from the Centers for Disease Control and Prevention's Disability and Health Data System, which integrates nationally representative responses from US adults (aged ≥18 years) in the BRFSS from 2013 to 2023, excluding 2020 and participants who self-reported depression, to better identify nonpsychiatric cognitive impairment. The primary outcome was self-reported cognitive disability, defined as "serious difficulty concentrating, remembering, or making decisions." Survey-weighted logistic regression was used to model prevalence trends and examine associations with demographic ...